ABOUT
Our health care system needs a coverage option that is truly dedicated to the public good, operates in an equitable and transparent manner, is dedicated to reducing costs and improving quality, and takes care of people when they are sick.
GoMedicareDirect.com was established to spread awareness regarding the Medicare Direct proposal, improve public understanding of the complex issues involved with the Medicare for All and public option concepts, and invite input and additional resources that contribute to this dialogue. Change is coming. Let’s get it right.
““All of us debating how to structure Medicare for All and public option proposals share a common cause: expanding access to affordable health insurance coverage for everyone. Medicare Direct is intended to be a relatively straightforward, actionable means of advancing that goal.”
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OUR PLAN
States file a combination of section 1332 and Center for Medicare and Medicaid Innovation waivers to capture program savings and ensure involvement of Medicare-participating providers at cost-effective rates.
States partner with a public benefit corporation (PBC) to establish a Medicare Direct plan dedicated to the public interest, including limitations on profits, transparency, adoption of Medicare coverage policies, investment in public health, etc.
Leveraging a PBC keeps financial risk and administrative burden off of state ledgers.
The Medicare Direct plan adheres to all requirements that apply to “qualified health plans” under the ACA and is offered on participating state health insurance Exchanges.
Medicare providers serve as the basis for the plans network and reimbursement rates are established via a multi-stakeholder process.
Savings from the program can be used to fund reinsurance programs, enhance premium and cost-sharing subsidies, and other purposes that reduce cost and improve quality.