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 <subject>Cost analysis</subject>
 <subject>Future budget projections</subject>
 <subject>Health care costs</subject>
 <subject>Health care programs</subject>
 <subject>Health insurance</subject>
 <subject>Health insurance cost control</subject>
 <subject>Managed health care</subject>
 <subject>Risk management</subject>
 <subject>Medicaid Program</subject>
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<titleInfo>
 <title>Medicare: Higher Expected Spending and Call for New Benefit Underscore Need for Meaningful Reform</title>
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<abstract>In determining how to reform the Medicare program, much is at
stake--not only the future of Medicare itself but also assuring  
the nation&apos;s future fiscal flexibility to pursue other important 
national goals and programs. Engaging in a comprehensive effort  
to reform the Medicare program and put it on a sustainable path  
for the future would help fulfill this generation&apos;s stewardship  
responsibility to succeeding generations. It would also help to  
preserve some capacity for future generations to make their own  
choices for what role they want the federal government to play.  
Updating Medicare&apos;s benefit package may be a necessary part of	 
any realistic reform program. Such changes, however, need to be  
considered in the context of Medicare&apos;s long-term fiscal outlook 
and the need to make changes in ways that will promote the	 
program&apos;s longer-term sustainability. Specifically, it must be	 
acknowledged that adding prescription drug coverage to the	 
Medicare program would have a substantial impact on program	 
costs. At the same time, many beleive it is needed to ensure the 
financial well-being and health of many of its beneficiaries. The
challenge will be in designing and implementing drug coverage	 
that will minimize the financial implications for Medicare while 
maximizing the positive effect of such coverage on Medicare	 
beneficiaries. Most importantly, any substantial benefit reform  
should be coupled with other meaningful program reforms that will
help to ensure the long-term sustainability of the program.</abstract>
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<note>Testimony</note>
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<subject>
 <topic>Cost analysis</topic>
 <topic>Future budget projections</topic>
 <topic>Health care costs</topic>
 <topic>Health care programs</topic>
 <topic>Health insurance</topic>
 <topic>Health insurance cost control</topic>
 <topic>Managed health care</topic>
 <topic>Risk management</topic>
 <topic>Medicaid Program</topic>
 <topic>Medicare Choice Program</topic>
 <topic>Medicare Hospital Insurance Trust Fund</topic>
 <topic>Medicare Program</topic>
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