Backgrounder posted February 3, 2014
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.
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
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…
Center for Policy Innovation Discussion Paper posted October 4, 2013
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
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. And, for those seeking—or forced—to buy health insurance through these exchanges, the coverage will be…
Backgrounder posted August 2, 2013
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.
In April, Politico reported that “Congressional leaders in both parties are engaged in…
Lecture posted June 25, 2013
How to Limit Government in the Age of Obama
The Role of Congress
Joseph Postell, PhD: Limiting government in the age of Obama is a tall order, but it is a tall order not simply because of who occupies the White House. It is a tall order because it requires limiting government in the age of the administrative state, which stacks the deck against those hoping to place limits on government.
To mount an effective…
Backgrounder posted May 23, 2013
The Obama Medicare Agenda: Why Seniors Will Fare Worse
Today’s seniors are facing higher Medicare costs. Over the next five years, current law, as amended by the Patient Protection and Affordable Care Act (PPACA, also known as Obamacare), already guarantees higher out-of-pocket costs for today’s seniors. Beyond the current law, the President’s latest budget proposal would increase seniors’ costs even more. So, notwithstanding…
Backgrounder posted May 20, 2013
Real Medicare Reform: Why Seniors Will Fare Better
Medicare reform based on a defined-contribution system of financing—commonly referred to as a “premium support” system—could slow or even reverse the growth in seniors’ annual premium costs.
Medicare Advantage (Part C), a system of private, competing plans, and Medicare Part D, the drug program, are, in effect, premium support programs. In basic structure, they have…