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Medicare and Health Policy

Monday, March 19, 2012

The Affordable Care Act Turns Two

Lee Goldberg, National Academy of Social Insurance

Sabiha Zainulbhai, National Academy of Social Insurance

March 23rd, 2012 will mark the second anniversary of the signing of the Patient Protection and Affordable Care Act (ACA). This legislation represents one of the largest and most comprehensive reforms to the American health care system since the enactment of Medicare and Medicaid in 1965. The ACA seeks to extend coverage to roughly 50 million uninsured Americans, slowing down the growth in the cost of health care, and improving the quality of care health care by changing the delivery system.

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Wednesday, February 16, 2011

Social Insurance Programs and the President’s Budget

Virginia Reno, National Academy of Social Insurance

Lee Goldberg, National Academy of Social Insurance

Tom Bethell, Visiting Scholar, National Academy of Social Insurance

President Obama’s February 14th budget proposal for fiscal year 2012 would freeze or reduce funding for many federal programs as part of a strategy to begin reducing the federal deficit. The nation’s major social insurance programs – Social Security and Medicare – appear to have been exempt from such changes, at least for the moment.

The release of the President’s budget proposal is, of course, only the beginning of what will be a difficult and unpredictable negotiating process with a divided and contentious Congress. In the course of negotiations the pledges made this week by the President could be markedly altered, with potentially long-term consequences for the people who rely on these social insurance programs.

Social Security
Under the heading “Secure Social Security,” the President’s budget message states:

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Posted on February 16, 2011  |  1 comment  |  Add your comment
Thursday, December 9, 2010

How Do We Provide Affordable Care For Millions Of People, Preserving Their Independence, Without Breaking Their Pocketbooks Or Bankrupting The Taxpayers?

Bob Rosenblatt
Senior Fellow, National Academy of Social Insurance

Each summer, NASI’s Somers Aging and Long-Term Care Research Internship program selects 5-7 graduate students to spend 12 weeks receiving high-quality training in policy research skills on challenging issues facing the diverse aging population of the United States.

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Posted on December 9, 2010  |  9 comments  |  Add your comment
Thursday, December 2, 2010

What does the Report of the Fiscal Commission Co-Chairs Mean for Health Policy?

Lee Goldberg
Director of Health Policy, National Academy of Social Insurance

The Co-chairs of the President’s Commission presented a number of policy proposals aimed primarily at reducing the growth spending on Medicare and Medicaid. Given the size of the two programs, some of these changes may impact health care spending patterns in the private economy, but many will simply shift costs to other payers. Few, if any, proposals would address the underlying growing demand for services triggered by an aging population and a long term care system that relies on private savings.

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Posted on December 2, 2010  |  1 comment  |  Add your comment
Thursday, April 1, 2010

Addressing Health Reform Implementation Challenges

Pamela Larson

On Tuesday, March 31, 2010, the last piece of historic health care reform legislation was signed into law. NASI members participated in a variety of ways – from crafting the legislation to scoring its costs and effects to debating its pros and cons.
In July of 2009, the National Academy of Social Insurance (NASI) released a timely study panel report on Administrative Solutions in Health Reform, produced in conjunction with the National Academy of Public Administration (NAPA) and funded by the Robert Wood Johnson Foundation.
The study panel created a road map of administrative issues key to the successful implementation of the new legislation.
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Posted on April 1, 2010  |  Write the first comment