Projected Medicare Spending in 2020 $150 Billion Lower Than Pre-Reform Predictions Cumulative Reduction of $750 Billion over 2011–2020 −13.9% Notes: *

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Projected Medicare Spending in 2020 $150 Billion Lower Than Pre-Reform Predictions Cumulative Reduction of $750 Billion over 2011–2020 −13.9% Notes: * CMS projection as of February 2009 assuming no reform; ** CMS projection as of September 2010 after enactment of reform; *** CMS projection as of July 2011 after enactment of reform. Source: CMS spending projections from 2009, 2010, and 2011; Commonwealth Fund estimates extrapolating trends in last one to two years, assuming continuation of compounded annual growth rate.