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Inside Deficit Reduction: What It Means for Medicare


Tuesday, October 11, 2011

Medicare has been a keenly debated topic in discussions of how to reduce the deficit. It accounts for a large and growing share of both federal spending and of the national economy, although the projected pace of growth is now at a historic low. Its policies often set the pace for the rest of the health care system.

Proposals to generate Medicare savings abound, from the various commissions recommending change, members of Congress and others. Which proposals will, or should, receive serious consideration by the super committee in its quest to find $1.2 trillion or more in savings by its November 23 deadline? What impact would these changes have on beneficiaries, providers and insurers? Would stakeholders prefer the automatic, but capped, reductions in the sequester to any recommendations on Medicare reductions the super committee might make?

To address these questions and more, the Alliance for Health Reform and four cosponsors presented an October 11 briefing. Panelists were: two former administrators of the Centers for Medicare and Medicaid Services, Tom Scully of Alston and Bird and Mark McClellan of the Engelberg Center for Health Care Reform; Tricia Neuman of the Kaiser Family Foundation; Marilyn Moon of the American Institutes for Research; and Joe Antos of the American Enterprise Institute. Ed Howard of the Alliance and Karen Davis of The Commonwealth Fund will co-moderate.

Along with the Alliance, cosponsoring the event were The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. This briefing is the second in a four-briefing series on the mechanics, dynamics and politics of deficit reduction. Future briefings will take place in November and December.

Speakers

 Karen Davis, The Commonwealth Fund, Moderator
 Tom Scully, Welsh Carson Amerson and Stowe and Alston & Bird, Speaker
 Mark McClellan, Brookings Institution, Speaker
 Tricia Neuman, Kaiser Family Foundation, Speaker
 Marilyn Moon, American Institutes for Research, Speaker
 Joe Antos, American Enterprise Institute, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Inside Deficit Reduction: What It Means for Medicare (Adobe Acrobat PDF), 10/11/2011
Event Summary: Event Summary (Adobe Acrobat PDF), 10/11/2011
Full Webcast/Podcast: Inside Deficit Reduction: What It Means for Medicare

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Davis Presentation (PowerPoint), 10/11/2011
McClellan Presentation (Adobe Acrobat PDF), 10/11/2011
Neuman Presentation (PowerPoint), 10/11/2011

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Materials List (Adobe Acrobat PDF), Alliance for Health Reform, 10/11/2011
Sourcelist (Adobe Acrobat PDF), Alliance for Health Reform, 10/11/2011
Agenda (Adobe Acrobat PDF), Alliance for Health Reform, 10/11/2011
Speaker Bios (Adobe Acrobat PDF), Alliance for Health Reform, 10/11/2011
Event Summary (Adobe Acrobat PDF), , 10/11/2011

Offsite Materials (briefing documents saved on other websites)

