Study Panels Suggest Ways to Restructure Medicare

National conference on social insurance

    • January 1, 2004

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 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.