Improving health and health care: An agenda for reform - AEI

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Tom Miller Presentation

Event Summary

This Wednesday at AEI, 10 health policy experts released a report titled “Improving Health and Health Care: An Agenda for Reform,” articulating a market-driven alternative to the Affordable Care Act (ACA). AEI hosted an event presenting the proposal and inviting discussion of its key reforms.

Rep. Tom Price (R-GA) delivered opening remarks centered on equipping patients and physicians to define quality in health care. He corroborated many of the goals of the report, including promotion of accessibility, affordability, choice, and innovation in health care.

AEI’s James Capretta briefly summarized the proposal and opened up to panel discussion. Coauthors Lanhee Chen, Scott Gottlieb, Thomas P. Miller, and Gail Wilensky detailed challenges under the ACA and how to address these challenges through increased competition and flexibility. Some challenges raised in discussion were the lack of accessibility of drugs and providers under the ACA high-deductible plans.

Discussants John Holahan of the Urban Institute and Chris Jennings of Jennings Policy Strategies offered counterarguments to the proposal, suggesting that choice is not limited under the current ACA framework. They also raised questions about the nature of the tax credits in the new plan and how the proposal will handle provider consolidation going forward.
–Kelly Funderburk

Event Description

American health care policy debates have long been divided between those who support greater governmental regulation and those who favor more reliance on market incentives and consumer choice. Passage of the Affordable Care Act (ACA) in 2010 did not end the debate, but it did increase pressure on those who are unsatisfied with the steady march toward more federal control. What is the alternative?

Ten health policy experts have come together to provide an answer to that question. Their plan, “Improving Health and Health Care: An Agenda for Reform,” will be released and summarized at this public event, with commentary from some of the plan’s coauthors and respected national experts.

The plan is co-authored by Joseph Antos, James C. Capretta, Lanhee J. Chen, Scott Gottlieb, Yuval Levin, Thomas P. Miller, Ramesh Ponnuru, Avik Roy, Gail Wilensky, and David Wilson. 

Join the conversation on social media with @AEI on Twitter and Facebook.

If you are unable to attend, we welcome you to watch the event live on this page. Full video will be posted within 24 hours.


Agenda

8:15 AM
Registration and breakfast

8:45 AM
Remarks:
Tom Price, Chairman of the House Budget Committee (R-GA)

9:05 AM
Q&A

9:25 AM
Overview:
James C. Capretta, AEI

9:50 AM
Panel discussion

Panelists:
Lanhee Chen, Stanford University
Scott Gottlieb, AEI
Thomas P. Miller, AEI
Gail Wilensky, Project HOPE

Discussants:
Chris Jennings, Jennings Policy Strategies
John Holahan, Urban Institute

Moderator:
Joseph Antos, AEI

10:45 AM
Panel Q&A

11:15 AM
Adjournment


Event Contact Information

For more information, please contact Kaavya Ramesh at [email protected], 202.862.7193.


Media Contact Information

For media inquiries, please contact [email protected], 202.862.5829.


Speaker Biographies

Joseph Antos is the Wilson H. Taylor Scholar in Health Care and Retirement Policy at AEI. He recently completed a seven-year term as health adviser to the Congressional Budget Office and two terms as a commissioner of the Maryland Health Services Cost Review Commission. In 2013, he was also named adjunct associate professor of emergency medicine at George Washington University. His research focuses on the economics of health policy, including Medicare and broader health system reform, health care financing and the budget, health insurance regulation, and the uninsured.

James C. Capretta has spent more than two decades studying American health care policy. As an associate director at the White House’s Office of Management and Budget from 2001 to 2004, he was responsible for all health care, Social Security, and welfare issues. Earlier, he served as a senior health policy analyst at the US Senate Budget Committee and at the US House Committee on Ways and Means. Mr. Capretta is also concurrently a senior fellow at the Ethics and Public Policy Center. At AEI, he researches how to replace the Patient Protection and Affordable Care Act with a less expensive reform plan to provide effective and secure health insurance for working-age Americans and their families.

Lanhee Chen is the David and Diane Steffy Research Fellow at the Hoover Institution, director of domestic policy studies and lecturer in the public policy program at Stanford University, lecturer in law at Stanford Law School, and an affiliate of the Freeman Spogli Institute for International Studies at Stanford University. He is also a columnist with Bloomberg View. His current research focuses on health policy, retirement security policy, campaigns and elections, and California policy and politics. Dr. Chen was appointed by President Barack Obama and confirmed by the United States Senate to serve as a member of the Social Security Advisory Board — an independent, bipartisan panel that advises the president, Congress, and the commissioner of Social Security on matters related to the Social Security and Supplemental Security Income programs. He has also served in government, the private sector, and academia. Most recently, he was the senior adviser on policy to the National Republican Senatorial Committee during the 2014 election cycle. Dr. Chen was the policy director for the Romney-Ryan 2012 presidential campaign, Governor Romney’s chief policy adviser, a senior strategist on the campaign, and the person responsible for developing the campaign’s domestic and foreign policy. He earned his Ph.D. and A.M. in political science from Harvard University, his J.D. cum laude from Harvard Law School, and his A.B. magna cum laude in government from Harvard College. He is a member of the State Bar of California.

