Reforming Medicaid

Medicaid is enormously expensive. For the second year in a row, spending on Medicaid (for the poor) will exceed spending on Medicare (for the elderly).

Three Avenues to Patient Power
America's health care system is an uneven playing field. Government subsidizes employer-provided health insurance by excluding the premiums from taxation.
Is Medicare Too Stingy?
The fees Medicare pays physicians who treat seniors are not determined in the marketplace. Instead, they are arbitrarily set by the Centers for Medicare and Medicaid Services (CMS), based on a complex…
Medicare Reform and Prescription Drugs: Ten Principles

In an election-year rush to satisfy impatient voters, politicians of both parties are endorsing ill-considered schemes to add a prescription drug benefit to Medicare. While the problems with the progr…

Association Health Plans - Part Two: Answering the Critics
A cornerstone of President Bush's approach to health care reform is the introduction of Association Health Plans (AHPs). These plans would enable business and professional associations to offer health…
Association Health Plans - Part One: Lowering Small Group Costs
A cornerstone of President Bush's approach to health care reform is the creation of Association Health Plans (AHPs). Intended to control costs and improve access to coverage for small employers and in…
The Case against Mental Health Parity, Part II: Predictable Harms
Advocates of mental health parity propose legislation that would require all private health insurance to establish the same deductibles and co-payments for physical and mental health care services.
Medical Savings Accounts and Prescription Drugs: Evidence from South Africa

Unlike the United States experience, MSAs in South Africa developed in a relatively free health insurance marketplace. As a result, employers and insurers have been able to experiment and innovate to…