Backgrounder posted May 28, 2015
Medicare Advantage Under the ACA: Replace Payment Cuts with Market-Based Reforms
Medicare Advantage (MA) offers seniors the option of private health plans as an alternative to traditional Medicare. The private plans in Medicare Advantage provide more comprehensive coverage and are typically more generous that traditional Medicare. Today, more than 30 percent of Medicare beneficiaries are enrolled in an MA plan.
The Affordable Care Act of 2010 (ACA),…
First Principles Series Report posted February 25, 2015
Federalism and Freedom: Orestes Brownson’s Case for the Federal Constitution
Over the past 100 years, conservatives and Progressives have battled over the meaning and relevance of the U.S. Constitution. Many of these disagreements have focused especially on the relationship between the federal government and the states.
Progressives old and new have long dismissed states’ powers as annoying relics of a bygone era. Progressives assert that…
Issue Brief posted January 21, 2015
Replacing Medicare’s SGR: Four Bipartisan Options to Finance a Permanent Fix
The new Congress must stop irresponsible federal spending. This applies to replacing the Medicare Sustainable Growth Rate (SGR) formula that annually updates Medicare physician payment with a workable alternative.
In 2014, House and Senate negotiators, representing three major congressional committees, worked long and hard to hammer out a compromise SGR replacement…
Backgrounder posted December 8, 2014
The Affordable Care Act’s Mounting Budgetary Pressures
Throughout the development of their ambitious national health insurance plan, President Barack Obama and his congressional allies vowed that the sprawling new entitlement program would not worsen the government’s already disturbing fiscal outlook. “I will not sign a plan that adds one dime to our deficits,” the President had declared, “either now or in the future.” It…
Issue Brief posted November 20, 2014
Medicare’s SGR: Fixing It the Right Way, Not in a Lame Duck Session
Congress needs to junk the sustainable growth rate (SGR) formula that governs Medicare physician payment. Under the formula, if Medicare physicians’ payments in any given year increase by more than the economy’s growth, an automatic and proportionate reduction in their reimbursements is imposed the following year. Conceptually flawed and practically draconian, the formula…
Backgrounder posted October 30, 2014
A Fresh Start for Health Care Reform
Despite President Barack Obama’s insistence that the national health care debate is over, and that he will not “re-litigate” the misnamed Patient Protection and Affordable Care Act (PPACA), the practical concerns, aggravated by implementation glitches and policy failures, guarantee that the debate over the PPACA is far from over.
In the next phase of the health care…