This is one question Vice President Biden should ask Congressman Ryan Thursday night October 11.
The Wyden-Ryan plan, co-developed by Congressman Ryan, explicitly fixes the life-time limits problem in "Medicare as we know it," implies it might do something about the co-pays and deductibles problem, and the two authors alternately both say their reform will work like Parts C Medicare Advantage or Part D Prescription Drug Plans work today (when Wyden-Ryan begins in 2022 if ever passed).
So which is it, Mr. Ryan? Is your and Congressman Wyden's plan like Medicare Part C or Part D? The answer is both and the Patient Protection and Affordable Care Act (PPACA) as well.
- Part C Medicare Advantage is mostly an integrated-care/global-payment (also known as capitation) plan and that is same as the Wyden-Ryan proposal and
- Medicare Parts A/B are mostly uncoordinated-care/fee for service (FFS) plans.