ABSTRACT
This chapter describes proposals to create new entities as part of reformed health coverage system, catalogs major federal executive agencies and nongovernmental entities, and considers issues involved in choosing an appropriate organizational design. A National Academy of Public Administration panel has identified several principles to guide the structure and organization of the federal government. The income of the Federal Reserve derives primarily from interest on the US government securities that it acquires through open-market operations. Len Nichols suggests that an insurance-purchasing exchange could be managed either by a government agency or by a non-profit organization, which administers health insurance for large employers in California. Jacob Hacker's proposal appears to combine the operation of the public insurance plan and supervision of the private plans in one administrative agency, as is now the case with Medicare, but these two functions could potentially be separated, as in the Breaux-Thomas proposal.
