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Federal policymakers should require timely, clear notice to people insured through the health insurance marketplace who receive subsidies and are approaching Medicare eligibility.
Proposals to extend Medicare or other federal coverage to older adults who are not yet eligible for Medicare should:
Any reforms that expand private coverage must ensure that affordable and adequate coverage is accessible to all individuals targeted by the expansion, regardless of health or age.
Tax policies relating to health coverage, health savings, and health spending should be evaluated in the context of fiscal and health policy.
Sources of financing for health care reform should be broad-based, stable, capable of growing with enrollment, progressive, and consistent with furthering public-health objectives.
All consumers should receive coverage and care that is at least as good as that required for policies offered through health care exchanges.
Federal and state policymakers should enact health care reform that achieves universal access to health care coverage and provides adequate protection against health care costs.
Policymakers should explore reinsurance, risk adjustment, or similar mechanisms to spread insurance risk more broadly.
Policymakers should ensure that state and federal health insurance marketplaces maintain an accessible application-and-enrollment system and infrastructure.