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Friday November 20, 2009

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RESEARCH AND COMMENTARY

Save to My PortfolioReforming the Medicaid Disproportionate-Share Hospital Program

Aaron McKethan, Nadia Nguyen, Benjamin E. Sasse and S. Lawrence Kocot, August 18, 2009, Health Affairs

Congress is considering redirecting federal spending on the Medicaid disproportionate-share hospital (DSH) program to help pay for health reform. Aaron McKethan, S. Lawrence Kocot and other experts discuss linking Medicaid DSH spending to state-level Medicaid enrollment or uninsured populations, or both, as a way of creating significant federal savings over time without exposing hospitals to uncertain or across-the-board spending cuts. Read More

PAST EVENT

Save to My PortfolioThe Economic Impact of Health Care Reform

Tuesday, June 02, 2009
12:00 PM to 1:00 PM
Washington, DC

On June 2, Christina Romer, chair of the President’s Council of Economic Advisers, joined Engelberg Center for Health Care Reform director Mark McClellan, Harvard economist David Cutler and former Congressional Budget Office director Douglas Holtz-Eakin to discuss the economic case for health care reform and its potential impact on the U.S. economy. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioThe Potential Role of Entitlement or Budget Commissions in Addressing Long-term Budget Problems

The Fiscal Seminar Group, June 02, 2009, The Brookings Institution

The Potential Role of Entitlement or Budget Commissions in Addressing Long-term Budget ProblemsThe United States faces a looming fiscal imbalance brought on by an aging population and rising health care costs. Yet, the current political environment discourages our leadership from making the tough choices required to fix our fiscal house. In this paper, a diverse group of budget experts reviews some of the recent history of appointed commissions, and discusses their potential role in long-term federal budgeting policy. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioHealth Care Reform: Beware of Interest Groups Bearing Gifts

Henry J. Aaron, May 12, 2009, The Huffington Post

The Obama administration’s breakthrough with the health care industry to cut costs is eerily reminiscent of the 1970s, according to Henry Aaron. Then, as today, health care spending was outpacing income growth and the industry promised to voluntarily to rein in the growth. If we are to learn from history, rather than simply repeat it, he says, there are some simple but vitally important lessons. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioU.S. Health Care Reform: The Art of the Possible

Henry J. Aaron, May 09, 2009, The New Republic

U.S. Health Care Reform: The Art of the PossibleBehind closed doors all over Washington, serious people are working hard to design a major overhaul of the U.S. health care system. We should wish them well, but their chances of success are slim, says Henry Aaron. Since yet another complete failure would be catastrophic, some attention should be given now to policies that, he says, are politically palatable and would begin the evolution to a new and better health system. Read More

VIDEO

Save to My PortfolioHealth Care Reform and President Obama's Budget

Alice M. Rivlin, February 27, 2009

Health Care Reform and President Obama's BudgetIn this video, Alice Rivlin says that President Obama's budget calls for taxing the wealthy to help pay for aggressive reform of the nation’s health care system and that the plan also seeks to curtail wasteful Medicare and Medicaid spending while increasing services and efficiency in those programs.

RESEARCH AND COMMENTARY

Save to My PortfolioThere is No Entitlement Crisis

Henry J. Aaron, February 23, 2009, The Brookings Institution

That the United States faces daunting long-term budget challenges is indisputable. But the very projections—those of the Congressional Budget Office—cited to document the long-term budget challenge, show that there is no general entitlement problem, says Henry Aaron. Rather, he argues, the nation faces a daunting health care financing problem that bedevils private insurers and public programs alike. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioMemo to President Obama: Ensure that Health Reform Finally Succeeds

Henry J. Aaron, February 04, 2009, Real Clear Politics

Memo to President Obama: Ensure that Health Reform Finally SucceedsCongress quickly passed the State Children's Health Insurance Program in its opening days, but the Obama administration and congressional leaders want to do far more to extend health insurance coverage and reform the delivery of care. While obstacles that have frustrated prior reform efforts remain powerful, Henry Aaron says that the key for Obama will be to identify specific reforms that will move toward his long-term vision. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioA Budget We Can Believe In

January 27, 2009, The Brookings Institution

A Budget We Can Believe InA diverse group of experts urged President Obama, in his first budget submission, to strike a judicious balance between America’s short-term and long-term economic needs. While the need to boost spending to stimulate the economy is important, they say these short-term steps must not make it harder to achieve our long-term goals. They note that fundamental reforms of major entitlement programs and the tax system are needed to bring spending and revenues into better balance over the longer-term. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioShort and Long-Run Fiscal Challenges

Alice M. Rivlin, January 21, 2009, Senate Committee on the Budget

In testimony to the Senate Budget Committee, Alice Rivlin argued that the future health of the nation’s economy depends on whether policy-makers can focus on two imperatives at once: the need to take immediate action to mitigate the impact of the recession; and the need to restore long-term fiscal responsibility and reassure our creditors that we are getting our fiscal house in order. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioThe Pitfalls of Overreaching In Health Reform

Henry J. Aaron, January 16, 2009, Health Affairs

Although fundamental reform of U.S. health care is clearly necessary, there are still daunting obstacle: the sheer size of the health sector, the multiplicity of powerful groups with conflicting interests, and the factionalized U.S. political system. But change is in the air and chances for health care reform seem more likely than ever. However, Henry Aaron argues not to overreach and risk failure; instead he says the focus should be on essential and achievable steps that will sustain long-term change. Read More

VIDEO

Save to My PortfolioEconomic Stimulus and the Budget Deficit

Isabel V. Sawhill, December 09, 2008

Economic Stimulus and the Budget DeficitIn these tough times, the economy needs a stimulus, regardless of the impact on the deficit, says Isabel Sawhill. But prudent action needs to be taken to address runaway entitlement spending and that agenda should reconsider our intergenerational spending priorities.

