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The Supreme Court has decided the legal challenge to the sweeping health care reform legislation passed in 2010, but political battles continue. As the United States continues to struggle with the critical task of reforming its health care system to increase quality, access and efficiency, Brookings experts deliver new ideas and offer policy solutions to improve health care both at home and globally.
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April 18, 2013, Tom Daschle, Bill Frist, Pete V. Domenici and Alice M. Rivlin
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April 12, 2013, Henry J. Aaron
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February 8, 2013, Kavita Patel
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Accountable care organizations (ACOs) at their heart are about aligning providers’ financial incentives with patients’ needs for better health and lower cost care. Unlike traditional third-party, fee-for-service insurance, which pays more for doing more, the payment models underlying accountable care pay more for achieving better care at lower cost. March 4, 2013, Mark B. McClellan, Wall Street Journal
Accountable care organizations (ACOs) at their heart are about aligning providers’ financial incentives with patients’ needs for better health and lower cost care. Unlike traditional third-party, fee-for-service insurance, which pays more for doing more, the payment models underlying accountable care pay more for achieving better care at lower cost.
It’s the biggest expansion of Medicaid in a long time, and the biggest ever in terms of adults covered. Although the federal government is on the hook for most of the cost, Medicaid on the whole is one of the biggest items in state budgets and the fastest growing. So there are some understandable concerns about the financial implications and how implementation would work. January 28, 2013, Mark B. McClellan, The Associated Press
It’s the biggest expansion of Medicaid in a long time, and the biggest ever in terms of adults covered. Although the federal government is on the hook for most of the cost, Medicaid on the whole is one of the biggest items in state budgets and the fastest growing. So there are some understandable concerns about the financial implications and how implementation would work.
The steps that I think are most promising are really about changing payment methods to reward providers for better health outcomes. January 21, 2013, Mark B. McClellan, Financial Times
The steps that I think are most promising are really about changing payment methods to reward providers for better health outcomes.
The cost of health care is going to keep going up. It’s going to go up because we’re getting older and as we get older we use more health care and it’s going to go up because science is keeping on producing wonderful new things that physicians and hospitals can do. And they cost money. What we can do is eliminate the needlessly expensive way in which we now provide health care. January 7, 2013, Henry J. Aaron, Nightly Business Report
The cost of health care is going to keep going up. It’s going to go up because we’re getting older and as we get older we use more health care and it’s going to go up because science is keeping on producing wonderful new things that physicians and hospitals can do. And they cost money. What we can do is eliminate the needlessly expensive way in which we now provide health care.
Right now in this political campaign, both sides are trying to scare people by saying this other guy will destroy Medicare. No one is going to destroy Medicare. October 10, 2012, Alice M. Rivlin, MarketWatch
Right now in this political campaign, both sides are trying to scare people by saying this other guy will destroy Medicare. No one is going to destroy Medicare.
Whoever wins the election, the (health care law) is going to be modified. September 26, 2012, Mark B. McClellan, The Associated Press
Whoever wins the election, the (health care law) is going to be modified.
We don't see very important neighborhood effects on those two outcomes that people have focused on. But the things that people had been focused on and worried about with neighborhoods aren't the full story. Helping poor families is about a lot more than just increasing their income. September 20, 2012, Jens Ludwig, Wall Street Journal
We don't see very important neighborhood effects on those two outcomes that people have focused on. But the things that people had been focused on and worried about with neighborhoods aren't the full story. Helping poor families is about a lot more than just increasing their income.
Expert Q & A | Mark B. McClellan
August 10, 2012, Mark B. McClellan
[Mitt Romney] belongs to a very conservative party that hates this [health care] bill, many members of which have sworn that they’d rather eat ground glass than let this law go forward. But there is the conflicting problem of, ‘If you break it, you own it.’ [He will own] anything that goes wrong with the health-care system down the road. July 10, 2012, Henry J. Aaron, Washington Post
[Mitt Romney] belongs to a very conservative party that hates this [health care] bill, many members of which have sworn that they’d rather eat ground glass than let this law go forward. But there is the conflicting problem of, ‘If you break it, you own it.’ [He will own] anything that goes wrong with the health-care system down the road.
Actual repeal of health care reform on “day one” of a Romney administration is not possible, but a President Romney—assisted by a Republican House and Senate—could put into motion the steps necessary to pursue repeal over the course of 2013. Technically, Romney’s success would depend on whether or not Republicans gain control of both the House and Senate, and on the byzantine rules of the budget process in Congress. July 2, 2012, Sarah A. Binder, Washington Post
Actual repeal of health care reform on “day one” of a Romney administration is not possible, but a President Romney—assisted by a Republican House and Senate—could put into motion the steps necessary to pursue repeal over the course of 2013. Technically, Romney’s success would depend on whether or not Republicans gain control of both the House and Senate, and on the byzantine rules of the budget process in Congress.
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Mark B. McClellan
Director, Engelberg Center for Health Care Reform
Senior Fellow, Economic Studies
Henry J. Aaron
The Bruce and Virginia MacLaury Chair
Alice M. Rivlin
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