The Leviticus 25 Plan Generates $112.6 Billion Federal Budget Surpluses Annually (2025-2029). Part 3: Medicaid, Medicare, VA, TRICARE, FEHB, SSDI Recapture

The Leviticus 25 Plan – the most powerful economic acceleration plan in the world: economic scoring summary.

5. Medicaid/CHIP Recapture

Each U.S. citizen participating in The Plan will receive a $30,000 deposit, funded through a Federal Reserve-based Citizens Credit Facility, into a personal Medical Savings Account (MSA).

The Leviticus 25 Plan assumes 80% participation by Medicaid / CHIP enrollees.

Within this comprehensive economic plan, The U.S. Health Care Freedom Plan provides

Medical Savings Account (MSA) funding of $30,000 to cover the $6,000 deductible for Medicaid and CHIP eligible primary care events and select out-patient care services – primarily related to routine medical appointments, Medicaid prescription events, disease state monitoring clinics, and other desired primary care services.

September 2023 Medicaid & CHIP Enrollment – 88,414,773 individuals were enrolled in Medicaid and CHIP in the 50 states and the District of Columbia that reported enrollment data for September 2023. 81,408,432 individuals were enrolled in Medicaid.  7,006,341 individuals were enrolled in CHIP.

The 88,414,773 enrollment level represents a decrease of 2,518,996 (2.77%) from the Sep 2022 ‘Covid-period’ enrollment of 90,933,769.  It represents an increase of 4,799,996 (5.74%) from the July 2021 ‘pre-Covid’ enrollment of 83,614,777 individuals.

Using a conservative estimate of 90.0 million for 2024, with a projected 2% annual growth rate:

2024:  90.0 million

202591.8 million

2026:  93.6 million

2027:  95.5 million

2028:  97.4 million

2029:  99.3 million

Total:  477.6 million receiving benefits 2025-2029

Average annual enrollment (2025-2029): 95.52 million

95.52 million X .8 = 76.42 million X $6,000/year X 5 years = $2.293 trillion

Total Medicaid/CHIP recapture during the 5-year target period (2025-2029):  $2.293 trillion 

Source(s): https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/report-highlights/index.html

Note 1:  The potential savings of $2.296 trillion do not take into account the additional savings to state government outlays, which range from 15% to 35% of total Medicaid-CHIP spending.

Sourcehttps://www.kff.org/medicaid/state-indicator/federalstate-share-of-spending/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

Note 2:  The potential savings of $2.296 trillion does not take into account the likelihood of additional savings from individuals no longer being eligible for Medicaid-CHIP, due to their improving financial status.

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6.  Medicare Recapture

Each U.S. citizen participating in The Plan will receive a $30,000 deposit, funded through a Federal Reserve-based Citizens Credit Facility, into a personal Medical Savings Account (MSA).

The Leviticus 25 Plan assumes 80% participation by Medicare enrollees.

Within this comprehensive economic plan, The U.S. Health Care Freedom Plan provides

Medical Savings Account (MSA) funding of $30,000 to cover the $6,000 deductible for Medicare-eligible primary care events and select out-patient services – primarily related to routine medical appointments, Medicare Part D prescription events, disease state monitoring clinics, and other desired primary care services.

There were 65,954,976 people are enrolled in Medicare as of May 2023. 

Projection: Medicare spending growth is projected to average 7.2% over 2021-2030, the fastest rate among the major payers. Projected spending growth of 11.3% in 2021 is expected to be mainly influenced by an assumed acceleration in utilization growth, while growth in 2022 of 7.5% is expected to reflect more moderate growth in use, as well as lower fee-for-service payment rate updates and the phasing in of sequestration cuts. Spending is projected to exceed $1 trillion for the first time in 2023. By 2030, Medicare spending growth is expected to slow to 4.3% as the Baby Boomers are no longer enrolling and as further increases in sequestration cuts occur.

Source: https://www.cms.gov/newsroom/press-releases/cms-office-actuary-releases-2021-2030-projections-national-health-expenditures)

Applying a conservative projected enrollment growth rate of 4.0% annually through 2029.        

For the 5-year target period (2025 – 2029):

2023:  65.95 X .8 X $6,000 = $316,560,000

2024:  68.59 X .8 X $6,000 = $329,232,000

2025:  71.33 X .8 X $6,000 = $342,384,000

2026:  74.18 X .8 X $6,000 = $356,064,000

2027:  77.15 X .8 X $6,000 = $370,430,000

2028:  80.24 X .8 X $6,000 = $385,152,000

2029:  83.45 X .8 X $6,000 = $400,560,000

Total Medicare recapture during the 5-year target period (2025-2029):  $1.855 trillion  

Source(s):  https://content.govdelivery.com/accounts/USCMSMEDICAID/bulletins/36d95bf

Medicare – As of May 2023, 65,954,976 people are enrolled in Medicare. This is an increase of 118,238 since the last report.

