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Fiscal Health


Employer-based health insurance is in decline. While the number and percentage of Americans covered by employer-based health insurance is falling, health care costs are growing at an unsustainable rate. The root causes of America's health care problems lie deep within the structure of our health-care system. No one has an incentive to seek, or provide, quality, cost-efficient health care; there is no meaningful competition in our employer-based health insurance system. The recent health insurance reform law has largely scratched the surface of this fundamental problem. Its insurance exchanges, while well meaning, must be strong. The recent health insurance reform law has largely scratched the surface of this fundamental problem. Its insurance exchanges, while well meaning, must be strong.

The principles of cost-responsible consumer choice among competing health-insurance plans, sometimes called ""managed competition,"" can also be applied to Medicare – which today, though heavily managed in many respects, is largely devoid of competition. While its essential function of providing coverage to senior citizens must be fulfilled, its cost growth must be slowed – or else the federal government will be forced to make very painful choices, among which will be reneging on that commitment to our seniors. And ideally, the steps to control its cost growth should contribute to both cost savings and improvements in quality throughout the healthcare system.

"The exchanges are the key to true health reform. They force competition among insurers and providers to deliver quality care at the lowest possible cost." - William W. Lewis, CED Member and founding director emeritus of the McKinsey Global Institute.



The First 100 Days: Improving the Affordable Care Act

The Patient Protection and Affordable Care Act of  2010 (known informally as the ACA) was a well-intentioned attempt to deal with these issues, but in CED’s view, it has fallen short. Further reform...

February 27, 2017  |   Policy Position   |  Health Care, Fiscal HealthHealth Care



Adjusting the Prescription: CED Recommendations for Health Care Reform

CED’s latest paper on health care reform, “Adjusting the Prescription: Committee for Economic Development Recommendations for Health Care Reform,” describes how long-term improvement in quality, affordability, and access requires the right...

April 23, 2015  |   Policy Position   |  Health Care, Fiscal HealthHealth Care



October 2014 Trustee Update Call: Slowing Healthcare Cost Growth

By Joe Minarik Senior VP & Director of ResearchI was planning to talk about something else today, but a testy exchange (pardon the pun) in our local paper, the Washington Post, caught my attention....

October 15, 2014  |   Blog   |  Health Care,  |  Fiscal Health, Fiscal HealthEconomic GrowthEconomy & Federal BudgetHealth Care



The Skinny on the Fat Tax

By Courtney Baird Research AssociateObesity Rates Slowing, but Not EnoughAccording to the Centers for Disease Control and Prevention, 69.1% of American adults age 20 years and over are either overweight or obese.  This percentage...

September 17, 2014  |   Blog   |  Fiscal Health,  |  Health Care, Fiscal HealthEconomic GrowthEconomy & Federal BudgetHealth CareTax Reform



Health Insurers and Hospital Earnings Mixed as ACA Kicks In

By Jeffrey Hooke Vice President and Director of Economic StudiesThe Affordable Care Act (or Obamacare) has been in place since January 1, with a number of waivers and grace periods granted for certain groups. We...

September 03, 2014  |   Blog   |  Health Care,  |  Fiscal Health, Fiscal HealthHealth Care



A Health Care Remedy for Millennials

Joseph DiBlasi Communications and Outreach AssociateNo millennial should have to risk living without health insurance.  But its steep price, combined with the fact that many young adults are healthy and so don&rsquo...

July 14, 2014  |   Blog   |  Fiscal Health, Fiscal HealthMillennialnomicsHealth Care



May 2014 Trustee Update Call

On May 21, 2014, Joe Minarik presented updates to Trustees as part of CED's regular monthly conference call series. This month, Joe introduced CED's position on healthcare reform. See below for links to the presentation...

May 21, 2014  |   Blog   |  Health Care, Fiscal HealthHealth Care



Spring Policy Conference, May 1-2, 2014: Washington, DC

Please join the Committee for Economic Development for our two-day Spring Policy Conference on May 1-2, 2014.This year’s program will feature in-depth conversations with senior leaders, CEOs, economists, and policy makers, on early...

May 01, 2014  |   Event   |  Early Learning,  |  Fiscal Health, Democratic InstitutionsCampaign FinanceJudicial Independence and SelectionEducationEarly ChildhoodForeign LanguagesK-12PostsecondaryFiscal HealthEconomic GrowthEconomy & Federal BudgetHealth CareTax ReformGlobal CompetitivenessCorporate GovernanceWomen's Economic Empowerment



Healthcare Costs, Wage Growth, and Inequality

By Joe Minarik Over the last couple of months, we have talked about several of the hot-button issues driving U.S. discussion about economic policy these days, including both the progress of healthcare reform...

