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  • Issue Brief posted August 1, 2014 by Robert E. Moffit, Ph.D., Alyene Senger The 2014 Medicare Trustees Report: A Dire Future for Seniors and Taxpayers Without Reform

    The recently released annual Medicare trustees report reiterates a decades-old message: The Medicare program faces an unsustainable financial future. Unless the program is reformed, it will impose a huge financial burden on American taxpayers and jeopardize access to care for seniors. While these facts are incontrovertible, the Obama Administration’s allies and some in…

  • Backgrounder posted April 28, 2014 by Robert E. Moffit, Ph.D. Four Years of Obamacare: Early Warnings Come True

    But we have to pass the bill, so you can find out what is in it, away from the fog of controversy.    —Nancy Pelosi, Speaker of the U.S. House of Representatives, March 9, 2010 It is not our job to protect the people from the consequences of their political choices.    —Chief Justice John Roberts, National Federation of Independent Business v. Sebelius, June 28,…

  • Commentary posted March 21, 2014 by Robert E. Moffit, Ph.D. Three Better Bipartisan Health Policies To Pay For Repealing Medicare’s SGR

    After months of House and Senate negotiations on legislation to replace the Medicare Sustainable Growth Rate (SGR) formula for updating Medicare physician payment, members of Congress are relieved to finally have an agreement. It is perfectly understandable that they, as well as professional medical organizations, want to act quickly. The danger is that even normally…

  • Issue Brief posted March 14, 2014 by Robert E. Moffit, Ph.D. Medicare SGR Replacement Is Not Worth More Deficit Spending

    Congress is considering compromise legislation (H.R. 4015 and S. 2000) to repeal and replace the unworkable Medicare Sustainable Growth Rate (SGR) formula for updating physician payments. Since 2003, Congress has prevented its own 1997 formula from going into effect because the Medicare physician payment cuts, often draconian, would threaten seniors’ access to medical…

  • Issue Brief posted March 11, 2014 by Alyene Senger, Robert E. Moffit, Ph.D. Proposed Rules for Part D Would Create Undue Disruption for Seniors

    The Obama Administration’s Centers for Medicare and Medicaid Services (CMS) has announced that it will not finalize controversial elements of its proposed Medicare rule. The proposed rule would have undercut patient choice and reduced the competition that controls costs in the Medicare drug program (Part D).[1] Many key stakeholders and Members of Congress expressed…

  • Backgrounder posted February 3, 2014 by Robert E. Moffit, Ph.D., Rea S. Hederman, Jr. CBO Confirms: Medicare Premium Support Means Savings for Taxpayers and Seniors

    A major report by the Congressional Budget Office (CBO) confirms that Medicare premium support (a defined-contribution system of health-plan financing) would make the financially troubled federal program more fiscally sustainable.[1] The CBO finds that, in a new competitive system of health plans, private plans can offer the same benefit and services as traditional…

  • Issue Brief posted January 24, 2014 by Robert E. Moffit, Ph.D. Replacing the Medicare SGR: Getting the Policy and the Financing Right

    This year, Medicare physicians face a 24 percent pay cut. The reason: Congress updates Medicare doctors’ payments by a formula called the Sustainable Growth Rate (SGR). While complex, the SGR formula attempts to limit the growth in Medicare physician payment to growth in gross domestic product (GDP). If physician payments are less than GDP growth in any given year, then…

  • Commentary posted December 6, 2013 by Robert E. Moffit, Ph.D. Will Obamacare Kill Medicare?

    The national media have paid a great deal of attention to the deeply troubled rollout of Obamacare. Enrollment and insurance coverage problems—aggravated by the bumps and glitches at the Healthcare.gov website—have dominated headlines for weeks. But another front in the national healthcare war is opening up with little media fanfare: Disruption of care in the financially…

  • Commentary posted November 22, 2013 by Robert E. Moffit, Ph.D. The Real Cost of Obamacare

    Everything is “on track.” Over the course of three and a half years, that’s what Obama administration officials repeatedly told Congress. On October 1, the day the administration opened its website, only six living, breathing human beings enrolled in Obamacare. It turned out that the predictable little “bumps and glitches” were instead wholesale information-system…

  • Commentary posted October 10, 2013 by Robert E. Moffit, Ph.D. Obamacare: Say hello to government control

    On health care, the president's pile of broken promises keeps rising. Consider this gem from Aug. 20, 2009: "Let's be clear about the fact that nobody has proposed anything close to a government takeover of health care." Well, yes, somebody did. President Barack Obama is now well on his way to orchestrating the federal government's "takeover" of Americans' health…

  • Center for Policy Innovation Discussion Paper posted October 4, 2013 by Robert E. Moffit, Ph.D. How to Think About Long-Term Care

    Washington’s dizzying debate over the rising costs of huge federal entitlements, record spending, and dangerous debt obscures America’s next and perhaps most difficult challenge: the financing and provision of long-term care. Long-term care encompasses a broad and complex spectrum of medical and social services for frail and elderly Americans, or persons with…

  • Backgrounder posted September 26, 2013 by Robert E. Moffit, Ph.D., Edmund F. Haislmaier Obamacare’s Insurance Exchanges: “Private Coverage” in Name Only

    Let’s be clear about the fact that nobody has proposed anything close to a government takeover of health care. —President Barack Obama, August 20, 2009 Millions of Americans are expected to enroll in Obamacare’s national system of health insurance exchanges.[1] And, for those seeking—or forced—to buy health insurance through these exchanges, the coverage will be…

  • Backgrounder posted August 2, 2013 by Robert E. Moffit, Ph.D., Edmund F. Haislmaier, Joseph A Morris Congress in the Obamacare Trap: No Easy Escape

    High anxiety is gripping Capitol Hill. The reason: On January 1, 2014, Members of Congress and their staff will lose their current employment-based health insurance and will instead be offered coverage in the health insurance exchanges established under the new health care law.[1] In April, Politico reported that “Congressional leaders in both parties are engaged in…

  • Commentary posted July 3, 2013 by Robert E. Moffit, Ph.D. Delaying the Employer Health Mandate: Easy on the Champagne

    America’s business leaders — those with 50 or more employees — may be excused for breaking out the champagne and raising a celebratory glass of cheer. Please, just one toast will do, thank you very much. The Obama administration’s announcement that it will delay the January 1, 2014, imposition of its employer health mandate and tax penalty (up to $3,000 per worker) is…

  • Commentary posted June 26, 2013 by Robert E. Moffit, Ph.D. Will the Affordable Care Act Affect Doctors? Yes

    Among President Obama's broken promises, there is this gem of June 15, 2009: "No matter how we reform health care, we will keep this promise: If you like your doctor, you will be able to keep your doctor. Period." That promise helped sway the American Medical Association to back the Affordable Care Act, commonly known as Obamacare. But the AMA endorsement merely…