"Once they have a birthday and turn 65, we flip the switch and they plummet into a sea of costs related to health care," says Ramsey Alwin, CEO of the National Council on Aging (NCOA). "These are the most vulnerable individuals."
The Medicare Cliff results from conflicting Medicare rules and the Affordable Care Act's Medicaid expansion, leading to around 280,000 Americans annually losing Medicaid eligibility upon turning 65.
Women are disproportionately affected by the Medicare Cliff due to lower wages from pay inequity and caregiving duties, resulting in higher out-of-pocket costs under Medicare.
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