Beyond "Repeal and Replace": Ideas for Real Health Reform
About This Event

Online registration for this event is now closed. Walk-in registrations will be accepted.

Video of this event will be livestreamed online at

This event is the first in the Beyond Repeal and Replace series--an AEI project that aims to provide a deeper, more fundamental foundation for policymakers considering a different path to real health reform. Project website:

What could replace the Patient Protection and Affordable Care Act (PPACA) enacted last March? With the new Republican majority in the House committed to repealing PPACA, four noted health policy analysts will present their distinct and detailed proposal at this inaugural Beyond Repeal and Replace AEI event:

• Scott Harrington will address key elements of the new federal regulatory regime for health insurance that misdiagnose the causes of current problems and worsen them through top-down political controls. Read his study here.

• James Capretta and Thomas P. Miller will examine rapidly rising health care costs and soaring budget deficits-in particular, the failure of the new legislation to break with the longstanding policy problems caused by open-ended taxpayer subsidies for the defined benefits promises embedded in Medicare, Medicaid, and employer plans, and the law's extension of similar promises to the uninsured. Read their study here.

• Stephen Parente will challenge the administration and Congress's health policy strategy to achieve broader adoption of interoperable health information technology (HIT) systems by relying heavily on unprecedented amounts of funding, yet with still-inadequate financial incentives and disincentives to health care practitioners. Read his study here.

Their proposals to remedy old problems and undo newer ones--through informed competition, defined contribution financing, and a medical banking model for HIT, respectively--will be discussed in detail at this event.

9:00 a.m.
SCOTT HARRINGTON, University of Pennsylvania
JAMES CAPRETTA, Ethics and Public Policy Center
STEPHEN PARENTE, University of Minnesota
Question and Answer

Scott E. Harrington is the Alan B. Miller Professor in the health care management and insurance and risk management departments at the Wharton School of the University of Pennsylvania. He is also an adjunct scholar at AEI. A former president of both the American Risk and Insurance Association and the Risk Theory Society, he is a coeditor of the Journal of Risk and Insurance and has published widely on the economics and regulation of insurance. A frequent speaker on insurance markets, regulation, and public policy, Mr. Harrington has conducted research, consulted, or served as an expert for the National Association of Insurance Commissioners and for many corporations and industry organizations. He has testified before the U.S. House of Representatives and Senate and before numerous U.S. state legislative and administrative committees.

James C. Capretta, a fellow at the Ethics and Public Policy Center (EPPC), was an associate director at the White House Office of Management and Budget from 2001 to 2004. At EPPC, Mr. Capretta studies and provides commentary on a wide range of public policy and economic issues, with a focus on health care and entitlement reform, U.S. fiscal policy, and global population aging. His essays and articles have appeared in numerous print and online publications. In addition to his work as a researcher and commentator, Mr. Capretta is also a health policy and research consultant with Civic Enterprises LLC, a senior adviser to Leavitt Partners, and an adjunct fellow with the Global Aging Initiative of the Center for Strategic and International Studies and with the Hudson Institute.

Thomas P. Miller is a resident fellow at AEI, where he focuses on health policy with a particular emphasis on information transparency, health insurance regulation, and consumer-driven health care. He was a member of the National Advisory Council for the Agency for Healthcare Research and Quality from 2007 to 2009. Before joining AEI, Mr. Miller served for three years as a senior health economist for the Joint Economic Committee, where he organized a series of hearings focusing on promising reforms in private health care markets. He also has been director of health policy studies at the Cato Institute and director of economic policy studies at the Competitive Enterprise Institute. Mr. Miller's writing has appeared in publications such as Health Affairs, the Wall Street Journal, the New York Times, the Washington Post, the Los Angeles Times, Reader's Digest, National Review,, the Journal of Law and Contemporary Problems, Regulation, and Cato Journal. Before moving to Washington to work on public policy, he was a trial attorney, journalist, and radio broadcaster.

Stephen T. Parente is the director of the Medical Industry Leadership Institute and Minnesota Insurance Industry Professor of Health Finance in the department of finance at the University of Minnesota Carlson School of Management, where he specializes in health economics, health information technology, and health insurance. He is also an adjunct scholar at AEI. He has been a consultant to several of the largest organizations in health care delivery, including UnitedHealth Group, Blue Cross Blue Shield, the Centers for Medicare and Medicaid Services, federal and state governments, and medical technology firms. Mr. Parente is examining the productivity and cost impact of information technology investments in hospitals and has recently concluded several studies on topics including innovations from health savings accounts and medical banking technologies. He was a health policy adviser for the McCain 2008 presidential campaign, and he served as a legislative fellow in the office of Senator John D. Rockefeller IV (D-W.Va.) while George H. W. Bush and Bill Clinton were promoting their respective health reform initiatives.

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