Medicare, Medicaid, & Social Security

Medicare, Medicaid, & Social Security

Research

Mark J. Warshawsky | Apr 16, 2015
A new study for the Mercatus Center at George Mason University is the first to rigorously assess the details of the proposed regulation using empirical methodology widely accepted in the financial industry and comparing the proposed illustration to the Social Security statement. The regulation would require all defined contribution plans to inform their participants of the life annuity income equivalents of the current and projected balances in their individual accounts. The study examines several changes the Department of Labor can make to improve its proposal.
Charles Blahous, Jason J. Fichtner, Mark J. Warshawsky | Mar 19, 2015
Social Security’s trustees have long warned Congress to address the troubled finances of the Disability Insurance (DI) program. Given the DI trust fund’s projected exhaustion date of 2016, legislation will be required during this Congress to prevent large, sudden benefit cuts.
Jason J. Fichtner, Jason S. Seligman | Mar 05, 2015
This paper focuses on disability insurance but makes the case for considering reforms in tandem—that is, (1) developing disability program reforms that accommodate plausible retirement program reforms while properly aligning incentives to support work and savings and (2) providing a financially secure, vital safety net for disabled Americans.
Robert Emmet Moffit, Neil Meredith | Jan 13, 2015
In a new study for the Mercatus Center at George Mason University, scholars Robert Emmet Moffit and Neil R. Meredith demonstrate that while the MSP Program grants new power to the OPM by setting standards designed to limit entry into the program, the law may decrease competition and increase consolidation in the health insurance market. Decreased competition in the health care market may lead to higher prices for consumers of health care and could revive calls for a public health insurance option.
Casey B. Mulligan | Oct 07, 2014
The Affordable Care Act (ACA) imposes several types of incentives that will affect work schedules. The largest of them are (1) an explicit penalty on employers who do not offer coverage to their full-time employees; (2) an implicit tax on full-time employment, stemming from the fact that full-time employees at employers that offer affordable coverage are ineligible to receive subsidies on the law’s new health insurance exchanges; and (3) an implicit tax on earnings, stemming from the provisions of the law that give lower subsidies to those with higher incomes.
Veronique de Rugy, Jason J. Fichtner | Aug 21, 2014
The recent decline in federal deficits should not create a false sense that the national debt is no longer a clear and present threat. While this improvement may be encouraging, it represents only a temporary respite from the government’s growing fiscal imbalances.

Testimony & Comments

Research Summaries & Toolkits

Expert Commentary

Apr 09, 2015

The cowboy philosopher Will Rogers once said, "If you find yourself in a hole, stop digging." Unfortunately, his advice is often ignored in Washington, where the answer to our national debt is more government spending and the policy prescription for a slow economy is to favor special interest groups.
Apr 08, 2015

There are more reforms worth considering, such as a repeal of the Dodd-Frank Act, which expands banks' safety net and uses the banking system to redistribute wealth. But whatever it does, Congress should pass bills that shrink, rather than expand, the size and scope of government.
Apr 03, 2015

Policy makers should not squander this opportunity to begin critical reforms to the disability insurance program. Absent near-term, fundamental reform, Social Security's broader financing problem could grow too large to solve at all. Reforms should focus on improving the program's long-term solvency, incentives for those who can work to do so, and ensuring a reliable safety net for temporarily or partially disabled individuals.
Mar 23, 2015

Medicare is contributing to a potential shortage of 90,000 doctors by 2025. Two Medicare issues, if left unresolved, would limit the future supply of doctors and reduce the ability to find a doctor during retirement: Physician payments under the Sustainable Growth Rate (SGR) and financing of Graduate Medical Education (GME).
Mar 23, 2015

In early February the Treasury Department released its green book explanation of the Obama administration’s fiscal 2016 revenue proposals. Taken as a whole, the proposals would significantly increase taxes ($1.7 trillion over 10 years) and budget outlays ($122 billion over 10 years), move the burden of taxes substantially toward upper income households, redistribute resources toward lower-income households, and increase the complexity of the tax system. In this article, I offer critical comments on the main revenue proposals for retirement, an area that I have addressed in prior Tax Notes articles.
Mar 08, 2015

To all parties involved in a trial, the slam of a gavel should indicate that justice has been served. Unfortunately, this is often not the case with Social Security disability appeals. A system designed to serve society’s vulnerable has morphed into a benefit bonanza that costs taxpayers billions of dollars more than it should. The disability trust fund will become insolvent in 2016, and Congress would be wise to begin much needed reform.

