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Mark Miller: Remaking Retirement

Seven Steps to Manage Rising Health-Care Costs

Medicare premiums are rising for high-income beneficiaries under health-care reform law.

The new health-care reform law aims to cover nearly all Americans and to get our exploding national health-care tab under control. But reform also calls for some upfront investment, and someone needs to foot the bill. Rich retirees--it's time to grab your wallets.

Starting this year, the most affluent seniors are shouldering steep increases in Medicare premiums mandated under the Affordable Care Act (ACA). This year, the surcharges affect individuals with $85,000 or more in annual income, and joint filers with income over $170,000 (see table below).