Health Reform

Harmonizing the Obama, Baucus and Wyden/Bennett Health Reform Proposals: Technical Feasibility

April 2009

Foreword

President Obama and Congressional leaders have set the ambitious goal of passing comprehensive health reform by the end of the summer. Fortunately, proposals exist in Congress that provide excellent platforms for reform. One of these is the proposal introduced by Senator Baucus that outlines a strategy for covering all Americans and introduces ground breaking changes in the provider payment system in federal programs. However, at this time it lacks much of the detail required to draft legislation and develop cost estimates.

Another is the “Healthy Americans Act” (HAA) introduced by Senators Wyden and Bennett. The HAA is already in legislative language and has been scored by the Congressional Budget Office as fully funded in its first full year of operation. It also has 14 cosponsors in the U.S. Senate including 6 Republicans.

In this paper, we explore the technical feasibility of merging the more developed coverage provisions of the HAA into the broader Baucus proposal. We reviewed both proposals to identify similarities and differences and present ideas on how these differences could be resolved. In keeping with our tradition of non-partisan policy analysis, we do not advocate for or against any legislation. Our purpose is only to explore ideas that might further the process of health reform.

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This article was prepared for general information purposes only to permit you to learn more about Ingenix Consulting and its services. It is not intended as a basis for decisions in specific situations, may not be current, and is subject to change without notice.

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