Health Affairs August 25, 2023
Alain C. Enthoven

Modernizing Medicare, edited by Robert Moffit and Marie Fishpaw, is a “must read” for all those concerned with public finances and health policy — though not an easy read because of the great complexity of the Medicare program.

Medicare is caught in a fiscal bind. Increasing longevity is raising the number of beneficiaries. Declining birthrates are reducing the number of workers paying into the Trust Fund. Advances in medical technology offer expensive new treatments that increase the cost per beneficiary. And traditional fee-for-service Medicare outlays are driven by cost-increasing incentives that punish providers with less revenue for finding less costly ways of caring for patients. Medicare as we know it will have to change fundamentally.

This book, with chapters by...

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