Original Investigation

Financial Effects of an Out-of-Pocket Cap in Traditional Medicare

JAMA Health Forum 10.1001/jamahealthforum.2026.3386

October 02, 2026 at 11:00 AM EDT

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Results of this study suggest that implementing an OOP spending cap in TM would provide meaningful financial protection for beneficiaries but impose substantial fiscal costs on Medicare.

Corresponding Author: Andrew M. Ryan, PhD, Health Services, Policy, and Practice, Brown University School of Public Health, 121 S Main St, Providence, RI 02903 (andrew_m_ryan@brown.edu).

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