ACA, AffordableCare, Capitation, Global Budgeting, HealthPlans, Hospital Reimbursement, Managed Care, MedicareAdvantage, Networks, Prices, PublicOption, Reimbursement, Uninsured
Medicare Advantage for Most
by Jon Kingsdale (Milbank Quarterly, March 2021)
As the founding Executive Director of the country’s first health benefit exchange (Commonwealth Health Insurance Connector Authority ) established in 2006, Dr. Kingsdale led key initiatives to make health insurance universally available and to reform healthcare financing in Massachusetts. As a senior executive at Tufts Health Plan for 20 years, Jon was responsible for strategic planning, product development, public affairs and government relations. Prior to Tufts Health Plan, he worked in strategic planning and reimbursement at Blue Cross Blue Shield of Massachusetts, researched hospital finances at the Harvard School of Public Health, consulted on health policy issues in Washington, D.C., and worked as a reporter for Forbes Magazine.
Policy Points:
- Fixing the ACA requires real cost containment in addition to better subsidies.
- Medicare Advantage plans are uniquely empowered to control costs and deliver good care.
- Medicare Advantage plans should serve as the public option on the ACA Marketplace.
- Medicare Advantage plans can also be deployed to voluntarily raise minimum employer‐sponsored benefits and contain their costs.
Sections
- The Public Option
- Attract Large Employers to “Group Medicare Advantage”
- Why Group Medicare Advantage?
- Fold in Small Employers and Medicaid
