A presentation by James C. Capretta for AEI's State of the Union series on health care event.

1. Health Care
American Enterprise Institute
State of the Union Policy Series
January 29, 2013
James C. Capretta
Visiting Fellow, AEI

2. Top Ten Health Care Ideas for 2013
1. Delay
• Strong argument can be made that states and feds are not ready for
implementation
2. Pursue Bipartisan IPAB Repeal
• Many Democrats will support straight repeal
3. Scale Back Premium Credit Subsidies
• Massachusetts went to 300% of FPL, not 400%
4. Repeal the Uninsured Tax (the Individual Mandate)
5. Defund the CMS Innovation Center
• Permanent, recurring $10 billion appropriation is without precedent or
justification
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3. Top Ten Health Care Ideas for 2013 (cont.)
6. Break the Exchange Monopoly
• Allow workers to escape the Obamacare Exchanges with their
premium credits (reformed)
7. Suspend Insurance Rules When Premium
Increases Exceed X%
8. Statutory Option for State Medicaid Flexibility
• Forget waivers, state should have an option to get Medicaid
funding with predictable budget and maximum flexibility
9. Medicare Supplementary Insurance/ACO Reform
• Inject consumer choice into the Medicare Supplementary
Insurance and ACO effort
10. Repeal the Medical Device Tax
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