When economic conditions permit, states should accumulate budget reserves adequate to maintain services during recessions.
Deficit-reduction efforts should avoid cuts in programs that serve low- and moderate-income populations.
States should not tie essential spending programs to unstable revenue sources.
The federal government must strive for long-term fiscal balance.
Efforts to reform entitlement spending should recognize the following factors:
Budget-neutrality requirements should be eliminated for current and future Medicare and Medicaid demonstrations regarding care coordination and medical hom
Beneficiary and provider participation in chronic-care coordination programs and medical homes should be voluntary, should entail no additional cost to ben
A medical home should include voluntary patient selection of a primary provider or medical practice.
Medicare should continue to test multiple types of ACOs to determine which models achieve improved quality and reduced costs.
Consumers have a right to accurate, secure, and confidential health and health-related information.