Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA.
JAMA. 2012 Aug 1;308(5):459-60. doi: 10.1001/jama.2012.7909.
The idea of a premium support (or voucher) system for Medicare has generated substantial debate. Under premium support, Medicare beneficiaries choose among health plans that compete in a market-based bidding system. In some models, the Traditional Medicare (TM) program is abandoned entirely in favor of private health plans. In other models, such as the Ryan-Wyden plan, TM becomes one option among many.
为医疗保险引入额外付费(或代金券)制度的想法引发了广泛的讨论。在额外付费制度下,医疗保险的受惠者可以在一个基于市场的竞标系统中选择健康计划。在一些模式中,传统的医疗保险(TM)计划完全被放弃,转而采用私人健康计划。在其他模式中,如瑞安-怀登计划,TM 只是众多选项之一。