The Affordable Care Act and the Medicare Program: The Engines of True Health Reform

Posted: 8 Jun 2014 Last revised: 22 Jul 2014

See all articles by Eleanor D. Kinney

Eleanor D. Kinney

Indiana University Robert H. McKinney School of Law

Date Written: June 1, 2013

Abstract

The Patient Protection and Affordable Care Act and its amendments by the Health Care and Education Reconciliation Act of 2010 constitute landmark legislation known as the Affordable Care Act (ACA). The ACA has made many changes in the Medicare program as part of comprehensive health reform for the U.S. health care sector. Title III of the ACA pertains to improving the efficiency and quality of health care. Title VI calls for greater program integrity for all federally funded health insurance programs. Collectively, the changes in Medicare in these two titles address the three major problems that the Medicare program has faced since its inception: cost and volume inflation, quality assurance, and fraud and abuse. These changes, if successfully implemented, will have a dramatic impact on the reform of the American health care sector. The policy-making process in the Medicare program is exemplary of the process of “muddling through,” as described by the Yale economist Charles E. Lindblom. Nevertheless, these changes may also prepare the Medicare program to be transformed, through several incremental changes in upcoming years, into a single payer system.

Suggested Citation

Kinney, Eleanor D., The Affordable Care Act and the Medicare Program: The Engines of True Health Reform (June 1, 2013). 8(2) Yale Journal of Health Policy, Law and Ethics 253 (Summer 2013), Indiana University Robert H. McKinney School of Law Research Paper No. 2014-25, Available at SSRN: https://ssrn.com/abstract=2446518

Eleanor D. Kinney (Contact Author)

Indiana University Robert H. McKinney School of Law ( email )

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