Making Medicare Work Better

This report by the Institute for Medicare Practice at Mount Sinai School of Medicine takes a hard look at the operational challenges facing Medicare and considers incremental, structural changes to improve the management of the Medicare program from the standpoint of beneficiaries and providers.

Based on interviews with key experts and Medicare stakeholders including representatives of beneficiaries, hospitals, physicians and other providers of care, as well as current and former Congressional and Administration staff, the report identifies problems in current operations and offers recommendations to address them. Recommended changes are grouped according to whether they would primarily impact beneficiaries, providers or general program administration. For each recommendation, the report identifies the type of action that would be needed statutory, appropriation, or administrative.

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