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 Reform, Fiscal HealthHealth Care



Miracle Cure? Why We Should Open the Door to More Foreign-Trained Nurses

Editor’s note: On the September edition of Policy Watch, a webcast series brought to you by The Committee for Economic Development (CED) of The Conference Board, the authors, along with Executive Vice President...

September 01, 2016  |   Blog   |  Fiscal Health,  |  Health Care Reform,  |  Sustainable Capitalism, EducationPostsecondaryFiscal HealthEconomic GrowthHealth Care



Top Healthcare Stories for 2016: Drug Prices

A recent survey by the Kaiser Family Foundation and New York Times found that 20 percent of working-age Americans, who have health insurance, reported having problems paying their medical bills over the last year. This comes...

January 26, 2016  |   Blog   |  Health Care Reform, Fiscal HealthHealth Care



Steve Odland in CNBC: Five Steps to Improve the U.S. Health Care System

October 28, 2015  |   CED in the News   |  Health Care Reform, Fiscal HealthHealth Care



Across the State Line

When I was in high school, I would have assumed that the title of this post related to a difference in the minimum age for purchases of alcohol between Pennsylvania and New Jersey.  Today,...

September 01, 2015  |   Blog   |  Health Care Reform, Fiscal HealthHealth Care



Ron Williams Talks CED Healthcare Solutions in Forbes

July 01, 2015  |   CED in the News   |  Health Care Reform, Fiscal HealthHealth Care



Blog: Business-backed group says ditch insurance mandates, give everyone credits

April 23, 2015  |   CED in the News   |  Health Care Reform, Fiscal HealthHealth Care



Committee for Economic Development Lays Out New Reform Agenda

April 23, 2015  |   CED in the News   |  Health Care Reform, Fiscal HealthHealth Care



CED Unveils Recommendations to Transform U.S. Health Care

April 23, 2015  |   CED in the News   |  Health Care Reform, Democratic InstitutionsCampaign FinanceFiscal 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 Reform, Fiscal HealthHealth Care



The Ongoing Federal Budget Debate: A Pocket Guide for Hawk Watchers

Last week my CED colleague, Joe Minarik, explained this year’s major federal budget issues as a three-act Shakespearean play (a tragedy, for sure).  This week instead of a literature class, I thought...

March 26, 2015  |   Blog   |  Fiscal Health,  |  Health Care Reform,  |  Sustainable Capitalism, Fiscal HealthEconomic GrowthEconomy & Federal BudgetHealth CareTax Reform



Knees vs. Nikes: How Buying Health Care Isn’t Like Buying Shoes

In a new CED report to be released at our upcoming Spring Policy Conference on April 22-23, the CED examines the Affordable Care Act of 2010 (often referred to as the ACA or “Obamacare”)...

March 19, 2015  |   Blog   |  Health Care Reform,  |  Fiscal Health, Fiscal HealthHealth Care



Monthly Member Update: SNAFU, FORSOOTH

The U.S. Congress is going to deal with three major budget issues this year.  But don’t get your hopes up.  The situation is normal – which is to say, dysfunctional....

March 18, 2015  |   Blog   |  Fiscal Health, Fiscal HealthEconomic GrowthEconomy & Federal BudgetHealth Care



Steve Odland Talks Healthcare Reform on FOX Business

January 28, 2015  |   CED in the News   |  Fiscal Health, Fiscal HealthEconomy & Federal BudgetHealth Care



Trustee Bryan Jordan Talks Fiscal Sustainability, Economic Growth

November 06, 2014  |   CED in the News Fiscal HealthEconomic GrowthEconomy & Federal BudgetHealth CareTax Reform



Diving into the Deficit

Significant Deficit Decline for FY 2014On October 15th, the Treasury and the OMB revealed better-than-expected budget results for Fiscal Year 2014.  The FY 2014 deficit clocked in at $483 billion, which is 6.5 percent less than was forecast...

November 06, 2014  |   Blog   |  Fiscal Health,  |  Health Care Reform, Fiscal HealthEconomic GrowthEconomy & Federal BudgetHealth CareTax Reform



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 Reform,  |  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 Reform, 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 Reform,  |  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



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