Perspectives on Medicare Sustainability with Former CMS Administrators DeParle and McClellan

June 24, 2022

During this exclusive briefing, former CMS Administrators Nancy Ann-DeParle and Dr. Mark McClellan provided a forward-thinking perspective about the implications of policy changes to the Medicare program for beneficiaries, the delivery system, and the overall financial sustainability of the Medicare program and then respond to audience questions.


  • Nancy-Ann DeParle, J.D., M.A., Managing Partner & Co-Founder, Consonance Capital Partners
  • Mark McClellan, M.D., Ph.D., Director, Duke-Robert J. Margolis, M.D. Center for Health Policy and Robert J. Margolis, M.D. Professor of Business, Medicine, and Policy, Duke University
  • Sarah J. Dash, MPH, President and CEO, Alliance for Health Policy (moderator)

Key Event Takeaways:

  1. From its beginnings as the Health Care Financing Administration (HCFA) to its current incarnation as CMS, staff have shown a tremendous commitment to the mission of public service.
  2. CMS could serve as a vehicle for dismantling structural barriers to accessing services through Medicare funding & program expansion
  3. Emphasis can be placed on coverage through parts B-D as a means to address social determinants of health

Event Resources

Key Resources

(listed chronologically, beginning with most recent) 

“The Facts About Medicare Spending.” KFF. April 2022. Available here 

“Putting Medicare Solvency Projections into Perspective.” Jacobson, G., Gustafsson, L. The Commonwealth Fund. September 1, 2021. Available here. 

“Medicare Solvency Roundtable: Insights from Leading Experts to Keep Medicare on Solid Financial Ground.” Garrett, B., Shartzer, A., Arnos, D. Urban Institute. August 2021. Available here 

“Health Policy Handbook, Chapter 2: Coverage.” Rawal, P., Whitlock, R. Alliance for Health Policy. July 20, 2021. Available here. 

“The Cost of Waiting to Act on Medicare’s Hospital Insurance Trust Fund.” Wu, K., Akabas, S., Hoagland, G.W., et al. Bipartisan Policy Center. June 2021. Available here. 

“Any Medicare Solvency Effort Must Include Advancing Health Equity.” Enekwechi, A. The Commonwealth Fund. January 28, 2021. Available here. 

“Options for Extending Medicare’s Trust Fund: The Commonwealth Fund Solvency Series.” Jacobson, G., Gustafsson, L. The Commonwealth Fund. January 28, 2021. Available here. 

“Medicare Hospital Insurance Trust Fund.” Committee for a Responsible Federal Budget. 2021. Available here. 

“Medicare Financial Outlook: What Do Trust Fund Solvency Projections Mean?” Komisar, H. AARP. May 7, 2020. Available here. 

“Setting Medicare on a Fiscally Sustainable Path for Future Generations.” Arnold Ventures. Available here. 

Additional Resources

(listed chronologically, beginning with most recent) 

“The Hospital Insurance Trust Fund and the Future of Medicare Financing.” United States Senate Committee on Finance, Subcommittee on Fiscal Responsibility and Economic Growth. February 2, 2022. Available here. 

“Medicare: Insolvency Projections.” Congressional Research Service. October 25, 2021. Available here. 

“Report to the Congress: Medicare Payment Policy.” MedPAC. March 2022. Available here. 

“Three Myths About Healthcare Reform.” The Concord Coalition. February 28, 2022. Available here 

“Washington Can No Longer Ignore the Coming Medicare Crisis.” Moffit, R. The Heritage Foundation. March 5, 2021. Available here. 

“Three Ways to Lower Health Care Costs.” Committee for a Responsible Federal Budget. February 23, 2021. Available here. 

“5 Ways to Reform Health Care in 2021.” Collette, R. Arnold Ventures. January 17, 2021. Available here. 

“Arnold Ventures’ Statement on Medicare Trustees Report.” Arnold Ventures. January 9, 2021. Available here. 

“The Coming Crisis for the Medicare Trust Fund.” Muhlestein, D. Health Affairs. December 15, 2020. Available here. 

“Putting People First by Strengthening Medicare for the Future: Promising Payment and Delivery System Innovations in Medicare.” Komisar, H., Lind, K., Noel-Miller, C. AARP Public Policy Institute. October 20, 2020. Available here 

“COVID-19 is Accelerating the Medicare Trust Fund’s Dive Toward Insolvency.” Jacobson, G. STAT. September 3, 2020. Available here. 

