Upgrade Medicare enrollees into UHP
Year 1, Day 1 · UHADiscuss this step
How other countries handled this same piece of implementation, what happened, and what it means for this plan.
Side by side
| Country | Approach | Result | Lesson for this plan |
|---|---|---|---|
| This plan (U.S.) | All 67 million Medicare enrollees move into UHP on day one. Part B and Part D premiums, deductibles, and coinsurance end. Dental, vision, and hearing are added. | ||
| Taiwan | Merged labor, government-employee, and farmer insurance on launch day. | No coverage gaps for existing enrollees. | Existing public enrollees can be converted overnight. |
| Netherlands | Merged public sickness funds and private insurance into one mandatory scheme in 2006. | One market; insurers kept but heavily regulated. | Merging tiers is possible in one step with a fixed switchover date. |
Taiwan
- What they did
- Merged labor, government-employee, and farmer insurance on launch day.
- What happened
- No coverage gaps for existing enrollees.
- Lesson for this plan
- Existing public enrollees can be converted overnight.
Netherlands
- What they did
- Merged public sickness funds and private insurance into one mandatory scheme in 2006.
- What happened
- One market; insurers kept but heavily regulated.
- Lesson for this plan
- Merging tiers is possible in one step with a fixed switchover date.
More precedent
- Taiwan merged 10+ existing insurance programs into NHI on one day in 1995.