Medicare Preparing for the Challenges of the 21st Century

by Reischauer, Robert D.; Butler, Stuart; Lave, Judith R.

• ISBN13: 9780815773993
• ISBN10: 0815773994
• Format: Paperback
• Copyright: 1997-12-01
• Publisher: Brookings Institution Press

Summary

In this cross-cutting analysis, some of the nation's most prominent social insurance experts go beyond recent budget debates to examine the fundamental and technical choices Medicare poses for the American people in the next century.

Table of Contents

1. Introduction	1	(14)
Karen Matherlee
2. Medicare's Social Contract	15	(28)
The Contract and Medicare Reform	15	(4)
Stuart Butler
Pundits, People, and Medicare Reform	19	(8)
Theda Skocpol
Reflections on How Medicare Came About	27	(11)
Robert M. Ball
Social Insurance Commentary	38	(5)
E.J. Dionne
3. Financing Medicare	43	(18)
Preparing for the Retirement of the Baby Boomers	43	(18)
Joseph R. Antos
Comment	52	(2)
Charles Kahn III
Comment	54	(2)
Judith Feder
Comment	56	(5)
David B. Kendall
4. Building a Sound Infrastructure for Choice	61	(124)
The Medicare Beneficiary as Consumer	61	(14)
Stan Jones
Structuring Choice under Medicare	75	(49)
Roger Feldman
Bryan Dowd
Restructuring Medicare: The Role of Public and Private Purchasing Alliances	124	(28)
James C. Robinson
Patricia E. Powers
Carve-outs for Medicare: Possible Benefits and Risks	152	(33)
Melinda Beeuwkes Buntin
David Blumenthal
5. Fee-for-Service Medicare in a Managed Care World	185	(76)
The Medicare Fee-for-Service System: Applying Managed Care Techniques	185	(22)
Peter D. Fox
Organizational Models for Restructuring Fee-for-Service Medicare	207	(54)
David G. Smith
Comment	249	(4)
Alan Nelson
Comment	253	(4)
Kathy Buto
Comment	257	(4)
Thomas Scully
6. Leadership and Politics: Four Views	261	(20)
Anthony Beilenson	261	(5)
Sheila Burke	266	(5)
Haynes Johnson	271	(5)
John Rother	276	(5)
7. Public Opinion and Medicare Restructuring: Three Views	281	(32)
Karlyn Bowman	281	(7)
Robert J. Blendon	288	(6)
Celinda J. Lake	294	(19)
Contributors	313	(2)
Conference Program	315	(4)
Index	319