1. Presentation at Alliance for Health Reform Briefing Bob Greenstein September 12, 2011

2. Medicare and Medicaid Controlled Costs Better than Private Insurance Over the Last Decade Average Annual Growth Rate, 2000-2009 Medicaid Per Beneficiary Medicare Per Beneficiary Private Per Capita, Comparable to Medicare Private Employer Insurance Premiums Source: CBPP analysis.

3. Medicaid Costs 27 Percent Less For Children, 20 Percent Less For Adults Than Private Insurance Source: Leighton Ku and Matt Broaddus, Public and Private Health Insurance: Stacking Up the Costs, Health Affairs, 27, no.4 (2008): w318-327 Estimated 2005 per capita costs of serving Medicaid enrollees with public vs. private insurance, after adjusting for health differences Public insurance Private insurance

4. Ryan Proposal Would Double Health Care Spending of Typical 65-Year-Old 4 Source: Douglas W. Elmendorf, Director, Congressional Budget Office, Letter to the Honorable Paul Ryan, April 5, 2011, and CBPP calculations. Current Medicare is CBO’s alternative scenario. Note: Beneficiary’s share of spending includes premiums, out-of-pocket costs for covered services, and any payments for supplemental insurance.

5. Raising Age of Eligibility for Medicare to 67 Would Increase Total Health Care Spending 5 Source: Raising the Age of Medicare Eligibility, Kaiser Family Foundation, July 2011.