Selected Potential Health Care Reform Approaches

• Revise certain federal tax preferences for health care to encourage the efficient use of appropriate care.

• Limit spending growth for government-sponsored health care programs (e.g., percentage of the budget and/or the economy).

• Pursue multinational approaches to investing in health care R&D.

• Develop a core set of basic and essential services with supplemental coverage being available as an option but at a cost. Use the Federal Employees Health Benefits Program (FEHBP) model as a possible means to experiment and see the way forward.

• Create insurance pools for alternative levels of coverage, as necessary.