solving the medicare crisis

You are chief of staff to your brother-in-law, Representative Howard Hughes, who was recently elected to fill out a term in Congress.

He has been asked to participate in a panel discussion on the Medicare funding crisis. You have been asked to prepare a paper for him. The panel is asked to respond to a proposal for reducing Medicare expenditures by adding Part X to the current Part A – Hospital coverage, Part B – Outpatient coverage, Part C – Managed care, and Part D – Prescription drug coverage. What would Medicare Part X contain?

Key Questions

The following key questions must be addressed in the paper.

  • Define the coverage element(s) for the proposed Medicare Part X.
  • Provide detailed explanations of costs and benefits and related economic principles to support the proposed Medicare Part X.
  • Identify how the proposed Medicare Part X will be funded.
  • Include a section entitled “Contingency Planning” on how your Medicare Part X recommendation(s) would or would not change if a new federal law was passed that required all individuals over age 65 to purchase long-term care insurance for assisted-living and nursing home (i.e., skilled nursing facility) services. Be sure to include rationale and justification.

See the Case Study Grading Rubric for more information.

Your congressperson wants to appear intelligent. Do not be afraid to refer to economic theory or theories of distributive justice.


  • Prepare a written response to questions following the Case Study requirements and expectations.
  • In general, the length of this case study should be no fewer than three pages (not including a cover or reference page), double spaced.
  • Your assignment will be evaluated and graded based on the Case Study Grading Rubric.

Remember to submit your assignment for grading when finished. A quality deliverable will meet or exceed all of the below requirements.

Category Points Description
Documentation 15 A quality case analysis will include a cover page and proper citations and references. Paper Format: Word document in APA or MLA format, double spaced.
Editing 15 Free of any spelling, punctuation, or grammatical errors. Sentences and paragraphs will be clear, concise, and factually correct.
Content 60

The following key questions must be addressed.

  • Is Medicare in a state of crisis?
  • Are radical measures necessary to preserve the program?
  • How is Medicare funded now?
  • Why do older adults feel that Medicare is an insurance program and not a welfare program?
  • Is this perception accurate?
  • Should there be a Medicare program at all?
  • Why should the government be involved in providing insurance to older adults?
  • Does Medicare have detrimental effects on the market for healthcare or on the market for health insurance?
  • Are these economic effects offset by the positive effects of the Medicare program for older adults?
  • What about the positive effects of caring for older adults for society?
  • Are there any externalities here?
Organization 30 The memo will be properly subdivided into the above required headings and subheadings (bold and in caps). – Problem Identification – Situation Analysis – Solution Remember, the goal is not to find the solution but rather to examine the case and practice analyzing and solving real-world problems from a healthcare management perspective.
Total 120 A quality deliverable will meet or exceed all of the below requirements.


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