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Reply to "If you honestly want to fix Medicare and Medicaid"
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[quote=Anonymous]What's wrong with Medicaid? When I worked for the state, the Medicaid program had 4.5% administrative costs compared to private insurance that generally claims 20-30% administrative costs. Overall medical inflation ran about 6% a year when private insurers were increasing rates 13-20%. We had a pretty high saturation point (getting eligible people to actually enroll and use the services). We did have some trouble getting certain types of providers in different parts of the state, but modifying the contractual requirements for bids helped really mitigate that. It wasn't perfect, but I've also never seen a private insurance plan that was, either. It was a great model to show how a public, single payor plan could work. Medicare, now that's a whole different story.[/quote]
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