AAFP: Deficit Reduction Must Address Medicare Payment, Primary Care Physician Shortage, American Academy of Family Physicians, 6/21/2011
The Budget Control Act of 2011: Implications for Medicare, Kaiser Family Foundation, 9/1/2011
How Much Savings Can We Wring From Medicare, New England Journal of Medicine, 9/21/2011
- Chernew, Michael, Dana Goldman and Sarah Axeen
Comparison of Medicare Provisions in Deficit and Debt Reduction Proposals, Kaiser Family Foundation, 7/1/2011
Bending the Health Care Cost Curve: Focusing Only on Federal Budget Outlays Won’t Solve the Problem, The Commonwealth Fund Blog, 1/28/2011
- Davis, Karen, Cathy Schoen, and Stuart Guterman
Draft Offset List (Adobe Acrobat PDF),MedPAC, 9/1/2011
The Independent Payment Advisory Board: A New Approach to Controlling Medicare Spending (Adobe Acrobat PDF),The Kaiser Family Foundation, 4/1/2011
- Ebeler, Jack, Tricia Neuman and Juliette Cubanski
Health Care on a Budget: The Financial Burden of Health Spending by Medicare Households, Kaiser Family Foundation, 6/1/2011
How Much ‘Skin in the Game’ is Enough? The Financial Burden of Health Spending for People on Medicare, Kaiser Family Foundation, 6/1/2011
The health industry case for raising Medicare’s eligibility age, The Washington Post, 9/14/2011
- Kliff, Sarah
Living Within Our Means and Investing in the Future: Health Savings (Adobe Acrobat PDF),The White House, 9/1/2011
Independent Medicare Commission Backs Doc Fix, National Journal, 10/6/2011
- McCarthy, Meghan
Medicare Spending and Financing Fact Sheet, Kaiser Family Foundation, 9/1/2011
Medigap Reform: Setting the Context, Kaiser Family Foundation, 9/1/2011
Medigap Reforms: Potential Effects of Benefit Restrictions on Medicare Spending and Beneficiary Costs, Kaiser Family Foundation, 9/1/2011
How Should Washington Control Medicare Spending?, The Heritage Foundation, 8/30/2011
- Moffit, Robert E., Gail Wilensky and James C. Capretta
A Recipe for Reform: Success of Consumer-Driven Principles in Medicare Programs, The Heritage Foundation, 8/10/2011
- Nix, Kathryn
The Nuts and Bolts of Medicare Premium Support Proposals, Kaiser Family Foundation, 6/1/2011
Deficit and Debt Politics: A Wake-Up Call For The Health Care Industry?, Health Affairs Blog, 8/4/2011
- Oberlander, Jonathan
Raising the Age of Medicare Eligibility: A Fresh Look Following Implementation of Health Reform, Kaiser Family Foundation, 7/1/2011
Proposals to Forbid First-Dollar Coverage For Medicare Beneficiaries, Kaiser Health News, 8/2/2011
- Vladeck, Bruce
RSC One-Pager: Key Dates in the Budget Control Act of 2011 (P.L. 112-25) (Adobe Acrobat PDF),Republican Study Committee, 8/3/2011
- Watson, Brad
Medicare Chartbook, Fourth Edition, 2010, Kaiser Family Foundation, 11/4/2010

Photos

Karen Davis, president of The Commonwealth Fund, explains why Medicare is such a tempting target for federal budget cutters. From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (10 min.) (Photo by Anthony Smith.)

Tom Scully, a general partner with Welsh Carson Anderson and Stowe and senior counsel with Alston & Bird, gives a history of congressional Medicare budgets.  From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (15 min.) (Photo by Anthony Smith.)

Mark McClellan, senior fellow and director of the Engelberg Center for Health Care Reform and Leonard D. Schaeffer Chair in Health Policy Studies at the Brookings Institute, presents strategies for reducing and shifting Medicare costs that will ultimately result in a 2-3% savings per year.  From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (15 min.) (Photo by Anthony Smith.)

Marilyn Moon, senior vice president and director of the Health Program at the American Institutes for Research, discusses the implication of deficit reduction for Medicare beneficiaries and the need to carefully rationalize cost-sharing.  From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (10 min.) (Photo by Anthony Smith.)

Joe Antos, Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute discusses the sequester and its likely effect on Medicare spending.  From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (12 min.) (Photo by Anthony Smith.)

Tricia Neuman, senior vice president of the Henry J. Kaiser Family Foundation, executive director of the Foundation's Program on Medicare Policy, and director of the Foundation's Project on Medicare's Future, gives an overview of Medicare reform proposals in the context of the deficit reduction discussion.  From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (12 min.) (Photo by Anthony Smith.)

Tom Scully, a senior counsel in Alston & Bird's Washington, DC office, recounted the history of attempts to reduce federal spending by cutting Medicare spending at the Oct. 11 briefing on the current deficit reduction process. Cosponsors were the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (15 min.) (Photo by Anthony Smith.)

Mark McClellan, senior fellow and director of the Engelberg Center for Health Care Reform at the Brookings Institute, presents strategies for reducing and shifting Medicare costs.  From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (15 min.) (Photo by Anthony Smith.)

Marilyn Moon of the American Institutes for Research discusses the implication of deficit reduction for Medicare beneficiaries.  From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (10 min.) (Photo by Anthony Smith.)

Tricia Neuman of the Henry J. Kaiser Family Foundation gives an overview of Medicare reform proposals in the context of the deficit reduction discussion.  From the Oct. 11 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (12 min.) (Photo by Anthony Smith.)

 

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