OBAMACARE
HOW WE GOT HERE! • 1935 Social Security • 1942 Price Controls • 1965 Medicare/Retrospective Cost Based Reimbursement – 1967-1983 costs rose from $3 Billion to $37 Billion annually – 2010 costs $560 Billion – Estimated 2022 costs $1 Trillion
• 1983 Medicare/DRG Prospective Payment System • 2005 Medicare part D (Donut Hole) • 2010 Affordable Care Act (ACA)