医疗保险融资改革：新的医疗保险保费。

Medicare financing reform: a new Medicare premium.

作者信息

Davis K, Rowland D

出版信息

Milbank Mem Fund Q Health Soc. 1984 Spring;62(2):300-16.

Abstract

The original and continuing promise of Medicare can be preserved only through a complex package of fiscal reforms. Central to this should be a merger of Hospital Insurance and Supplementary Medical Insurance into a single Medicare trust fund, financed in part through income-related beneficiary premiums. Benefits could be expanded, while improving access and equity.

摘要

医疗保险最初的承诺以及持续的保障只有通过一系列复杂的财政改革才能得以维持。其中的核心举措应该是将医院保险和补充医疗保险合并为一个单一的医疗保险信托基金，部分资金通过与收入相关的受益人的保费来筹集。这样既能扩大福利，又能改善医保覆盖范围并提升公平性。