The national health insurance program for individuals 65 or older, certain younger people with disabilities, and individuals with End-Stage Renal Disease, experienced notable policy shifts and administrative actions during the 2017-2021 period. These changes encompassed areas such as payment models, coverage rules, and the program’s financial outlook. Certain initiatives focused on value-based care and reducing fraud, waste, and abuse within the system.
The actions taken during that timeframe had the potential to influence beneficiary access to healthcare services, the financial stability of the program, and the overall direction of healthcare policy. Understanding the historical context of these actions requires considering the broader political landscape and the stated policy objectives of the executive branch at the time. Examining the effects of such actions can provide insight into the ongoing debates surrounding healthcare reform and the role of government in healthcare provision.