Heritage Expert

James C. Capretta

Visiting fellow James C. Capretta analyzes and writes on a range of domestic and economic issues while specializing in health care reform, entitlement reform, fiscal policy and the world’s aging population.

Capretta, a fellow at the Washington-based Ethics and Public Policy Center, served in senior positions in the federal government over two decades. He worked in both the executive and legislative branches as an expert in health care and fiscal policy.

From 2001 to 2004, he was associate director of the White House Office of Management and Budget (OMB), providing budgetary oversight of Medicare, Medicaid, Social Security, education and welfare programs. His management of regulatory actions saved taxpayers billions of dollars.

Capretta’s essays and articles have appeared in numerous news, commentary and trade publications, including Health Affairs, National Affairs, Kaiser Health News, The Weekly Standard, National Review, The New Atlantis and Tax Notes. He has testified before Congress and been a guest commentator on national cable TV outlets such as Fox News, Fox Business News, MSNBC and CNBC as well as on national and local radio programs.

Capretta, who received a master’s degree in public policy studies from Duke University, also holds a bachelor’s degree in government from the University of Notre Dame. A native of Winston-Salem, N.C., he currently resides in Arlington, Va.

All Publications by James C. Capretta
  • Backgrounder posted February 7, 2012 by James C. Capretta The Top Five Flawed Arguments Against Premium Support

    Abstract: The introduction of the bipartisan Wyden–Ryan premium support plan for Medicare ensures that reform of the government’s largest health entitlement program will continue to be a major topic of debate in 2012. With premium support, the federal government moves away from running a…

  • Backgrounder posted September 12, 2011 by James C. Capretta The Case for Competition in Medicare

    Abstract: Rapidly rising Medicare spending is a major cause of the federal government’s budget problems. Proposals to reform Medicare and slow its spending fall into one of two categories: more government micromanagement or empowerment of health care consumers in a functioning marketplace. Those who…

  • WebMemo posted September 9, 2011 by James C. Capretta Congress Should Not Undermine What Works in the Medicare Drug Benefit

    Over the past several years, one small corner of America’s vast entitlement superstructure—the Medicare drug benefit—has been working well, satisfying program participants, and holding cost growth to a bare minimum. This is unheard of in the entitlement arena, where cost overruns are the norm. Naturally, encountering that kind of success,…

  • WebMemo posted January 21, 2011 by James C. Capretta, Kathryn Nix Obamacare and the Budget: Playing Games with Numbers

    The federal government’s finances were dismal even before the Patient Protection and Affordable Care Act (PPACA) was enacted. That is why lawmakers who pushed for its passage felt compelled to try to calm worried Americans by claiming that the law would cut projected federal budget deficits in addition to covering…

  • WebMemo posted January 20, 2011 by James C. Capretta Obamacare and Medicare Advantage Cuts: Undermining Seniors’ Coverage Options

    Medicare Advantage (MA) plans are private insurance options available to Medicare beneficiaries. The Patient Protection and Affordable Care Act (PPACA)[1] cuts deeply into the projected payments to MA plans. Millions of Medicare beneficiaries enrolled in MA plans, or who would have been enrolled if not for the cuts,…

  • Backgrounder posted December 13, 2010 by Robert Moffit, Ph.D., James C. Capretta How to Fix Medicare: A New Vision for a Better Program

    Abstract: Medicare is the government health insurance program on which the vast majority of America’s senior and disabled citizens rely. The program has no spending limits—despite its price controls and central planning— and, as currently designed, is simply unsustainable. All future taxpayers and retirees…

  • Backgrounder posted September 14, 2010 by Robert A. Book, Ph.D., James C. Capretta Reductions in Medicare Advantage Payments: The Impact on Seniors by Region

    Abstract: The Patient Protection and Affordable Care Act substantially alters Medicare Advantage and, as a consequence, reduces the access of senior citizens and the disabled to quality health care by restricting and worsening the health care plan options available to them. Lower-income beneficiaries, Hispanics,…

  • Backgrounder posted July 22, 2010 by James C. Capretta, Brian Riedl The CLASS Act: Repeal Now, or Face Permanent Taxpayer Bailout Later

    Abstract: Proponents of Obamacare claim that it will simultaneously provide millions of Americans with health insurance and reduce the budget deficit by hundreds of billions of dollars. Yet Obamacare’s proclaimed budgetary discipline rests on unlikely assumptions and budget gimmicks—none worse than the CLASS Act,…

  • WebMemo posted June 2, 2010 by James C. Capretta The Debt Commission, Health Care, and Obama’s Budgetary Game Plan

    When the President’s National Commission on Fiscal Responsibility and Reform (commonly referred to as the “debt commission”) held its first official meeting in April (the second meeting was held last week), all of the talk was of getting serious about putting the nation’s fiscal house in order and that everything…

  • WebMemo posted June 1, 2010 by James C. Capretta Obamacare: Impact on Future Generations

    President Obama and other proponents of the recently passed health care law argue that the legislation was desperately needed to improve the nation’s health system for both today’s citizens as well as future generations. But there are many reasons to be concerned that this new law…