The 2021-23 Congress, like every Congress for the past 30 years, will change the American health care system in one way or another and then, just as we have in the past, America's health care consumers, premium and tax payers will wait to see whether the changes work as promised and what they really cost. CAUS asserts that there is perhaps a way to help our policy makers get access to the information they need to make better decisions.
Join our discussion as we navigate ways to improve the decision-making process.
The Need For More Informed Decision Making
There is a better way to design and manage America’s health care.
The current regulatory and oversight process has laudatory goals, but does not effectively engage the complexity and interactive phenomena of the health care system with the understanding and rigor required to actually achieve those goals.
Consider, for example the following examples of what might charitably be called unintended consequences of the well-intentioned current policy making process:
Between 2008 and 2016, Medicaid costs increased from $0.55 to $0.67 of every federal dollar going to states and local governments. The demand on state revenues increased as well and now claims about 20% of all state revenues collected. These increases affected state and local spending on other priorities including education and infrastructure.
During roughly the same time period (i.e., 2008-2017), enrollments in Medicare and Medicaid increased 43%, adding more than 40 million people to the two programs. The provider infrastructure did not grow at the same rate, which created access problems for certain segments of the population (e.g., people living in rural areas).
In 2017, government health care programs spent $1.4 trillion dollars more than they brought in from premiums and other revenue sources. Approximately $240 billion of that deficit spending was added to the national debt, increasing the burden on future generations. The remaining $1.2 trillion deficit spending generated increases in premiums for the private sector large group and individual markets (i.e., cost-shifting). These increases, in turn, have led to major increases in out-of-pocket costs for individuals and families and contributed to the current widespread and spreading concerns about costs.
CAG is dedicated to enhancing public and policy maker ability to understand, evaluate and interact more effectively with decisions affecting the American healthcare system.