“The Outlook for Major Federal Trust Funds: 2020 to 2030.” Congressional Budget Office. September 2020. Available here. 

“Medicare’ Long-Term Sustainability Challenge.” American Academy of Actuaries. May 2020. Available here. 

“Will COVID-19 Bankrupt Medicare?” Antos, J., Capretta, J. American Enterprise Institute. April 22, 2020. Available here. 

“Medicare’s Financial Condition: Beyond Actuarial Balance.” American Academy of Actuaries. April 2020. Available here. 

“The Facts on Medicare Spending and Financing.” Cubanski, J., Neuman, T., Freed, M. Kaiser Family Foundation. August 2019. Available here. 

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Session 1: Medicare 101

Amy Bassano, M.A.
Managing Director of Medicare, Health Management Associates (HMA)

Matt Kazan, MPP
Managing Director, Avalere Health

James E. Matthews, Ph.D.
Executive Director, Medicare Payment Advisory Commission (MedPAC)

Gretchen Jacobson, Ph.D.
Vice President, Medicare, The Commonwealth Fund

Arielle Mir, MPA
Vice President of Health Care (Complex Care), Arnold Ventures

Session 2: Understanding the Medicare Population and Consumer Affordability

Lindsey Copeland, J.D.
Federal Policy Director, Medicare Rights Center

Tricia Neuman, Sc.D.
Senior Vice President; Director, Program on Medicare Policy, KFF

Eric Roberts, M.D., Ph.D.
Assistant Professor, Health Policy and Management, University of Pittsburgh School of Public Health

Loren Saulsberry, Ph.D.
Assistant Professor, Health Policy and Health Services Research, The University of Chicago Department of Public Health Sciences

Brandon Wilson, DrPH, MHA
Director, Center for Consumer Engagement in Health Innovation

Session 3: Policy Options to Promote Medicare Sustainability

Adaeze Enekwechi, Ph.D., MPP
Operating Partner, Welsh Carson Anderson & Stowe (WCAS)

Bowen Garrett, Ph.D.
Economist; Senior Fellow, Health Policy Center, Urban Institute

Josh Gordon, Ph.D.
Director of Health Policy, Committee for a Responsible Federal Budget

Harriet Komisar, Ph.D.
Senior Strategy Policy Advisor, Public Policy Institute, American Association of Retired Persons (AARP)

G. William Hoagland
Senior Vice President, Bipartisan Policy Center (BPC)

Experts and Analysts

Joseph Antos, Ph.D., M.A.
Wilson H. Taylor Scholar in Health Care and Retirement Policy, American Enterprise Institute (AEI)

Juliette Cubanski, Ph.D., MPP, MPH
Deputy Director, Program on Medicare Policy, KFF

Robert E. Moffit, Ph.D.
Senior Fellow, Health Policy Studies, The Heritage Foundation

Solvency Experts

Robert Berenson, M.D.
Institute Fellow, Urban Institute

Cori Uccello, MAAA, FSA, MPP
Senior Health Fellow, American Academy of Actuaries


Christine Aguiar Lynch
Vice President for Medicare and MLTSS Policy, Association for Community Affiliated Plans (ACAP)

Judith Stein, J.D.
Executive Director, Center for Medicare Advocacy

Georgia Burke, J.D.
Directing Attorney, Justice in Aging

Micki Nozaki, MBA
State Director, Senior Medicare Patrol (SMP)
Director, California Health Advocates

Sophia Tripoli, MPH
Director, Health Care Innovation, Families USA


Jonathan Blum
Principal Deputy Administrator & Chief Operating Officer, Center for Medicare and Medicaid Services (CMS)

Hannah Katch
Senior Policy Analyst, Centers for Medicare and Medicaid Services (CMS)

Jeff Wu
Deputy Director for Policy, Center for Consumer Information and Insurance Oversight, Centers for Medicare and Medicaid Services


Greg Gierer, MPP
Vice President of Policy and Research, Better Medicare Alliance

Justine Handelman
Senior Vice President, Office of Policy and Representation, Blue Cross Blue Shield Association (BCBSA)

Leigh Purvis, MPA
Director, Health Services Research, Public Policy Institute, American Association of Retired Persons (AARP)

Cheryl Wilson, R.N., M.A., LNHA
Chief Executive Officer, St. Paul Senior Services