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Medicare Reform: Fundamental Problems, Incremental Steps

  • Mark McClellan
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    This paper presents an overview of the Medicare reform debate. I begin by reviewing some of the features of Medicare and then turn to a discussion of reforms, both on the benefits side and on the financing side of the program. The reform proposals raise difficult policy and political issues, and could have important implications for the federal budget, the efficiency of the health sector, and the well-being of the elderly and disabled.

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    File URL: http://www.aeaweb.org/articles.php?doi=10.1257/jep.14.2.21
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    Article provided by American Economic Association in its journal Journal of Economic Perspectives.

    Volume (Year): 14 (2000)
    Issue (Month): 2 (Spring)
    Pages: 21-44

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    Handle: RePEc:aea:jecper:v:14:y:2000:i:2:p:21-44
    Note: DOI: 10.1257/jep.14.2.21
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    1. David M. Cutler & Sarah Reber, 1996. "Paying for Health Insurance: The Tradeoff between Competition and Adverse Selection," NBER Working Papers 5796, National Bureau of Economic Research, Inc.
    2. Mark McClellan & Jonathan Skinner, 1997. "The Incidence of Medicare," NBER Working Papers 6013, National Bureau of Economic Research, Inc.
    3. Julie Lee & Mark McClellan & Jonathan Skinner, 1999. "The Distributional Effects of Medicare," NBER Working Papers 6910, National Bureau of Economic Research, Inc.
    4. Mark McClellan, 1997. "Hospital Reimbursement Incentives: An Empirical Analysis," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 6(1), pages 91-128, 03.
    5. Joseph P. Newhouse, 1996. "Reimbursing Health Plans and Health Providers: Efficiency in Production versus Selection," Journal of Economic Literature, American Economic Association, vol. 34(3), pages 1236-1263, September.
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