An examination of the methodology for awarding imminent danger pay and hostile fire pay / Beth J. Asch, James V. Marrone, Michael G. Mattock.

Format:

Book

Author/Creator:

Asch, Beth J., author.

Contributor:

Marrone, James V.

Mattock, Michael G., 1961-

National Defense Research Institute (U.S.). Forces and Resources Policy Center.

Rand Corporation.

United States. Department of Defense. Office of the Secretary of Defense.

Language:

English

Subjects (All):

Combat.

Risk assessment--Evaluation.

Risk assessment.

Armed Forces--Salaries, etc.

Armed Forces.

United States--Armed Forces--Pay, allowances, etc.

United States.

Other Title:

Medicare for 50-to-64-Year-Olds

Place of Publication:

Santa Monica, Calif. RAND Corporation 2019

Summary:

Policymakers have long discussed allowing people under the age of 65 to buy into the Medicare program. Unlike health care proposals that seek to provide tax-financed health coverage to the entire population (often labeled "Medicare for All"), Medicare buy-in proposals would create a voluntary new option for eligible people to enroll in Medicare. In this report, the authors analyze how allowing adults ages 50 and older to buy into the Medicare program could affect health insurance coverage, individual market premiums, and federal health care spending. They consider a base buy-in scenario that assumes 50-to-64-year-olds are eligible for the buy-in, advance premium tax credits and cost-sharing reductions (which are Affordable Care Act subsidies to help pay for cost-sharing at the point of service) are available on the buy-in, and — like traditional Medicare — the buy-in has no out-of-pocket maximum. They then estimate eight alternative scenarios that vary based on assumptions about the design of the buy-in and consumers' response to the program. The findings presented in this report suggest that a Medicare buy-in could offer significantly more-affordable coverage to older adults while potentially leading to higher premiums for the pool of people remaining on the individual market.

Contents:

Introduction

Overview of Hostile Fire Pay, Imminent Danger Pay, and Other Risk-Based Pays

Major Themes from Interviews with Subject-Matter Experts

Insights from Past Studies

Risk-Based Pay in Other Agencies and Militaries

Conclusions and Recommendations

Appendix A: History of Risk Recognition Pay with Zonal Eligibility

Appendix B: Areas Designated for Hostile Fire Pay or Imminent Danger Pay

Appendix C: Areas with Combat Zone Tax Exclusion Eligibility

Appendix D: Hazardous Duty Incentive Pays

Appendix E: Combat-Related Pay and Deployment Tabulations.

Notes:

Description based on print resource.