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Inside Deficit Reduction: What It Means for Health Care


Monday, September 12, 2011

After much heated debate on the U.S. debt limit, the Budget Control Act of 2011, containing more than $900 billion in spending reductions over 10 years, was passed on August 2. The members of the Super Committee created by that law are hard at work, and the process is in gear to achieve at least $1.2 trillion in additional deficit reduction -- either through Congress adopting the committee’s recommendations or through further automatic spending cuts.   

 

What exactly is called for in the Budget Control Act of 2011?  What steps follow now that the members of the Super Committee have been named? What role do the committees of jurisdiction play? How will stakeholders, governments and beneficiaries respond to the super committee’s proposals? What are the implications for health care programs, including Medicare, Medicaid, CHIP and the Patient Protection and Affordable Care Act?

To address these questions and more, the Alliance for Health Reform and four cosponsors presented a September 12 briefing. Panelists were: Katherine Hayes, George Washington University; Bob Greenstein, Center on Budget and Policy Priorities; Bill Hoagland, vice president at CIGNA and former staff director of the Senate Budget Committee; Gail Wilensky, Project HOPE and former administrator of the Health Care Financing Administration (now CMS); Dean Rosen, Mehlman Vogel Castagnetti Inc. and former chief health care advisor to then-Senate Majority Leader Bill Frist; and Chris Jennings, Jennings Policy Strategies and former senior health care advisor to President Bill Clinton. Ed Howard of the Alliance and Diane Rowland of Kaiser co-moderated.

Along with the Alliance, cosponsoring the event were The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. This briefing begins a four-briefing series on the deficit reduction process. Future briefings will take place in October, November and December.

 Messages from Cosponsors

Risa Lavizzo-Mourey, MD 
President & CEO, Robert Wood Johnson Foundation
Click here for the video presentation (1:36)

Bruce Chernof, MD
President & CEO, The SCAN Foundation
Click here for the video presentation (1:52)

Diane Rowland 
Executive Vice President, Kaiser Family Foundation
Click here for the video presentation (1:10)
 

Speakers

 Ed Howard, Alliance for Health Reform, Moderator
 Diane Rowland, Kaiser Family Foundation, Moderator
 Katherine Hayes, George Washington University School of Public Health and Health Services, Speaker
 Bill Hoagland, CIGNA, Speaker
 Bob Greenstein, Center on Budget and Policy Priorities, Speaker
 Gail Wilensky, Project HOPE, Speaker
 Dean Rosen, Mehlman Vogel Castagnetti, Speaker
 Chris Jennings, Jennings Policy Strategies, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Inside Deficit Reduction: What It Means for Health Care (Adobe Acrobat PDF), 9/12/2011
Event Summary: Event Summary (Adobe Acrobat PDF), 9/12/2011
Full Webcast/Podcast: Inside Deficit Reduction: What It Means for Health Care

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Greenstein Presentation (PowerPoint), 9/12/2011
Hayes Presentation (PowerPoint), 9/12/2011

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Speaker Bios (Adobe Acrobat PDF), Alliance for Health Reform, 9/9/2011
Materials List (Adobe Acrobat PDF), Alliance for Health Reform, 9/12/2011
Sourcelist (Adobe Acrobat PDF), , 9/12/2011
Agenda (Adobe Acrobat PDF), , 9/12/2011
Event Summary (Adobe Acrobat PDF), Alliance for Health Reform, 9/12/2011

Offsite Materials (briefing documents saved on other websites)

