Medicare, Accountability, and Structural Reform: Table 3

TABLE 3

MEDICARE STRUCTURAL REFORMS

Reform Type of Accountability Sources of Control Degree of Control Timing of Control Focus of Control

1. Put OPM in charge of Medicare managed care. Hierarchical external hortatory ex ante process

2. Create a Medicare Benefits Administration within HHS. Hierarchical external hortatory ex ante process

3. Create an independent Medicare Board. Political external coercive ex ante process

4. Create a Managed Care Office within HCFA(now known as CMS). Hierarchical internal catalytic ex ante process

5. Strengthen and deregulate HCFA(now known as CMS). Professional external catalytic ex post results

Reform	Type of Accountability	Sources of Control	Degree of Control	Timing of Control	Focus of Control
1. Put OPM in charge of Medicare managed care.	Hierarchical	external	hortatory	ex ante	process
2. Create a Medicare Benefits Administration within HHS.	Hierarchical	external	hortatory	ex ante	process
3. Create an independent Medicare Board.	Political	external	coercive	ex ante	process
4. Create a Managed Care Office within HCFA(now known as CMS).	Hierarchical	internal	catalytic	ex ante	process
5. Strengthen and deregulate HCFA(now known as CMS).	Professional	external	catalytic	ex post	results

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U.S. Department of Health and Human Services (HHS)

Last updated January 22, 2001