April 30, 2014  |   Blog   |  Health Care, Fiscal HealthHealth Care



Two Newspaper Columns on Health Care Reform

By Joseph MinarikWithin the past week, there have been two opinion columns in leading newspapers presenting distinct opinions on healthcare policy and reform thereof.  Each has something to offer (in my view), but...

March 19, 2014  |   Blog   |  Health Care, Fiscal HealthHealth Care



March 2014 Trustee Update Call

On March 19, 2014, Joe Minarik and Steve Odland presented updates to Trustees as part of CED's regular monthly conference call series. This month, the discussion centered around CED's healthcare reform policy. See below for...

March 19, 2014  |   Blog   |  Health Care, Fiscal HealthHealth Care



An Alternative Health-Insurance Proposal

By Joseph MinarikSenators Richard Burr (R-NC), Tom Coburn (R-OK), and Orrin G. Hatch (R-UT) have put forward an approach to health-insurance reform that they describe as an alternative to the current law – that...

February 20, 2014  |   Blog   |  Fiscal Health,  |  Health Care, Fiscal HealthHealth Care



The Budget (and “Obamacare”) Update

By Joseph MinarikYou probably have recognized that the big Washington news of this week was the usually routine annual revision of the economic and budget outlook by the nonpartisan Congressional Budget Office (CBO). ...

February 06, 2014  |   Blog   |  Fiscal Health,  |  Health Care, Fiscal HealthHealth Care



September 2013 Trustee Update Call

On September 18, 2013, Joe Minarik, Elliot Schwartz, and Steve Odland presented updates to Trustees as part of CED's regular monthly conference call series. This month, Elliot Schwartz discussed "Cronies and Capitols" and "The Entrepreneurial State,"...

September 19, 2013  |   Blog   |  Sustainable Capitalism,  |  Fiscal Health, Fiscal HealthEconomic GrowthHealth Care



The Supreme Court Ruling and the Budget

By Joseph Minarik For a short while, there was a very loud budget buzz about the Supreme Court case on the Patient Protection and Affordable Care Act (PPACA, sometimes known as “Obamacare,”...

June 29, 2012  |   Blog   |  Fiscal Health, Fiscal HealthHealth Care



What is the “Medicare Guarantee”?

Let’s Make a Deal:A New SeriesThis is the third installment in a series about the two keys – Medicare reform and tax reform – to a comprehensive agreement to solve the...

June 25, 2012  |   Blog   |  Fiscal Health, Fiscal HealthHealth Care



To Reform Medicare, Reform Incentives and Organization

For Immediate Release Contact: Morgan Broman – (202) 469-7814 - morgan.broman@ced.orgWashington, D.C. November 7, 2011 – To avert a long-term debt crisis, Medicare must bring its expenditures into line with the growth of...

November 07, 2011  |   Blog   |  Fiscal Health, Fiscal HealthEconomy & Federal BudgetHealth Care



To Reform Medicare, Reform Incentives and Organization

Alain C. Enthoven’s paper, To Reform Medicare, Reform Incentives And Organization, explains how the principles of cost-responsible consumer choice among competing health-insurance plans, sometimes called “managed competition,” can both improve quality...

November 04, 2011  |   Policy Position   |  Fiscal Health, Fiscal HealthEconomy & Federal BudgetHealth Care



CED releases new report: To Reform Medicare, Reform Incentives and Organization

In November 2011, CED released Alain C. Enthoven’s paper, To Reform Medicare, Reform Incentives And Organization, explaining how the principles of cost-responsible consumer choice among competing health-insurance plans, sometimes called “managed competition,”...

November 04, 2011  |   Event   |  Fiscal Health, Fiscal HealthEconomy & Federal BudgetHealth Care



Webinar Discusses Release of New CED Health Care Report

On June 30, 2010 Alain C. Enthoven, Marriner S. Eccles Professor of Public & Private Management Stanford University and Joseph J. Minarik, CED's Senior Vice President and Director of Research, presented findings on their new research...

June 30, 2010  |   Blog   |  Fiscal Health, Fiscal HealthEconomy & Federal BudgetHealth Care



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@CEDUpdate What is a sustainable debt level and how do we fix our enormous debt? Read the second installment of our Debt 101 s… twitter.com/i/web/status/1…