Abstract

http://ssrn.com/abstract=141529
 


 



Rethinking Medicare Reform


Theodore R. Marmor


Yale School of Management

Jonathan Oberlander


University of North Carolina (UNC) at Chapel Hill - Department of Social Medicine


Health Affairs, Vol. 17, No. 1, Jan/Feb 1998

Abstract:     
Many health policy analysts argue that demographic pressures, the inflationary nature of fee-for-service payment, and the uncontrollable nature of defined-benefit insurance make Medicare unsustainable in its current form. They assert that Medicare can remain fiscally viable in the next century only by embracing a voucher system and exposing beneficiaries to the economic consequences of their medical care decisions. We argue here, however that Medicare need not rely on vouchers or on placing financial incentives on individual beneficiaries to control costs. Instead, we contend that Medicare can control expenditures the way most other industrial democracies do: through budgetary caps and centralized regulation of provider payments.

Accepted Paper Series


Not Available For Download

Date posted: September 27, 1999  

Suggested Citation

Marmor, Theodore R. and Oberlander, Jonathan, Rethinking Medicare Reform. Health Affairs, Vol. 17, No. 1, Jan/Feb 1998. Available at SSRN: http://ssrn.com/abstract=141529

Contact Information

Theodore Richard Marmor (Contact Author)
Yale School of Management ( email )
135 Prospect Street
P.O. Box 208200
New Haven, CT 06520-8200
United States
203-432-3238 (Phone)
Jonathan Oberlander
University of North Carolina (UNC) at Chapel Hill - Department of Social Medicine ( email )
Medical School Wing D, CB #7240
Chapel Hill, NC 27599
919-962-1136 (after 5PM 962-11 (Phone)
919-966-7499 (Fax)
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