Identifying opportunities for health care delivery system reform: Lessons from the front line
Testimony presented to the Senate Health, Education, Labor and Pensions Committee

Article Highlights

  • It will be nearly impossible to move to a high-value, low-cost delivery system if Medicare fee-for-service stays as it is today

    Tweet This

  • A more reliable approach to higher-quality and lower-cost patient care is strong competition in a functioning marketplace

    Tweet This

Senator Whitehouse, Ranking Member Enzi, and members of the committee, thank you for the opportunity to participate in this very important hearing on health care delivery system reform.

I would like to make three basic points in my testimony today:

1. The source of many of our problems in health care delivery is the dominant Medicare fee-for-service (FFS) program. It will be nearly impossible to move to a high-value, low-cost delivery system if Medicare FFS continues to operate as it does today.

2. The 2010 health care law’s efforts at “delivery system reform” — most of which fall within Medicare — are very unlikely to be the solution people are hoping for because the federal government is not good at fostering a high-value, low-cost provider network.

3. A more reliable approach to higher-quality and lower-cost patient care is strong competition in a functioning marketplace.

Capretta Senate HELP testimony May 16, 2012
Read the entire testimony
Download PDF

Also Visit
AEIdeas Blog The American Magazine
About the Author

 

James C.
Capretta

What's new on AEI

AEI Election Watch 2014: What will happen and why it matters
image A nation divided by marriage
image Teaching reform
image Socialist party pushing $20 minimum wage defends $13-an-hour job listing
AEI on Facebook
Events Calendar
  • 20
    MON
  • 21
    TUE
  • 22
    WED
  • 23
    THU
  • 24
    FRI
Monday, October 20, 2014 | 2:00 p.m. – 3:30 p.m.
Warfare beneath the waves: The undersea domain in Asia

We welcome you to join us for a panel discussion of the undersea military competition occurring in Asia and what it means for the United States and its allies.

Tuesday, October 21, 2014 | 8:30 a.m. – 10:00 a.m.
AEI Election Watch 2014: What will happen and why it matters

AEI’s Election Watch is back! Please join us for two sessions of the longest-running election program in Washington, DC. 

Wednesday, October 22, 2014 | 1:00 p.m. – 2:30 p.m.
What now for the Common Core?

We welcome you to join us at AEI for a discussion of what’s next for the Common Core.

Event Registration is Closed
Thursday, October 23, 2014 | 10:00 a.m. – 11:00 a.m.
Brazil’s presidential election: Real challenges, real choices

Please join AEI for a discussion examining each candidate’s platform and prospects for victory and the impact that a possible shift toward free-market policies in Brazil might have on South America as a whole.

Event Registration is Closed
No events scheduled this day.
No events scheduled this day.
No events scheduled this day.
No events scheduled this day.