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Medicare is a trillion-dollar federal health insurance program designed to meet the medical needs of senior citizens and Americans with disabilities. Yet, despite its staggering amount of funding, Medicare is far from a perfect system. Here on Political Economy, I sit down with Joe Antos to discuss the current state of Medicare and its systemic […]
Medicare is a trillion-dollar federal health insurance program designed to meet the medical needs of senior citizens and Americans with disabilities. Yet, despite its staggering amount of funding, Medicare is far from a perfect system. Here on Political Economy, I sit down with Joe Antos to discuss the current state of Medicare and its systemic challenges.Antos is a senior fellow here at AEI where he studies the economics of health policy. He is currently Vice Chair and serving a third term as commissioner at the Maryland Health Services Cost Review Commission. He is also a professor of emergency medicine at George Washington University.
US healthcare spending is extreme currently at approximately $4.3 trillion. The single largest payer of healthcare services is Medicare at roughly $900 billion annually or 21% of total healthcare spending. In this edited volume, recently published by Johns Hopkins University Press, Dr. Moffit along with eleven other contributors including Joe Antos, Douglas Holtz-Eakin, Brian Miller, Mark Pauly and Gail Wilensky, lay out the conservative version of Medicare reform. In sum, the authors argue federal policymakers reinvent Medicare as a defined contribution or premium support program or at minimum substantially expand the Medicare Advantage program (Medicare Part C), or Medicare coverage provided by private insurance companies. The interview begins by Dr. Moffit commenting on whether healthcare services can be defined as a market commodity. He discusses the problem of healthcare pricing, measuring for value in healthcare, improving Medicare Advantage benchmarking, remedying Medicare Advantage coding intensity via retrospective risk adjustment and risk transfer pools and competing fee for service Accountability Care Organizations (ACOs) against Medicare Advantage. Dr. Robert Moffit is a Senior Fellow in Domestic Policy Studies at The Heritage Foundation specializing in health care and entitlement programs, moreover Medicare. Dr. Moffit also serves on the Maryland Health Care Commission as an appointee of Gov. Larry Hogan and he is a member of the advisory board of the Buckley School of Public Speaking in Camden, South Carolina. He brings to the reform effort experience as a senior official of the U.S. Department of Health and Human Services (HHS) and the Office of Personnel Management (OPM) during the Reagan administration. Dr. Moffit is a co-author of “Why Obamacare Is Wrong for America,” (Harper Collins, 2011). He was a contributor to “A Time for Governing: Policy Solutions From the Pages of National Affairs” (Encounter Books, 2012) and “Controversial Issues in Social Policy” (Allyn and Bacon, 2003), a university textbook on public policy. He has published in numerous professional and specialty journals among them Health Affairs, Health Systems Review, Harvard Health Policy Review, Inquiry, Journal of Law, Medicine and Ethics, National Affairs, New England Journal of Medicine, Postgraduate Medicine, and Journal of Medicine and Philosophy. His analysis and commentary have been cited or published by The New York Times, The Wall Street Journal, The New York Post, The Washington Post and The Washington Times. He holds a master's degree and a doctorate in Political Science from the University of Arizona. He received his bachelor's degree in Political Science from LaSalle University in Philadelphia. Information on “Modernizing Medicare,” is at: https://www.press.jhu.edu/books/title/12839/modernizing-medicare. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
On Washington Wednesday, Mary Reichard talks to the American Enterprise Institute’s Joe Antos about President Biden’s plans for healthcare reform; on World Tour, Onize Ohikere reports on international news; and Sarah Schweinsberg visits a ranch in Florida where specialty beef cattle roam. Plus: commentary from Whitney Williams, six more weeks of winter, and the Wednesday morning news. Support The World and Everything in It today at wng.org/donate. Additional support from Heart of Dakota, providing Christ-centered, literature based homeschool curriculum - from Preschool through High School! More at heartofdakota.com From the podcast, Too Busy to Flush, one couple’s slightly irreverent musings on faith, food, family and marriage. toobusytoflush.com And from Dordt University. Ranked #1 in the nation for student engagement by The Wall Street Journal, Dordt informs, inspires, and challenges students. More at DORDT.edu.
Chase is joined on the show by Joe Antos, a resident scholar at the American Enterprise Institute, Josh Gordon, director of Health Policy at the Committee for a Responsible Federal Budget, and Bob Bixby, The Concord Coalition’s executive director. They discuss health care policy reform with long-term economic growth and the pandemic in mind.
Chase is joined on the show by Joe Antos, a resident scholar at the American Enterprise Institute, Josh Gordon, director of Health Policy at the Committee for a Responsible Federal Budget, and Bob Bixby, The Concord Coalition’s executive director. They discuss health care policy reform with long-term economic growth and the pandemic in mind.
Chase is joined on the show by Wilson H. Taylor Resident Scholar in Health Care and Retirement Policy at the American Enterprise Institute, Joe Antos, UNH Franklin Pierce School of Law Professor and Director of Health Law and Policy Programs, Lucy Hodder, and Concord Coalition Executive Director, Bob Bixby. They discuss the COVID-19 pandemic’s impact on the nation's health care system, as well as how states are responding to it and using federal relief funds.