RESEARCH AND COMMENTARY

Save to My PortfolioThe Role of States in a National Health Reform Effort

Henry J. Aaron, December 04, 2008, kaisernetwork.org

The Role of States in a National Health Reform EffortHenry Aaron, Stuart Butler, Alan Weil, and Judy Feder join moderator Larry Levitt of kaisernetwork.org in a Ask the Experts webcast for a discussion of the role of states in a national health reform effort. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioRebuild Economic Confidence by Reforming Entitlements

Isabel V. Sawhill, Robert L. Bixby and Stuart Butler, November 17, 2008, The Washington Times

Rebuild Economic Confidence by Reforming Entitlements“Washington may bail out Wall Street. But who will bail out Washington?” The Fiscal Wake-Up Tour group, Robert Bixby, Stuart Butler and Isabel Sawhill, discusses the importance of fundamentally recasting Medicare versus solely focusing on immediate health care reform. Read More

RESEARCH AND COMMENTARY

Save to My PortfolioWaste and the Health Care System

Henry J. Aaron, October 30, 2008, The New England Journal of Medicine

Waste and the Health Care SystemAccording to a widely held view, the U.S. health care system is replete with waste, the removal of which can finance health care reform. Unfortunately, what waste really means is poorly understood, and the potential for realizing quick savings is quite limited. Several measures hold out the promise of curbing the growth of health care spending, but savings are likely to be slow in coming says Henry Aaron. Read More

In Brief

America’s state-administered Medicaid program provides health insurance to more than 53 million poor parents, children and senior citizens. But the program leaves many low-income people without coverage and its rising costs pose a serious threat to state and federal budgets. Are there reforms that can help achieve a better health care system?

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TopicEducation

The economic and political well-being of any society requires a well-educated citizenry. Brookings’s work extends beyond the K-12 bookends to include pre-school interventions, higher education and the challenges of education in developing countries.

ExpertTed Gayer

Ted Gayer is the co-director of the Economic Studies program and the Joseph A. Pechman Senior Fellow at the Brookings Institution. He conducts research on a variety of economic issues, focusing particularly on public finance, environmental and energy economics, housing, and regulatory policy.

TopicHealth Care

Brookings is committed to producing innovative policy solutions to our nation’s most difficult challenges. The country may face no more important domestic policy challenge than the much-needed reform of our health care system. Through an institution-wide effort, Brookings delivers new ideas and offers policy solutions to improve health care both at home and globally.

Policy CenterCenter on Children and Families

The Center on Children and Families studies policies on the well-being of America's children and their parents and seeks a more effective means of addressing poverty, inequality and lack of opportunity in the United States.

ExpertVanda Felbab-Brown

Vanda Felbab-Brown focuses on the national security implications of illicit economies and strategies for managing them. She is an adjunct professor in the Security Studies Program at Georgetown University’s School of Foreign Service.

ExpertSuzanne Maloney

Suzanne Maloney studies Iran, the political economy of the Persian Gulf and Middle East energy policy. A former U.S. State Department policy advisor, she has also counseled private companies on Middle East issues.

ProgramGovernance Studies

Governance Studies explores political institutions of the United States and other democracies to assess how they govern, how their practices compare and how citizens and public servants can advance sound governance.

Research ProjectLatin America Initiative

The Latin America Initiative provides high-quality, in-depth, and independent research across a range of economic and political issues, and offers policy recommendations aimed at U.S. and Latin American policymakers.

ExpertIsabel V. Sawhill

A nationally known budget expert, Isabel Sawhill focuses on domestic poverty and federal fiscal policy. She is also co-director of the Center on Children and Families at Brookings.

ExpertAmy Liu

Amy Liu is deputy director of the Brookings Metropolitan Policy Program. Her policy studies include economic competitiveness, metropolitan growth and development, governance reforms, urban reinvestment, and social equity.

Policy CenterEngelberg Center for Health Care Reform

The Engelberg Center for Health Care Reform provides practical solutions to achieve high-quality, innovative, affordable health care with particular emphasis on identifying opportunities on the national, state and local levels.

ExpertDomenico Lombardi

As president of the Oxford Institute for Economic Policy, Domenico Lombardi’s work at Brookings focuses on the international financial crisis and the reform of the IMF and the World Bank. He is an expert on G-20 and G8 Summits.

ExpertFederiga Bindi

Federiga Bindi is a leading expert on European political integration. She has a broad experience in government and held a number of posts in international organizations. Bindi currently serves as an advisor to the Italian Minister of Foreign Affairs. Her research focuses on the EU, transatlantic relations; EU states foreign policies, global governance issues.

ExpertMark McClellan

Mark McClellan works on promoting high-quality, innovative and affordable health care. Once commissioner of the Food and Drug Administration and administrator of the Centers for Medicare & Medicaid Services, Dr. McClellan now directs the Engelberg Center for Health Care Reform.

ExpertMwangi S. Kimenyi

Mwangi S. Kimenyi is a senior fellow with the Africa Growth Initiative. He focuses on Africa's development, including institutions for economic growth, the political economy, and private sector development.

Research ProjectBrookings-Bern Project on Internal Displacement

The Brookings-Bern Project on Internal Displacement monitors displacement problems worldwide, works with governments, regional bodies, international organizations and civil society to create more effective policies and institutional arrangements for Internally Displaed Persons.