Matching Problems with Solutions: Improving Medicare's Governance and Management
Final Report of the Study Panel on Medicare’s Governance and Management – Matching Problems with Solutions, King, Kathleen M., Sheila Burke, and Elizabeth Docteur, eds., Washington, DC, National Academy of Social Insurance, July 2002
92 Pages Posted: 6 Oct 2009
Date Written: July 1, 2002
In 2000, the National Academy of Social Insurance (NASI) convened a study panel on Medicare governance and management as part of its project to examine key issues policymakers face in preparing Medicare for the influx of the baby boom generation. In its work, the panel used three criteria to evaluate Medicare's governance and management: 1. Does it have the capacity to accomplish its functions --- including the resources (financial, human, technological, and organizational) to fulfill the responsibilities Congress has given it? Does it have the technical expertise it needs? Does it have the flexibility needed to adapt to changes in the environment in which it operates, or is it too constrained by Congressional directives? 2. Is it accountable for the decisions it makes? How is oversight furnished? Is it responsive to the beneficiaries it serves and to stakeholders? 3. Is the Medicare program administration viewed as credible? The study panel evaluated Medicare's current governance and management and alternative government and management models against these criteria. Its recommendations are designed to make the current program work better, not to change the governance or management to accommodate a restructured Medicare program.
Keywords: Medicare, administration, governance
JEL Classification: I11, I18
Suggested Citation: Suggested Citation