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Nine Primary Reforms


PRIMARY REFORMS


  1. Block Grant Medicaid to stabilize Medicare for seniors.
    Each year, current Medicare law calls for a massive (25 - 30%) cut to physician reimbursement. Each year, Congress scrambles to find money to avoid making these cuts through what has become known as the "Doc Fix." This annual crisis can be solved by fundamentally restructuring Medicaid. Converting Medicaid’s current system of unlimited federal matches into a system of limited state block grants will save the federal government tens of billions of dollars annually. This savings can offset the massive scheduled Medicare cuts.
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  2. Increase Insurance Portability.
    Allowing individuals to purchase insurance with pre-tax dollars regardless where they purchase insurance increases portability and lets individuals customize their policies.
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  3. Encourage High Deductible Plans With HSAs
    Low cost, high deductible plans combined with Healthcare Savings Accounts (HSAs) gives patients control over medical decision making. This model encourages preventative medicine while reducing the cost of healthcare.
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  4. Sell Insurance Across State Lines
    Letting individuals and businesses purchase insurance across state lines allows them to escape burdensome state regulations and mandates. This will increase competition and decrease the cost of insurance without compromising patient care.
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  5. Create small business pools to spread risk and decrease health insurance costs.

  6. Malpractice Reform
    Reforming our broken medical malpractice system will decrease the cost of care and compensate injured patients more quickly.
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  7. Address Pre-Existing Conditions
    Create state run, risk-transfer pools to address the problem of pre-existing conditions.
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  8. Put the Medicaid program on a budget and develop a sliding scale, premium support system to assist those who cannot afford health insurance. This accomplishes three things:

    1. It enables states to create fixed Medicaid budgets
    2. It empowers individuals in this system to purchase the private coverage that best suits their needs
    3. It creates opportunity for individuals on Medicaid to exit the system by gradually increasing their income.

  9. Put Medicare on a budget and restructure Medicare into a premium support system where seniors can choose from a variety of competing plans. The system is structured so those who have fewer financial resources or more medical need receive more support. This reform empowers individuals to purchase the private coverage that best suits their needs. It would also dramatically reduce the tens of billions of dollars of Medicare fraud by giving seniors an incentive to get the best value for their healthcare dollar.

 

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