Chief Actuary for the Centers for Medicare & Medicaid Services (CMS)
Not Clearly Pro or Con to the question "Is the Patient Protection and Affordable Care Act (Obamacare) Good for America?"
"...[W]hile the Patient Protection and Affordable Care Act, as amended, makes important changes to the Medicare program and substantially improves its financial outlook, there is a strong likelihood that certain of these changes will not be viable in the long range...
Although the current-law projections are poor indicators of the likely future financial status of Medicare, they serve the useful purpose of illustrating the exceptional improvement that would result if viable means can be found to permanently slow the growth in health care expenditures. The Affordable Care Act establishes a broad program of research into innovative new delivery and payment models in an effort to improve the quality and cost-effectiveness of health care for Medicare—and, by extension, for the nation as a whole. As the Trustees note, the projections in this year's annual report provide an unequivocal incentive to vigorously pursue the development of effective and sustainable new approaches, with the potential to make quality health care much more affordable."
"Statement of Actuarial Opinion," attached to "2010 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds," Aug. 5, 2010
Experts Individuals with MDs, DOs, PhDs, JDs or equivalent advanced degrees in fields relevant to health care; top-level federal government officials significantly involved in health care and related issues. [Note: Experts definition varies by site.]
Involvement and Affiliations:
Chief Actuary, Centers for Medicare & Medicaid Services (CMS) at the Department of Health & Human Services (HHS), Feb. 1995-present
Former Deputy Chief Actuary, Social Security Administration (SSA)
Recipient, American Academy of Actuaries Robert J. Myers Award for Public Service, May 2006
"Estimated Financial Effects of the 'Patient Protection and Affordable Care Act,' as Amended," www.cms.gov, Apr. 22, 2010
"Estimated Financial Effects of the 'Patient Protection and Affordable Care Act of 2009,' as Proposed by the Senate Majority Leader on November 18, 2009," src.senate.gov, Dec. 10, 2009
"Estimated Effects of the 'Patient Protection and Affordable Care Act' on the Year of Exhaustion for the Part A Trust Fund, Part B Premiums, and Part A and Part B Coinsurance Amounts," www.cms.gov, Dec. 10, 2009
"Estimated Financial Effects of the 'America’s Affordable Health Choices Act of 2009' (H.R. 3962), as Passed by the House on November 7, 2009," www.cms.gov, Nov. 13, 2009
"Estimated Financial Effects of the 'America’s Affordable Health Choices Act of 2009' (H.R. 3200), as Reported by the Ways and Means Committee," www.cms.gov, Oct. 21, 2009
"Actuary in the Hot Seat," Contingencies, Nov./Dec. 2004
"Foster was at the center of a media maelstrom in 2003 when he resisted highlevel pressure to withhold information from Congress about the estimated costs of adding a prescription drug benefit to Medicare. At considerable professional risk, Foster fought to maintain his office’s longtime role of providing independent, nonpartisan, technical assistance to Congress. After he published an article about the experience in Contingencies [American Academy of Actuaries magazine] in 2004, hundreds of actuaries contacted him to offer their support and express thanks for his extraordinary example of commitment to the public interest." "Foster Receives Myers Award," Actuarial Update, June 2006