Scott Gottlieb, a practicing physician, has served in various capacities at the Food and Drug Administration, including senior adviser for medical technology; director of medical policy development; and, most recently, deputy commissioner for medical and scientific affairs. Dr. Gottlieb has also served as a senior policy adviser at the Centers for Medicare & Medicaid Services.

John Holahan is a fellow in the Health Policy Center at the Urban Institute, where he previously served as center director for more than 30 years. His recent work focuses on health reform, the uninsured, and health expenditure growth, developing proposals for health system reform most recently in Massachusetts. He examines the coverage, costs, and economic impact of the Affordable Care Act (ACA), including the costs of Medicaid expansion and the macroeconomic effects of the law. He has also analyzed the health status of Medicaid and exchange enrollees and the implications for costs and exchange premiums. Dr. Holahan has written on competition in insurer and provider markets, and implications for premiums and government subsidy costs, and the cost-containment provisions of the ACA. He has conducted significant work on Medicaid and Medicare reform, including analyses on the recent growth in Medicaid expenditures, implications of block grants and swap proposals on states and the federal government, and the effect of state decisions to expand Medicaid in the ACA on federal and state spending. Recent work on Medicare includes a paper on reforms that could both reduce budgetary impacts and improve the structure of the program. His work on the uninsured explores reasons for the growth in the uninsured over time and the effects of proposals to expand health insurance coverage on the number of uninsured and the cost to federal and state governments.

Chris Jennings is the cofounder of Jennings Policy Strategies, a nationally respected boutique health care policy and public affairs consulting firm, which was also cofounded by President Bill Clinton. He is a health policy veteran of the White House, Congress, and the private sector. In January, he departed from his second tour of duty in the White House, where he served President Barack Obama as deputy assistant to the president for health policy and coordinator of health reform. He served in a similar capacity in the Clinton White House for nearly eight years. From his positions in the executive branch, Mr. Jennings has helped implement the Affordable Care Act’s access and delivery reform provisions (for President Obama) and had leadership roles in the development, passage, and implementation of bipartisan health reforms, such as the Children’s Health Insurance Program, the Health Insurance Portability and Accountability Act, the Prescription Drug User Fee Act of 1997, and major Medicare reforms in the Balanced Budget Act of 1997.

Thomas P. Miller is a resident fellow at AEI, where he focuses on health policy, with particular emphasis on information transparency, health insurance regulation, health care entitlement reform, and market-based alternatives to the policies of the Affordable Care Act. He is the coauthor of “Why ObamaCare Is Wrong for America” (HarperCollins, 2011) and author of “When ObamaCare Fails: The Playbook for Market-Based Reform” (AEI, 2012). He also directs AEI’s Beyond Repeal and Replace project. Mr. Miller was a member of the National Advisory Council for the Agency for Healthcare Research and Quality from 2007 to 2009. He was a senior health policy adviser for the John McCain presidential campaign in 2008. Before joining AEI in 2006, he served for three years as senior health economist for the Joint Economic Committee of the US Congress. He has also been director of health policy studies at the Cato Institute and director of economic policy studies at the Competitive Enterprise Institute. He is a member of the National Academy of Social Insurance and the State Bar of Georgia. Mr. Miller’s writing has appeared in publications such as Health Affairs, The Wall Street Journal, The New York Times, The Washington Post, Los Angeles Times, USA Today, and National Review. He makes frequent broadcast media appearances on Fox, PBS, CBS, CNN, MSNBC, CNBC, C-SPAN, and National Public Radio, among other networks.

Tom Price was first elected to represent Georgia’s sixth district in November 2004. Previously, he served four terms in the Georgia State Senate, two as minority whip. In 2002, he was a leader in the Republican renaissance in Georgia as the party took control of the State Senate, with Rep. Price rising to become the first Republican Senate majority leader in the history of Georgia. He serves on the House Committee on Ways and Means. In the 114th Congress, he was named chair of the House Committee on the Budget. In previous Congresses, he has served as chairman of the House Republican Policy Committee and chairman of the Republican Study Committee. For nearly 20 years, Rep. Price worked in private practice as an orthopedic surgeon. Before coming to Washington, DC, he returned to Emory University School of Medicine as an assistant professor and medical director of the orthopedic clinic at Grady Memorial Hospital in Atlanta, teaching resident doctors in training. He received his bachelor’s and doctor of medicine degrees from the University of Michigan and completed his orthopedic surgery residency at Emory University.

Gail Wilensky is an economist and senior fellow at Project HOPE, an international health foundation. She directed the Medicare and Medicaid programs from 1990 to 1992 and served in the White House as a senior health and welfare adviser to President George H. W. Bush. She currently serves as a trustee of the Combined Benefits Fund of the United Mine Workers of America and of the National Opinion Research Center. She is also on the board of regents of the Uniformed Services University of the Health Sciences and the Geisinger Health System Foundation. She also served as president of the Defense Health Board, a federal advisory to the secretary of defense, a commissioner on the World Health Organization’s Commission on the Social Determinants of Health, and cochair of the Department of Defense Task Force on the Future of Military Health Care. Dr. Wilensky is an elected member of the Institute of Medicine and has served two terms on its governing council. She is a former chair of the board of directors of Academy Health, a former trustee of the American Heart Association, and a current or former director of numerous other nonprofit organizations. She is also a director on several corporate boards. She received a bachelor’s degree in psychology and a Ph.D. in economics at the University of Michigan and has received several honorary degrees.

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