This paper is the text of a talk given at a symposium on the occasion of Harvard University's 350th anniversary, September 1986. In it, the author reviews the history of changes in Medicare payment policies, and notes how those changes have affected efficiency (cost containment) and access, two key aspects of the Medicare program. The author suggests that efforts to improve both efficiency and access, and to adjust the balance between them, are likely to continue well into the future.
Newhouse, Joseph P., The Future of Medicare. Santa Monica, CA: RAND Corporation, 1986. https://www.rand.org/pubs/papers/P7261.html. Also available in print form.
Newhouse, Joseph P., The Future of Medicare, Santa Monica, Calif.: RAND Corporation, P-7261, 1986. As of May 12, 2022: https://www.rand.org/pubs/papers/P7261.html