• THE PROBLEM
• THE SOLUTION
• HOW CAUSE IS DIFFERENT
  • Reforms and Modifications
• PLAN PHASES
• Years 1-5
• Years 6-10
• Years 10-15
• Beyond Year 15
• POPULATIONS
• Children
• Adults
• Elders
• FINANCING
• Removing Duplication
• Cost Savings
• Associated Costs
• Sources of Revenue

Why CAUSE is Different From the Other Health Plans

• • Because the CAUSE approach is implemented over 15 years, it allows time for the training of enough primary care physicians to provide care to the newly insured. Having primary care physicians for all will enhance prevention and enhance coordination of care that the modified Medicare Parts 1 and 2 will offer. Therefore, patients are given more than an insurance card, they are given REAL access to good care.
  • CAUSE is affordable. The costs for transitioning to universal access to basic health care is spread over 15 years. We begin by insuring children with Medicare 1 and 2, yet allow parents and the employers the opportunity to purchase private alternatives. The funding source, such as a financial transaction tax, provides an immediate means of paying for this first phase. The long implementation also gives time necessary for the cost saving aspects of the plan to be realized. These include practicing evidenced based medicine, health information technology, promoting health and disease prevention and lowering administrative costs. In years 6-10 of implementation, based on cost information gleaned from the previous 5 years, state boards can be made to work within budgets.
  • Career choice is no longer dependent on maintaining health benefits, and this helps employees.
  • The delivery of care to patients is improved by letting them go to their own physician for care whether injured at work, home, or in a car.
  • CAUSE provides universal coverage by building on a Medicare system that is currently operational, with low administrative costs, and high acceptability among the U.S. population.It is not a single payer plan. It preserves a role for the private insurance companies by allowing individuals and employers to buy supplemental private policies to cover deductibles and other out of pocket costs for Medicare 1 and 2. There is also a choice for patients to buy a supplemental policy for services not covered by CAUSE. Individuals and employers can also purchase a private alternative to Medicare for All even when fully implemented.
  • CAUSE addresses the impending financial crisis of Medicare by containing cost increases through budgeting, improving prevention of disease and coordination of care with a strong primary care delivery system, broadening the pool of patients paying into and using the system, and by changing fees and payments to support services proven to make people healthier.
  • CAUSE addresses variations across the country in health care resources and access to quality care by tying Medcaid reimbursement rates to Medicare and increasing Federal Medicaid matching to the poorest sub-state regions.