Medicare spending growth rising slower but enrollment will rise

Throughout Medicare's 46-year history, monitoring the cost of the government health plan for the elderly has been a bit like the old joke: No one asked if spending would jump. They only asked how high.

But in early 2010, the number crunchers at Medicare headquarters in Baltimore saw something surprising: a sharp drop in the volume of doctor visits and other outpatient services. Instead of growing at the usual 4 percent a year, the number of claims was suddenly climbing by less than 2 percent. Was this a one-time blip, or a fundamental shift in how seniors were receiving care?

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Rosalind S. Helderman 23 Dec, 2011


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