Joseph R. Antos is the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute (AEI). He also is a Commissioner of the Maryland Health Services Cost Review Commission, and an Adjunct Professor at the Gillings School of Global Public Health of the University of North Carolina at Chapel Hill. Prior to joining AEI, he was Assistant Director for Health and Human Resources at the Congressional Budget Office (CBO), and he held senior positions in the U.S. Department of Health and Human Services, the Office of Management and Budget, and the President’s Council of Economic Advisers. He also has extensive experience as an adviser to the U.S. Agency for International Development, the World Bank, and governments in Europe and Asia.
Mr. Antos has written, lectured, and testified before Congress on the economics of health policy, including Medicare and broader health system reform, health care financing, health insurance regulation, and the uninsured. He is the editor with Alice Rivlin of Restoring Fiscal Sanity 2007: The Health Spending Challenge (Brookings Institution Press, 2007). He is past chairman of the Coalition for Health Services Research, a member of CBO’s panel of health advisers, and he serves on a variety of professional boards. He earned his Ph.D. in economics from the University of Rochester.
Recent Posts by Joseph Antos
Yesterday, Senate Republican leaders released their version of health-care legislation. The bill is best understood as a GOP amendment to the Affordable Care Act. In 2009, if the Republicans had attempted to modify rather than defeat the ACA, this is the kind of amendment they might have offered.
A compromise plan would combine a middle-ground expansion of the program with financing reforms that lower costs over the longer term without imposing undue risks to beneficiaries or the states.
There is bipartisan agreement on the goal of promoting more efficient and effective health care. The debate is over the best way to accomplish the goal, not the goal itself.
CBO is basically correct that AHCA would trigger a short-run rise in premiums and both short- and longer-term increases in the number of uninsured people. Instead of trying to discredit these findings, AHCA’s authors would be better off using CBO’s estimate as a guide for fixing the bill.
The ACA repeal and replace plan, dubbed the American Health Care Act, has the major components needed for effective health reform. However, the plan falls short on several crucial details, details that can and should be changed before the bill clears Congress and goes to the president to become law.
As the model begins its fourth year, Maryland is meeting or exceeding all of its key CMS requirements.
The most likely end result of “repeal and delay” would be less secure insurance for many Americans, procrastination by political leaders, and ultimately no discernible movement toward a real marketplace for either insurance or medical services.
The main problem with the exchanges is not with the exchanges themselves, but with Affordable Care Act policies that have undermined the ongoing viability of the entire individual insurance market.
The basic goal of the newly released House GOP health reform plan is to ensure all Americans have access to affordable health insurance and high quality health care services, but without as much reliance on federal control and regulation as the ACA.