*33,945,540 are enrolled in Original Medicare.

*32,009,436 are enrolled in Medicare Advantage or other health plans. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage.

*51,742,496 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage.

Detailed enrollment data can be viewed here: https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment. The data now include counts of Part D enrollees receiving the low income subsidy.

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7.  VA Healthcare

The Leviticus 25 Plan assumes 80% participation by Veterans Administration healthcare enrollees.  Within this comprehensive structure, The U.S. Health Care Freedom Plan provides Medical Savings Account (MSA) funding of $30,000, through a Federal Reserve-based Citizens Credit Facility, to cover annual $6,000 deductibles over the course of the 5-year target period (2025-2029).

FY 2022 – 9.07 million enrollees in the VA health care system.

The plan assumes a conservative 1% growth rate in VA Health Care enrollment (2025-2029).

2022: 9.07 million

2023: 9.16 million

2024: 9.25 X 0.8 X $6,000 = $44,400,000,000

2025: 9.34 X 0.8 X $6,000 = $44,844,000,000

2026: 9.43 X 0.8 X $6,000 = $45,280,000,000

2027: 9.52 X 0.8 X $6,000 = $45,717,000,000

2028: 9.62 X 0.8 X $6,000 = $46,153,000,000

2029: 9.72 X 0.8 X $6,000 = $46,638,000,000

Total recapture:  $228,632,000,000

Average annual recapture (2025-2029): $228.632 billion / 5 = $45.726 billion

Total recapture 2025-2029:  $228.632 billion

Source: https://www.va.gov/VETDATA/docs/Quickfacts/Stats_at_a_glance_6_30_23.pdf       

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8.  TRICARE

The Leviticus 25 Plan assumes 80% participation by TRICARE enrollees.

Through The U.S. Health Care Freedom Plan, participating members will receive a Medical Savings Account (MSA) funding injection of $30,000, through a Federal Reserve-based Citizens Credit Facility, to cover annual $6,000 deductibles for desired primary care and out-patient services over the course of the 5-year target period (2025-2029).

There are currently ~9.5 million U.S. citizen beneficiaries in various locations around the world.

Recapture – total (2025-2029):  9.5 million X 0.8 X $6,000 X 5 years:  $228.0 billion

Sourcehttps://www.health.mil/Military-Health-Topics/MHS-Toolkits/Media-Resources/Media-Center/Patient-Population-Statistics/Patients-by-TRICARE-Plan  

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8.  Federal Employee Health Benefits (FEHB)

The Leviticus 25 Plan assumes 80% participation by FEHB enrollees.

Participating members will receive a Medical Savings Account (MSA) funding injection of $30,000, through a Federal Reserve-based Citizens Credit Facility, to cover annual $6,000 deductibles for desired primary care and out-patient services over the course of the 5-year target period (2024-2028).

There are currently 9.0 million U.S. citizen FEHB beneficiaries.  Note – the Federal government also pays approximately 72% of premium costs per enrollee.

Recapture – total (2025-2029):  9.0 million X 0.8 X $6,000 X 5 = $216.0 billion

Source:  https://www.bu.edu/sph/news/articles/2023/professor-collaborates-with-federal-agency-to-study-employee-health-insurance-utilization/

The FEHB Program is the largest employer-sponsored group health insurance program in the world, covering over 9 million people including employees, annuitants …

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9.  Social Security Disability Income (SSDI)

The Leviticus 25 Plan specifies that participants will not be eligible for SSDI benefits.

The Plan assumes 80% participation.

Number, average, and total monthly benefits, December 2023:  8,414,000 recipients

Total annual SSDI payments, December 2023: ~$142.572 billion.

SSDI received an 8.7% Cost of Living Adjustment (COLA) for 2023. 

This projection assumes a conservative 2% growth per year for 2025-2029.

2023:  $142.572 billion

2024:  $145.423 billion

2025 $148.331 billion

2026$151.298 billion

2027$154.324 billion

2028$157.410 billion

2029:  $160.558 billion

Total:  $771.921 billion / Average per year: $154.384 billion

Total for 5-year target period 2025-2029:

Plan assumes 80% participation – recapture:  $771.921 billion X 0.8 = $617.537 billion

Source(s): Social Security Benefits Dec 2023 – Disability Insurance https://www.ssa.gov/policy/docs/quickfacts/stat_snapshot/

Recipients: 8,414,000 | Total monthly benefits $11.881 billion;

Total annual benefits: $142.572 billion

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