05/09/2024
What You Need to Know
1) Medicare trustees have moved the inpatient hospital benefits fund depletion date back to 2036 from 2031.
2) The trustees continue to believe that the actual situation is even
worse than it officially looks.
Did you know that half of the US Population will be 65 or older by 2030, and most of them will be on Medicare?
The post-pandemic surge in healthcare use, the aging U.S. population, and healthcare worker shortages hit Medicare hard in 2023.
According to the latest Medicare trustees report, the huge U.S. government health insurance program lost $12 billion in 2023 on some $1 trillion in revenue, compared with an $83 billion gain on $989 billion in revenue in 2022.
The good news is that the Payroll tax revenue rose 4.1% to $367 billion.
And higher interest rates pushed interest income up 27%, to $10 billion.
However, spending climbed to $15,547 per Medicare enrollee, up 15% from the 2022 average, and the effects of soaring costs swamped the effects of modest revenue growth.
Any changes that become law could complicate planning for clients but increase demand for the kinds of life insurance products and trust services that wealthy taxpayers use to cope with taxes.
None of this should be a surprise to anyone. And it's only going to get worse. The Social Security system is under the same pressure.
Do you think the government will raise our taxes to pay for these programs?
What does all this mean? Medicare losses will push Medicare program managers and members of Congress to look for ways to cut benefit costs and add additional revenue.
In my opinion, the hunt for Medicare money will put added pressure on lawmakers to let the estate tax exemption spring back to the pre-2017 level in 2026 and reduce or eliminate other federal tax breaks, push up payroll taxes make the IRMAA penalties even stiffer.
What do you think about all of this?