Some politicians, in the summer of 2010, told seniors that The Affordable Care Act would (a) slash Medicare by $500 billion and (b) implement death panels. Some politicians are continuing these claims during the Presidential campaign. Neither of these claims are correct. If you are conservative, you can be angry at me for saying that. But it is the truth and after all, isn’t the truth what is really important?
The truth is, the “Affordable Care Act” or ACA, contains roughly 165 provisions affecting the Medicare program by reducing costs, increasing revenues, improving certain benefits, combating fraud and abuse, and initiating a major program of research and development to identify alternative provider payment mechanisms, health care delivery systems, and other changes intended to improve the quality of health care and reduce its costs to Medicares. Some things are obvious; others, not quite so obvious.
Here are just a few things the Affordable Care Act has done/is doing and will do for Medicare that is obvious to seniors as they use Medicare.
1. It provides no cost preventive health screenings to senior citizens through Medicare — so health problems can be caught in the early stages and preclude the need for more expensive health treatment later.
2. It provides vaccinations at no cost, to seniors through Medicare.
2. It closes the “donut” hole in Part D Medicare by 2020.
3. Seniors now only pay 25% of the total cost of prescription drugs under Part D.
4. It provides for a Long Term Care Facility comparison website, so seniors can check the quality of a nursing home prior to entering or a family can check if they have questions.
But there are also a number of others things that the law does for Medicare that are no so apparent. Things that are being done on an organizational level that are good for Seniors.
1. For those seniors living in nursing home on Medicaid, it increases the coordination between Medicare and Medicaid so that the senior (and or the seniors families and friends) has less paperwork to deal with; less frustration.
2. The law provides that those health care providers who are evaluated both subjectively and objectively, as providing the best care will receive higher payments — thereby enhancing the quality of care for seniors on Medicare.
3. The Affordable Care Act ends the additional 14% subsidy that private insurers offering Medicare Advantage required to be competitive with original Medicare. The law then returns those savings to original Medicare. The ACA is does NOT END Medicare Advantage, it simply took away the 14% in additional taxpayer subsidies that private insurers wanted and then returns those funds BACK INTO to original Medicare. Increasing Medicare’s solvency.
4. The ACA adds to Medicare trust fund by requiring those Americans making more than $200,000 a year, to increase their contribution to the fund by .9% — thereby increasing Medicare’s solvency.
5. The ACA adds to Medicare trust fund by requiring those Americans making more than $200,000 a year off non-wage income, to pay a 3.8% into the Medicare fund, thereby increasing Medicare’s solvency.
6, ACA adds funds to the Medicare Fraud Investigation Programs. This far, the program has been successful. Recovered funds have been returned to Medicare adding to its solvency.
7. Because Nursing home care is so costly, the ACA funds projects to see how seniors can be kept in their homes for as long a it possible.
8. IPAB The ACA provides for an independent advisory board, made up of 15 members of physicians, nurses, health care providers, etc Appointed by the President and ratified by congress, this Board is charged with controlling the costs of health care without diminishing the coverage or quality of care. This Board will increase the solvency of Medicare by cutting out waste and usury charges.
9. ADDS $500 billion back into original Medicare
For an easy and quick way to see what is in the Affordable Care Act for yourself, CLICK HERE







The ACA is strengthening Medicare not weakening it. Medicare beneficiaries pay 25% of meds after any deductible up to the coverage gap, when they have to pay more, if they participate in a Part D Prescription Drug plan. Good information in the blog, keep it up.
In Item 3 did you mean to say the ACA does NOT end Medicare Advantage?
thanks. yes, i did.
Just because you ‘think’ it will lower cost doesn’t mean it will. Read your history and look at the original Medicare projections vs real life. They weren’t even close! If you use a flawed model your results will not match reality.
#s 1. 2. 2.? (by the 2nd # 2 I assume you meant 3) 3. and 4. (Part A) Seem as though they might take a significant additional bite out of Medicare.
#s 1 and 2 (Part B) sound as if they may as well. As if to say that “frustration” and paperwork reduction, evaluation and accreditation for higher payments will just somehow “happen”. I wonder which friend of a friend and bureaucracy insiders will be making these decisions. Your faith in government is astounding albeit foolish.
#3 – the 14% “subsidy” removed from the hands of private insurers will simply disappear? Isn’t that a bit naive? And I personally know of 3 people even now who have had a very hard time finding doctors who will any longer accept medicare clients. Perhaps in the future they will be denied this right, I mean – We are talking socialism here.
#4 a “requirement” is not a contribution.
#5 the .9% tax mentioned in #4 coupled with the 3.8% increase in “non-wage” income (a vague term) will effectively raise their tax liablity on that income to more than 35%, not to mention the current popular inference that they must begin paying “their fair share”.
#6 and these casually mentioned funds come from?
#7 “funds projects to see how Seniors can be kept in their homes for as long as possible. In other words it doesn’t effectively deal with the issue, it simply funds projects to see how. I wonder what these projects might cost? And once again … the funds come from?
Oh and # 8! The independant advisory boards! Yes. In actuality, they will not work to “cut out waste” but rather work to decide just exactly what waste is by their own open ended definition. Isn’t that more probably accurate?
And # 9 of course is none but pure unfounded speculation that is wide open to a very resounding “I told you so”.
I reiterate: Your trust in government is astounding albeit foolish.
I wonder – how will the extra cost of these amazing improvements supposed to benefit Medicare actually weigh in when subtracted from the benefits. This is of course assuming that your faith in purely driven altruism as truly represented in today’s efficient and uncorruptible bureaucratic tentacled colossus.