Morning Briefing
Summaries of health policy coverage from major news organizations
Policy Points: Looking For Innovation In Medicare And Medicaid; Health Care In Japan
More than 130 million Americans are enrolled in Medicare and Medicaid. America鈥檚 elderly and most vulnerable citizens depend on these programs. But both face fiscal crises. ... The Centers for Medicare and Medicaid Services has a powerful tool for improving quality and reducing costs: the Center for Medicare and Medicaid Innovation. ... This administration plans to lead the Innovation Center in a new direction. On Wednesday we are issuing a 鈥渞equest for information鈥 to collect ideas on the path forward. (Seema Verma, 9/19)
Sanders鈥檚 plan would come at a steep price: likely more than US$14 trillion over the first decade, based on an estimate I did of a previous version. There is, however, a simpler and less costly path toward single-payer, and it may have a better chance of success: Simply strike the words 鈥渨ho are age 65 or over鈥 from the 1965 amendments to the Social Security Act that created Medicare and, voila, everyone (who wants) would be covered by the existing Medicare program. While this wouldn鈥檛 be single-payer 鈥 in which the government covers all health care costs 鈥 and private insurers would continue to operate alongside Medicare, it would be a substantial improvement over the current system. (Gerald Friedman, 9/20)
Senator Bernie Sanders鈥檚 new health care plan, called 鈥淢edicare for All,鈥 would eliminate private health insurance and have the government pay for 100 percent of all health services. It's not going to happen, but it does point the way toward a system that could work better: A public-private hybrid akin to what Japan has. (Noah Smith, 9/19)