'Is President Trump Really Proposing To Cut Medicare By $845 Billion?' NO
"The Committee for a Responsible Federal Budget does a nice job walking through the math, and concludes that the net reduction in Medicare spending would be between $515 billion and $575 billion, not $845 billion. The White House projects that total Medicare spending over the next decade will top $10 trillion."
While even $515 billion is a lot of money, very little would directly affect beneficiaries. CRFB figures about 85 percent of the cuts would come from hospitals, doctors, skilled nursing facilities, and other providers.
Shifting accounts
To start, Trump is moving about one-third of the money–$269 billion—into a different section of the budget. He would not reduce spending for these two programs, which fund certain hospitals and medical education, he’d just shift them out of the Medicare account to somewhere else.
Of the rest, Trump’s budget saves $360 billion mostly by recycling or building on ideas first suggested by President Obama. Among the proposals: Paying post-acute and long-term care providers based on the clinical needs of beneficiaries rather than the site where the care is offered, and reducing payments to hospitals for the cost of patients who don’t pay their bills. In some cases, hospital-owned medical practices would be paid lower, outpatient rates even when they are located on a hospital campus.
None of these changes would increase costs to beneficiaries and some could, at least in theory, lower Medicare premiums. The potential downside: Some hospitals or nursing homes may stop providing services if they are no longer profitable.
Little chance of becoming law
About 11 percent of the cost savings would come from changes in the Medicare Part D drug benefit. Some beneficiaries would pay more out of pocket for prescription drugs and others less, depending on what medications they take and how much they cost. The administration also claims Medicare would save about $30 billion from broad changes to medical malpractice laws.
https://www.forbes.com/sites/howardgleckman/2019/03/14/is-president-trump-really-proposing-to-cut-medicare-by-845-billion/'Is President Trump Really Proposing To Cut Medica... (