From 1995 to 2003, the National Academy of Social Insurance convened seven study panels to examine issues pertaining to the restructuring of Medicare. The study panels were:
- Capitation and Choice
- Fee-for-Service Medicare
- Medicare's Larger Social Role
- Medicare's Long-Term Financing
- Medicare's Governance and Management
- Medicare and Chronic Care in the 21st Century
- Medicare and Markets
The Washington-based academy is a nonprofit, nonpartisan research and education organization devoted to the study of income security, health care finance and related public and private programs.
Key Recommendations and Findings: The National Academy of Social Insurance identified four general principles that emerged from the study panels that should serve as core values in restructuring Medicare:
- Medicare has made invaluable contributions to the health and financial security of beneficiaries.
- Medicare should be preserved as a social insurance program.
- Reform proposals should seek an appropriate balance between the financial security of Medicare beneficiaries and the need to ensure financing for Medicare's long-term future.
- Medicare's acute care focus should be modified to address the health care needs of beneficiaries, most of whom have chronic conditions.
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