Chase is joined on the show by Wilson H. Taylor Resident Scholar in Health Care and Retirement Policy at the American Enterprise Institute, Joe Antos, UNH Franklin Pierce School of Law Professor and Director of health law and policy programs, Lucy Hodder, and Concord Coalition Executive Director, Bob Bixby. They discuss the COVID-19 pandemic’s impact on the nation's health care system, as well as how states are responding to it and using federal relief funds.
Joseph Antos is the Wilson H. Taylor Resident Scholar in Health Care and Retirement Policy at the American Enterprise Institute (AEI). AEI recently released a report outlining the four phases we may go through as a nation to navigate through the current COVID-19 pandemic in the United States. Joe Antos joins us to discuss these phases, what we might see in the days to come and when we can expect to start reopening America for businesses and families.
Chase is joined on the show by Adam Lord, a CPA and manager for Penchansky & Co., which is a full service CPA firm in Manchester, NH. They discuss the impacts of changes in the federal tax code on the heels of the 2017 reforms. Portions of the recent public forum “Health Care Costs: Key Federal and State Strategies” were also broadcast. The forum, hosted at the Warren B. Rudman Center in Concord, NH, featured a panel of three policy experts, Joe Antos, Trish Riley and John McDonough.
Chase is joined on the show by Concord Coalition Executive Director Bob Bixby and Joe Antos, the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute. They discuss the nation's health care system and potential reforms to help reduce cost growth.
Over a half century of runaway fee-for-service. Seven years of Obamacare. Republican leaders - with inept efforts at reform. And now...a President who's biggest suggested solution is to sell health coverage across state lines "and it will bring premiums 60 and 70 percent.” Seriously...is that the BEST we can do? Can it truly be possible that our past and present leadership has failed, and is failing to properly lead us into a sustainable solution? Today we jump into reality and reason with renowned healthcare scholar and pedigreed economist Joe Antos of the American Enterprise Institute. Hop on the train to reason. Right here...on RED HOT HEALTHCARE. LET'S GO! In this episode, Dr. Steve jumps into a number of key issues on healthcare reform with noted healthcare economist and scholar Joe Antos on subjects including: The Conflict Between Healthcare BUSINESS vs. Consumer NEEDS The History of Fee-For-Service and Free Market Forces The Value of Healthcare Policy Literacy for Citizens and Major Media Costs vs. Pricing vs. Transparency Joe's Prescription for Reform Here's a valuable audio snippet from the show: DR. STEVE: "I find it interesting, from an outside-of-politics perspective, that President Trump said how it was going to be 'SO EASY TO GIVE PEOPLE GREAT HEALTHCARE...AT A TINY FRACTION OF THE PRICE'. He also told us that selling health insurance across state lines was going to be a big help in making care a lot cheaper. Most economists, and I think most people that have a sense of how health care operates and is priced, knows that this doesn't make much sense. However, the media bought it. The citizens bought it...and his supporters bought it. And we saw this also with Obamacare, four years ago. When Jonathan Gruber - the architect of Obamacare was caught commenting on 'THE STUPIDITY OF THE AMERICAN VOTER' toward helping President Obama pass the Affordable Care Act. It seems like to me that we as citizens, should have a greater responsibility to be more literate on healthcare policy. Certainly not to the degree of you [or other economists]. But because citizens and the media are not literate, it seems to be a dumming-down where we [as individual taxpayers and supporting consumers] are the unfortunate recipients." JOE ANTOS: "You never ask an easy question Steve...I have to hand it to you." DR. STEVE: [LAUGHING] JOE ANTOS: "So, there's a whole bunch of issues here that you're addressing. Part of it has to do with whether citizens should be more aware of what leaders in Washington are discussing, when working on health policy in Washington. And I would agree that it would be useful...the electorate should be more informed about everything. However, when you think about how the average person interacts with the health system, it's with their family doc. They get interacted ON. But in terms of being actively involved, those are the elites. They may not live in Washington, and it doesn't happen outside of Washington. Policy is not made in town halls, it's not something where the average person has a lot of leverage and interest. Policy is one thing. Interacting with your doctor is where it's at for people. They need better information about what their options are for providers, treatment, coverage, and cost. That's something that the average person could get behind, if they could get this information in a way they could understand. DR. STEVE: " On those points I agree. I probably would take some exception, and note that health care has become largely unaffordable. We may disagree on the statistics a little, but if we look at the number one issue with healthcare. It's not the quality, though it needs to be improved. It really seems to be the cost [to them]. You could be talking about the cost of drugs, most certainly the cost of healthcare coverage, and Obamacare has now made this more than clear. This leads me into a point that I've been wanting to ask you as an economist. I've been biting on the bit to ask you this..." LISTEN TO THE SHOW TO HEAR IT ALL!