The Debt Ceiling Deal: Kicking the Can Down the Road, American Enterprise Institute for Public Policy Research, 8/2/2011
- Antos, Joseph
How debt deal’s panel could affect health spending, Kaiser Health News, 8/30/2011
- Carey, Mary Agnes and Phil Galewitz
How Debt Ceiling Shenanigans Could Damage Healthcare, HealthLeaders Media, 8/11/2011
- Clark, Cheryl
Health Care Recommendations from Previous Bipartisan Deficit-Reduction Groups, Kaiser Health News, 8/2/2011
- Gastelum, Juan
Fallback Cuts or Super Committee Concoction - Choosing Health Care’s Policy Poison, New England Journal of Medicine, 8/31/2011
- Jennings, Christopher C.
Five cuts the debt commission might make to Medicare, Medicaid, The Washington Post, 8/1/2011
- Khimm, Suzy
How the Potential Across-the-Board Cuts in the Debt Limit Deal Would Occur, Center on Budget and Policy Priorities, 8/8/2011
- Kogan, Richard
The Budget Trigger and Health Reform, The Kaiser Family Foundation, 8/4/2011
- Levitt, Larry and Gary Claxton
Medicare Spending and Financing Fact Sheet (Adobe Acrobat PDF),Kaiser Family Foundation, 9/1/2011
Health Care Policy in an Age of Austerity, New England Journal of Medicine, 8/31/2011
- Oberlander, Jonathan
Effects of the Budget Control Act of 2011, Health Care Reform Insights, 8/9/2011
- Oday, Larry
Public Opinion on Health Care Issues (Adobe Acrobat PDF),Kaiser Health Tracking Poll, 5/1/2011
Medicare, Medicaid Advocates Cast Wary Eye On Budget Deal, National Public Radio, 8/2/2011
- Rovner, Julie
Budget Control Act Agreement: Fact Sheet (Adobe Acrobat PDF),Congressional Quarterly Publication, 8/1/2011
- Shuppy, Annie
The Budget Control Act of 2011: Implications for Medicare, Kaiser Family Foundation, 9/1/2011
Medicare pay cuts among tough choices for bipartisan debt panel, American Medical News, 8/22/2011
- Trapp, Doug
RSC One-Pager: Key Dates in the Budget Control Act of 2011 (P.L. 112-25) (Adobe Acrobat PDF),Republican Study Committee,, 8/3/2011
- Watson, Brad
Sequestration Procedures Under the 1985 Balanced Budget Act (Adobe Acrobat PDF),CRS Report, 9/27/2001
- Keith, Robert
Statutory Budget Controls in Effect Between 1985 and 2002, CRS Report, 7/1/2011
- Lynch, Megan Suzanne

Photos

Diane Rowland, executive vice president of the Kaiser Family Foundation, sets the stage for the first of four briefings on the federal deficit reduction process and potential impacts on health care programs. From the Sept. 12 briefing cosponsored by the foundation, The Commonwealth Fund, the Robert Wood Johnson Foundation and The SCAN Foundation. (11 min.)

Katherine Hayes of the George Washington University discusses in some detail the legislation that established the deficit reduction "super committee." From the Sept. 12 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (23 min.)

Bill Hoagland, vice president of public policy at CIGNA, discusses the need to reform health care entitlement programs to reduce the federal deficit, given the 6 - 9 percent annual cost increase in these programs. From the Sept. 12 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation and The SCAN Foundation. (7 minutes)

Bob Greenstein, founder and president of the Center on Budget and Policy Priorities, cautions that reducing federal spending by shifting health expenses to the states and to individuals would be a hollow victory. From the Sept. 12 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and the SCAN Foundation. (13 min.)

Gail Wilensky of Project HOPE, a former administrator of the Medicare and Medicaid programs, explains why new incentives are needed for both providers and beneficiaries to reduce Medicare spending. From the Sept. 12 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation and The SCAN Foundation. (10 min.)

Dean Rosen of the public affairs firm Mehlman Vogel Castagnetti Inc. describes some of the reasons why the deficit reduction super committee may come to a decisive deal by the panel's November deadline. From the Sept. 12 briefing cosponsored by the Alliance, The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (10 min.)

Chris Jennings, president of Jennings Policy Strategies, explains why a "big, balanced" deal would be the most positive outcome of the super committee deficit reduction process. From the Sept. 12 briefing cosponsored by The Commonwealth Fund, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation. (20 min.)

 

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