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Briefing Detail Page

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Issues and Future Directions for Medicare

Friday, May 15, 2015

Per capita spending growth in Medicare has slowed over the last few years, although economists disagree about whether that trend will continue. Meanwhile, the number of Medicare beneficiaries continues to increase. Medicare has made systematic changes over the course of its first 50 years, addressing everything from benefits and eligibility to quality of care measurement and provider payment.

This session explored trends in both delivery and payment innovations within Medicare, including the movement away from traditional fee-for-service Medicare toward alternative payment models that promote high-quality, high-value care, as well as identify key issues that Congress is likely to face over the next several years.

The briefing also addressed the following questions: What is the financial status of Medicare – both in the short and long term? What is driving Medicare costs? How do changes in the way that care is delivered and paid for under Medicare impact the rest of the health care system? Which delivery models have the greatest impact on improving beneficiary health outcomes? What innovative steps is Medicare taking to improve quality and lower costs? What steps can Congress take to ensure financial sustainability of Medicare?

Karen Davis, director, Roger C. Lipitz Center for Integrated Health Care, Johns Hopkins University, discussed accomplishments in Medicare and what the future holds for the program over the next 50 years in terms of access, reducing financial burdens, and quality.

Richard Gilfillan, president and chief executive officer, Trinity Health, and former director of the Center for Medicare and Medicaid Innovation (CMMI), discussed his experience working with payers and providers to develop innovative models and implementing payment changes at the private sector level.

Samuel Nussbaum, executive vice president, clinical health policy and chief medical officer, Anthem, Inc., spoke about the intersection of Medicare and private sector innovations. Specifically, he will address how the private sector takes market signals from Medicare and how Medicare learns from the private sector.

Ed Howard of the Alliance and Stuart Guterman of Commonwealth co-moderated the panel discussion.

Follow the briefing on Twitter: #MedicareAt50

Contact: Beeta Rasouli (202)789-2300

The event was sponsored by the nonpartisan Alliance for Health Reform and The Commonwealth Fund.

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Full Transcript (Adobe Acrobat PDF), 5/15/2015
Full Webcast/Podcast: Full Video

Speaker Presentations

Karen Davis Presentation (Adobe Acrobat PDF), 5/15/2015
Rick Gilfillan Presentation (Adobe Acrobat PDF), 5/15/2015
Stu Guterman Presentation (Adobe Acrobat PDF), 5/15/2015
Sam Nussbaum Presentation (Adobe Acrobat PDF), 5/15/2015

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

Source Materials

Agenda (Adobe Acrobat PDF), , 5/14/2015
Speaker Biographies (Adobe Acrobat PDF), , 5/14/2015
Selected Experts (Adobe Acrobat PDF), , 5/14/2015
Materials List (Adobe Acrobat PDF), , 5/14/2015

Offsite Materials (briefing documents saved on other websites)

Better, Smarter, Healthier: In historic announcement, HHS sets clear goals and timeline for shifting Medicare reimbursements from volume to value, , 5/15/2015
CPR's Scorecard on Medicare Payment Reform (Adobe Acrobat PDF),, 5/15/2015
Fact Sheet: Report to Congress – March 2015, , 5/15/2015
HHS Takes Wrong Steps in the Right Direction, , 5/15/2015
How government-run health care happens, , 5/15/2015
Major Health Care Players Unite to Accelerate Transformation of U.S. Health Care System, , 5/15/2015
Medicare: 50 Years of Ensuring Coverage and Care. Executive Summary, , 5/15/2015
Summary of Medicare at 50 — Moving Forward (Adobe Acrobat PDF),, 5/15/2015
“Senate Approves a Bill on Changes to Medicare, , 5/15/2015
With SGR Repeal, Now We Can Proceed with Medicare Payment Reform, , 5/15/2015
Additional Reductions In Medicare Spending Growth Will Likely Require Shifting Costs To Beneficiaries (Adobe Acrobat PDF),, 5/15/2015
Fact Sheet: Health Care Payment Learning and Action Network, , 5/15/2015
Infographic: Medicare: Improving Access to Health Care since 1965 (Adobe Acrobat PDF),, 5/15/2015
International Survey of Older Adults Finds Shortcomings in Access, Coordination, and Patient-Centered Care, , 5/15/2015
IPAB: Ditching the Dog That Didn't Bark, , 5/15/2015
Medicare Officials Release Medicare Advantage Policies, , 5/15/2015
Medicare Spending Growth since 2009 (Adobe Acrobat PDF),, 5/15/2015
Medicare trustees’ report finds ‘cautious optimism’ (Adobe Acrobat PDF),, 5/15/2015
National Health Spending In 2013: Growth Slows, Remains In Step With The Overall Economy (Adobe Acrobat PDF),, 5/15/2015
Reforming the Financing and Governance of GME, , 5/15/2015
Replacing Medicare’s SGR: Four Bipartisan Options to Finance a Permanent Fix, , 5/15/2015
Report to Congress: Medicare payment Policy (Adobe Acrobat PDF),, 5/15/2015
Setting Value-Based Payment Goals — HHS Efforts to Improve U.S. Health Care, , 5/15/2015
Variations In County-Level Costs Between Traditional Medicare And Medicare Advantage Have Implications For Premium Support, , 5/15/2015
Why We Need to Promote Value-based Payment, , 5/15/2015


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