Charts

This week’s chart presents improper payments made by the thirteen programs that the Office of Management and Budget has labeled “high-error.” The chart ranks transfer programs that allocate at least $750 million in payments from those with the lowest improper payments to those with the highest. The chart also displays the total improper-payment rates as a percentage of total program outlays for each program.

Experts

Charles Blahous is the director of the Spending and Budget Initiative, a senior research fellow at the Mercatus Center at George Mason University and a public trustee for Social Security and Medicare. He specializes in domestic economic policy and retirement security (with an emphasis on Social Security), as well as federal fiscal policy, entitlements, demographic change, and health-care reform.
Veronique de Rugy is a senior research fellow at the Mercatus Center at George Mason University and a nationally syndicated columnist. Her primary research interests include the U.S. economy, the federal budget, homeland security, taxation, tax competition, and financial privacy. Her popular weekly charts, published by the Mercatus Center, address economic issues ranging from lessons on creating sustainable economic growth to the implications of government tax and fiscal policies. She has testified numerous times in front of Congress on the effects of fiscal stimulus, debt and deficits, and regulation on the economy.
Jason J. Fichtner is a senior research fellow at the Mercatus Center at George Mason University. His research focuses on Social Security, federal tax policy, federal budget policy, retirement security, and policy proposals to increase saving and investment.
Matthew Mitchell is a senior research fellow at the Mercatus Center at George Mason University, where he is the director for the Project for the Study of American Capitalism. He is also an adjunct professor of economics at Mason. In his writing and research, he specializes in economic freedom and economic growth, public-choice economics, and the economics of government favoritism toward particular businesses.
David M. Primo is a senior scholar at the Mercatus Center and an associate professor of political science and business administration at the University of Rochester. His current research focuses on the value of legislative “pork” for reelection, the politics of judicial appointments, and the connection between formal models and data analysis.

Podcasts

Robert Graboyes | March 17, 2015
Robert Graboyes Discusses Disparities in Healthcare Costs on WWL

Upcoming Events

May 05, 2015
Please join us for a lunch discussion centered on reform options for the Social Security Disability Insurance program and a path forward to make real change.

Recent Events

Please join us for lunch with Mercatus Center Senior Research Fellow Jason Fichtner to discuss pro-growth policy options. He’ll also address the research and ideas Mercatus shares with policymakers in order to advance the debate on economic issues.

Books

Joseph Antos, Charles Blahous, James C. Capretta, Robert Graboyes, Jason J. Fichtner, June O’Neill , Nina Owcharenko , Thomas P. Miller, | Apr 08, 2014
Top experts explain everything you wanted to know about Medicaid—from federal-state financing to potential reforms.

Media Clippings

Charles Blahous | Jun 04, 2014
This excerpt originally appeared in CQ and also appeared Roll Call.
Jason J. Fichtner | Feb 18, 2014
This excerpt originally appeared in MarketWatch.
Jason J. Fichtner | Oct 17, 2013
This excerpt originally appeared in NBC News.
Charles Blahous | Jul 18, 2013
VHHA tried to drive home the point in January with an economic report that projected Virginia would receive $3.9 billion in annual economic benefits and 30,000 jobs, but Charles Blahous, a senior research fellow at George Mason University’s Mercatus Center, said the benefits wouldn’t outweigh the expansion in costs.
Charles Blahous | Jun 14, 2013
Although the continuing increase in medical costs plays a role in the growth of Social Security and health care programs, “demographics is the bigger factor, hands down,” said Charles Blahous, a public trustee for the Social Security and Medicare Boards of Trustees.
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