Senate Finance Committee: Proposals to Improve Patient Care and Reduce Health Care Costs

April 30, 2009

Senate Finance Committee. Description of Policy Options. Transforming the Health Care Delivery System: Proposals to Improve Patient Care and Reduce Health Care Costs. April 29, 2009.  Full Text.

Proposals in this document are organized into the following categories:

  • Section I Payment Reform – Improving Quality and Promoting Primary Care
  • Section II Payment Reform – Fostering Care Coordination and Provider Collaboration
  • Section III Health Care Infrastructure Investments – Tools to Support Delivery System Reform
  • Section IV Medicare Advantage – Promoting Quality, Efficiency and Chronic Care Management
  • Section V Public Program Integrity – Combating Fraud, Waste and Abuse

Frank Lutz | Policy Memo: The Language of Healthcare 2009

April 29, 2009

Frank Lutz. The Language of Healthcare 2009. Full text. This is a copy of the 28-page memo from Frank Luntz to congressional Republicans based on extensive polling on the issue of health care reform.

The Lewin Group | The Cost and Coverage Impacts of a Public Plan

April 10, 2009

John Sheils and Randy Haught. The Cost and Coverage Impacts of a Public Plan: Alternative Design Options. Staff Working Paper #4. Washington, DC: The Lewin Group, April 8, 2009.  Full text.  This study forecasts that if a public plan paid Medicare rates, it could offer premiums 30% below those of available private plans and attract 43-130 million people to the plan. The low displacement number reflected limiting eligibility to the individual and small-group market and the self-employed, and it pulled 32 million insured people out of the private insurance plans. The higher displacement number reflected no limits on eligibility and would pull 119 million people out of private coverage. If the public plan paid commercial payment rates, the attraction would be far smaller: 10-12 million insured people would switch. If the major outlines of the Lewin study are even partially accurate, the attractiveness of the public plan depends overwhelmingly on replicating Medicare’s payments rates and, presumably, payment methodology. Source: Jeff Goldsmith, Health Affairs Blog.

Urban Institute | Health Insurance Exchanges: Organizing Health Insurance Marketplaces to Promote Health Reform Goals

April 2, 2009

Linda J. Blumberg, Karen Pollitz. Health Insurance Exchanges: Organizing Health Insurance Marketplaces to Promote Health Reform Goals. Washington, DC: Urban Institute, April 01, 2009. Full Text | Printer-friendly summary

A health insurance exchange can make it possible to organize health insurance markets more efficiently and effectively than takes place today. Because so many different problems must be addressed in the insurance marketplace in order for all to have meaningful and affordable coverage, an entity like an exchange is needed to coordinate tasks and guide markets to comply with consumer protections and compete in cost-efficient ways. While not a panacea for all that ails the health system, carefully designed, an exchange can be a vehicle that facilitates and monitors the movement of the system toward many national health reform goals.

U Chicago Symposium | America and Chicago’s Health Safety Net: A Century of Continuity and Change

April 1, 2009


  • Colleen M. Grogan, Associate Professor; Faculty Chair, Graduate Program in Health Administration and Policy; Research Associate, Center for Health Administration Studies
  • Harold Pollack, Associate Professor; Faculty Chair, Center for Health Administration Studies; Co-Director, University of Chicago Crime Lab

Date: April 17, 2009

Location: School of Social Service Administration
969 East 60th Street
Chicago, IL 60637

As the fields of modern health services research, health policy and health administration emerged at the University of Chicago, the faculty recognized the close link between vulnerability and health, and the importance of community-level safety net organizations to improve well-being. Today, with the rise in chronic health conditions, continued economic and racial segregation, and one million uninsured living in Chicago alone, that link has never been more apparent. How can today’s medical and social safety net organizations attack the multitude of health-related problems among America’s poor and low-income?

This symposium will reflect on the role of various health care reform approaches—what they are and ought to be—for vulnerable populations. Presenters will trace the major historical trends in the development of the U.S. health care delivery system—particularly the development of our private/public mixed system, and offer a new critique on how this broader framing influenced the separate development of the health care safety net. As the Obama administration begins efforts to reform the U.S. health care system, our keynote speaker will provide a thought-provoking and entertaining talk on previous U.S. Presidents’ attempts to pass national health care reform and lessons to be learned.

Health care reform in light of equity in access to care, quality improvements, and cost control will be considered. Presenters will reflect on enduring concepts that still apply to thinking about health care reform today and other areas where we have witnessed significant change. Finally, Chicago’s health care safety net and the role of health care providers in improving health for vulnerable populations will be explored.

View the full agenda for this symposium.

View speakers’ biographies.

Please register online for this event. The registration cost is $55 which includes lunch and a reception.

via America and Chicago’s Health Safety Net: A Century of Continuity and Change – SSA Centennial.