About the Author

James C. Capretta

James C. Capretta

New Atlantis Contributing Editor James C. Capretta is an expert on health care and entitlement policy, with years of experience in both the executive and legislative branches of government. E-mail: jcapretta@aei.org.


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James C. Capretta’s Latest New Atlantis Articles

 Health Care with a Conscience” (Fall 2008) 

 Health Care 2008: A Political Primer” (Spring 2008) 

 The Clipboard of the Future” (Winter 2008)

 

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Text Patterns - by Alan JacobsFuturisms - Critiquing the project to reengineer humanity

Wednesday, January 19, 2011

Fixing Medicare 

Five Steps to Reform

Simply repealing Obamacare won’t solve all the nation’s health care woes, which is of course why the rallying cry has been “repeal and replace.” One of the most difficult problems facing policymakers is how to fix Medicare, which has become a crushingly expensive entitlement.

Fortunately, there are some good ideas for reforming Medicare, as explained in a short paper that I recently wrote with Robert Moffit of the Heritage Foundation:

In the 21st century, a renewed Medicare should be firmly based on patient choice and market competition. Such reform could be achieved through the creation of a new system of “premium support,” where the government makes a direct and generous contribution to the health plan of an enrollee’s choice, and health plans and providers compete directly for beneficiaries’ health care dollars. Premium support would give future Medicare patients control over the flow of Medicare dollars and decisions, guarantee personal choice of health plans, and let them secure the best value for the money. This is the kind of consumer choice model that federal workers and retirees in the Federal Employees Health Benefits Program (FEHBP) enjoy. It is a popular and successful approach because it emphasizes personal choice among plans, and government oversight ensures consumer protection and transparency.

The full paper is available in HTML here, or as a PDF here.

posted by James C. Capretta | 2:30 pm
Tags: Congress, Medicare, health savings accounts
File As: Health Care