This paper examines the effectiveness of the Qualified Medicare Benefi
ciary (QMB), Specified Low-income Medicare Beneficiary (SLMB), and Qua
lified Individual (QI) programs that seek to ease the financial burden
s of health costs on low-income Medicare beneficiaries. While particip
ation in these programs has been increasing steadily over time, much r
emains to be done to extend benefits to all those currently eligible.
This paper estimates levels of participation in the existing programs
and considers several scenarios under which participation could be inc
reased further, including federalizing the existing programs, raising
or eliminating asset limits, and raising income ceilings.