Word: cbo
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...system will respond to the new rules. Will doctors and hospitals revolt en masse against the changes? Will improved treatment really lead to a significant drop in unneeded procedures? "You need to give things a chance to change," explains Joseph Aslop, a health adviser for the Congressional Budget Office (CBO). "If you put [the pressure] on too hard too fast, things are going to break." (See 10 players in health-care reform...
...Hanging over the debate are the hard facts of the U.S. government's grim fiscal prognosis. According to the CBO, federal spending on Medicare and Medicaid is projected to quintuple, from 4% of the economy in 2007 to 19% in 2082, if nothing changes. At the same time, the government is projected to run unsustainable deficits larger than the growth in the economy for the foreseeable future...
...partly because most of his curve-bending ideas - computerized records to bring medicine into the 21st century, comparative effectiveness studies to identify unnecessary treatments, revamped incentives to reward quality rather than volume of care - would take more than a decade to start slashing costs, and the Congressional Budget Office (CBO) doesn't score bills for their impact on the federal deficit that far in advance. Obama's most prominent game changer - an independent panel to set Medicare reimbursement policies removed from political pressures - did not fare well under the conservative CBO scoring system either. The only proposal that really impressed...
...There have been times when Obama has intervened behind the scenes to keep lawmakers from going off track. The President was alarmed, for instance, when Douglas Elmendorf, director of the Congressional Budget Office (CBO), declared on July 16 that the measures thus far produced in the House and Senate failed to bring the "fundamental change" needed to bring down health costs in the long run. So the following Monday, he summoned Elmendorf, former CBO director Alice Rivlin, Massachusetts Institute of Technology economist Jonathan Gruber and Harvard University's David Cutler to the Oval Office to go over the bills...
...Medicaid and cutting programs and services that aren't deemed cost-effective. But one of the most recently touted potential methods, the creation of an independent board to take away from Congress the job of overseeing the rates of Medicare payments, took a hit late last week when the CBO estimated it would save only $2 billion over 10 years. The CBO acknowledged that the savings could turn out to be higher in the long run, but that qualifier highlighted one of the biggest problems for health-care-reform backers: the potential cost savings of overhauling the entire health-care...