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Magnifying the voices of Americans abroad back home

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INTRODUCTION �TO MEDICARE PORTABILITY

Review of Medicare

Identify the Issues for Overseas Americans

Challenges Facing Medicare

Overview and Progress of MP

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REVIEW OF MEDICARE

Medicare is the federal health insurance program for

People 65+

Certain younger people with disabilities

People with End Stage Renal Disease

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MEDICARE PARTS A & B

Medicare Part A – Hospital Insurance

    • Covers inpatient hospital stays, care at a skilled nursing facility, hospice care and some home health care

Medicare Part B – Medical Insurance

    • Covers certain doctors’ services, outpatient care, medical supplies and preventative services

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IDENTIFY THE ISSUES FOR OVERSEAS AMERICANS

  • Americans Overseas cannot access Medicare benefits
  • Medicare benefits are available only in the US
  • Part B premiums are deducted from Social Security benefits (or billed) to Overseas Americans regardless of their inability to access Medicare
  • ~27.5% of DA membership for whom we have birth date info are 60+, ~20.5% are 65+
  • Per FVAP's 2020 overseas voter survey, 20% of respondents were 65+. & 15% were 55-64 https://www.fvap.gov/uploads/FVAP/Reports/FVAP-2020-Report-to-Congress_20210916_FINAL.pdf p.16

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CHALLENGES FACING MEDICARE�

Medicare is not self sustaining and must find cost saving measures

Outsourcing services to foreign countries with equivalent medical care at lower costs could be a source of cost savings for Medicare

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MP FEASIBILITY STUDY TO MEASURE COST SAVINGS

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  • Source: Government Savings Institute govtsavings.org

The Cost of Common Chronic Conditions in Older Adults

High Potential for Cost-Savings through Medicare Abroad Pilot Program

(Pilot Program figures based on 15,000 participants per country)

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Procedure Costs

Ave. US Cost

Ave. S. Korea Cost

Ave. Israel Cost

Heart Disease (heart bypass)

$123,000

$24,000

$28,000

Cancer (prostatectomy)

$32,684

$4,442

$9,644

Alzheimer's Disease (annual)

$25,213

$8,824

$14,420

Ischemic Stroke

$53,307

$7,247

$14,246

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MP FEASIBILITY STUDY TO MEASURE COST SAVINGS

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  • Source: Government Savings Institute govtsavings.org

The Cost of Common Chronic �Conditions in Older Adults

High Potential for Cost-Savings through �Medicare Abroad Pilot Program�

(Pilot Program figures based on �15,000 participants per country)

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South Korea Pilot Program

Estimated Patients

Total Cost Savings

Heart Disease (heart bypass)

90

$8,910,000

Cancer (prostatectomy)

510

$14,403,757

Alzheimer's Disease (annual)

1,380

$22,617,469

Ischemic Stroke

165

$7,599,837

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$53,531,063

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MP FEASIBILITY STUDY TO MEASURE COST SAVINGS

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  • Source: Government Savings Institute govtsavings.org

The Cost of Common Chronic �Conditions in Older Adults

High Potential for Cost-Savings through �Medicare Abroad Pilot Program�

(Pilot Program figures based on 15,000 participants per country)

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Israel Pilot Program

Estimated Patients

Total Cost Savings

Heart Disease (heart bypass)

90

$8,550,000

Cancer (prostatectomy)

510

$11,350,303

Alzheimer's Disease (annual)

1,380

$14,894,340

Ischemic Stroke

165

$6,445,078

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$41,639,721

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PROGRESS

Authorizing language for pilot included in FY22 Appropriations Bill

    • Good working relationship with CMMi

Working with House, Senate, WH & HHS to move Pilot forward.

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PROGRESS

Chronic Diseases – S. Korea/Israel

2 pivotal studies showing need and cost savings (the survey results)

Survey of ~5K Americans Overseas

Need 2-4 Million Americans

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PROGRESS

Slow progress with CMMi/CMS

HHS – Technical Assistance / CBO Score

CMMi/CMS - Medicare Advantage Plan for Pilot

Stand Alone Bill for Pilot – House Ways & Means

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WHAT CAN �YOU DO?

Research, Write, Social Media

Join MPTF

Contact Legislators

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HOW DO YOU GET INVOLVED?

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  • THANK YOU!!!!