In the series—What’s at Stake—we explore health care reform ideas often discussed in election years and how these reforms could affect coverage, care, and outcomes for older adults and people with disabilities.
Proposals to turn Medicare into a premium support system, also called a defined contribution system or a voucher program, are evergreen. Such programs would give people with Medicare a voucher or coupon worth a certain amount toward the purchase of health coverage. If the voucher did not cover the full cost, the person would presumably have to pay the rest or go without coverage.