Today, Medicare determines premium rates and cost-sharing for outpatient and prescription drug expenses based on four income brackets, the highest of which begins above $214,000. About one in 20 beneficiaries pays a higher fee. The president’s plan would introduce five new brackets in 2017 for a total of nine, lowering the highest benchmark to $196,000. To drive more people into those higher-paying brackets, inflation adjustments would be frozen until one in four beneficiaries qualifies for higher premiums, according to the report.
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