Economists, physicians and policymakers have put forward alternative arguments for how to best curb health spending in separate papers published online by the New England Journal of Medicine.
What follows are summaries of the pair of proposals, one that relies on state regulation, federal incentives and Medicare policy to push reforms and another that would convert Medicare from a guarantee of benefits for seniors into a program that provides enrollees with a subsidy to buy insurance.
The former was recommended by nearly two dozen health policy experts including recognizable names such as Dr. Donald Berwick, former head of the agency that oversees Medicare and Medicaid; David Cutler, a Harvard University health economist; and Peter Orszag, former director of the Office of Management and Budget.
The 23 authors made 11 recommendations, which you can read in full here (PDF). The list, they wrote, included proposals with a chance of working and being adopted.