Tonight Curtis talks with Joseph Antos on preexisting conditions and Trump Care, NY City Council Candidate Bob Capano , Bill Ervolino on Couches vs Sofas, and Jerry Barmash previews his series on MS-13 on Long Island.
Listen NowConsidering the debate over the past five months about repealing the ACA (and more generally reforming the Medicare program via premium support), it is worth remembering that approximately 55% of non-elderly Americans, or 155 million, still receive their health care coverage via their employer. In addition, as of 2016 the ACA requires employers with over 50 employees to either offer health benefits or face a financial penalty. The question remains what is the future of employer based insurance coverage, both for employees and retirees) if, for example, the ACA's "employer shared responsibility" provision and/or the employer tax exclusion (addressed in the ACA by the so called "cadillac tax") is repealed. During this 25 minute discussion Mr. Gelband briefly describes ERIC's mission/work, identifies what methods large employers are using to continue to offer employee coverage, how retiree coverage is being addressed, how employers are incenting providers to deliver quality care, ERIC's view of much debated HRAs (Health Risk Assessments) and wellness programs and his organization's position on the employer tax exclusion. (Listeners may recall I interviewed Dr. Joe Antos last August 5th on the tax exclusion.)Mr. James Gelfand is Senior Vice President of Health Policy at ERIC where he works to develop and advance public policies to support the ability of employers to design and administer health plans. Previously, Mr. Gelfand was the Director of Federal Affairs at the March of Dimes Foundation. Prior to, he served as Associate Director for Luntz Global Partners. He served on Capital Hill as Counsel to Senator Olympia Snowe, on the Senate Small Business Committee and to Senator Tom Coburn. Mr. Gelfland also was for four years a lobbyist for the US Chamber of Commerce. Mr. Gelfand received his JD from the George Washington University Law School and his undergraduate degree from Northwestern. For more information on ERIC go to: http://www.eric.org/. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
Alan Ruskin, global co-head of head of currency research at Deutsche Bank Securities, warns that U.S. investors risk losing their "animal spirits." Joe Antos, a health economist at the American Enterprise Institute who is critical of the Affordable Care Act, says Republicans should take time to refine their health-care plan. Doug Kass, president of Seabreeze Partners, says the unexpected often moves markets. Finally, Jim Palmer, former Hall of Fame pitcher for the Baltimore Orioles, discusses the business of baseball. Learn more about your ad-choices at https://www.iheartpodcastnetwork.com
Alan Ruskin, global co-head of head of currency research at Deutsche Bank Securities, warns that U.S. investors risk losing their "animal spirits." Joe Antos, a health economist at the American Enterprise Institute who is critical of the Affordable Care Act, says Republicans should take time to refine their health-care plan. Doug Kass, president of Seabreeze Partners, says the unexpected often moves markets. Finally, Jim Palmer, former Hall of Fame pitcher for the Baltimore Orioles, discusses the business of baseball.
There are a lot of unknowns about how Republicans will move to repeal and replace the Affordable Care Act now that they will have a Republican in the White House. Joe Antos, PhD, resident scholar at the American Enterprise Institute, did his best to speculate how a repeal might play out and what will happen with Medicaid expansion under a Trump presidency.
Listen NowExcluding from taxable income the moneys employers spend in providing employees with health insurance dates back to WWII-era wage and price controls. Today, this tax policy, that amounts to over $250 billion in lost federal tax revenue, effectively constitutes the third largest federal government expenditure on health care after Medicare and Medicaid. Few tax experts would disagree that the tax exclusion constitutes bad policy. Beyond lost tax revenues, the policy is, among other things, highly regressive, causes lower or stagnant wage growth, reduces health plan competition, contributes to excessive health care spending, incents the over-utilization of health care services, limits job mobility and negatively influences retirement decisions. During this 25 minute conversation Dr. Antos discusses the extent to which the tax exclusion is responsible for employers providing employees with health care insurance coverage, what effect would capping or phasing out the exclusion have on coverage, how best can the policy can be reformed via a Cadillac tax or otherwise, what might be done to reform the tax exclusion under a Secretary Clinton administration and how the exclusion may play into future tax reform may legislation. Dr. Joe Antos is the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute (AEI). Before joining AEI, Dr. Antos served as the Assistant Director for Health and Human Resources at the Congressional Budget Office (CBO). Dr. Antos has also held senior positions in the US Department of Health and Human Services, the Office of Management and Budget and the President's Council on Economic Advisers. He recently completed a seven year term as Health Adviser to CBO and two terms as a Commissioner of the Maryland Health Services Cost Review Commission. In 2013 he was named Adjunct Associate Professor of Emergency Medicine at George Washington University. Dr. Antos earned his Ph.D. and MA in economics at the University of Rochester and his BA in mathematics from Cornell University. For more background information about the exclusion and micro-simulation data on reforming the exclusion, see Jonathan Gruber's 2011 article in the National Tax Journal, at: http://www.ntanet.org/NTJ/64/2/ntj-v64n02p511-30-tax-exclusion-for-employer.pdf. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com