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This Week in Health Care Reform: February 15, 2012
Prospects for a temporary ‘doc fix’ are resuscitated, while
a Senate Committee approves legislation requiring the
Supreme Court to televise its open sessions, and the GOP
race to the nomination continues to take shape…kind of.
We encourage you to stay involved with the
implementation efforts surrounding health care reform by
voicing your perspective to Members of Congress and by
visiting the
Health Action Network.
Polling
Fewer with Employer-Based Health Insurance:
According to the latest Gallup
poll, fewer Americans received their health insurance
from their employers in 2011 than in 2010. The decrease
(from 45.8 percent to 44.6 percent)
continues the downward trend in employer-based insurance
that began in 2008.
Give a Lot, Get a Little: The majority of
Americans believe that over their lifetime, they will pay
more in federal taxes than they will receive in benefits,
according to a recent
poll in the New York Times. Also of note,
Americans do not believe that their taxes are keeping pace
with the growing cost of government.
Health Care Reform
Not-so-Deep Impact: A
report by RAND Corporation published in Health
Affairs last week details the minimal impact that
existing rules allowing small businesses to opt-out of
impending health care reform measures would have on overall
costs. Specifically, the provision allowing small employers
to grandfather-in their existing plans would
not be utilized by enough businesses to significantly
affect costs. However, researchers warn, that could change
should more businesses be allowed to opt-out.
Can You Read Me Now?: Last Thursday, the
Department of Health and Human Services (HHS) released final
rules
governing how and what kind of information insurers and
health plans must make available to their members. These
health insurance summaries aim to provide consumers with the
necessary information to make
informed coverage decisions.
Not Enough to Go Around: As implementation
efforts surrounding the Affordable Care Act (ACA) continue,
one critical aspect affecting everyone has come into sharp
relief – the growing shortage of doctors. By 2015 – the
year after most provisions of the ACA become effective – the
anticipated
shortfall of primary care physicians is anticipated to
be nearly 30,000.
Supreme Court Update
Roundup: Separate briefs arguing against the
constitutionality of the ACA’s individual mandate are filed
on behalf of 119
House GOP members, 43 Republican
Senators, and the
Republican Governors Association. Separately, the
Senate Judiciary Committee last week
approved a bill requiring that the Supreme Court
televise its proceedings.
In Other News
‘Doc Fix’ in the Works: A tentative deal was
reached on Tuesday extending the payroll tax cut and
unemployment insurance, while also protecting payments to
Medicare physicians. House GOP members had signaled Monday
that they were
prepared to decouple attempts to extend the payroll tax
holiday from these other considerations. However, House
Republicans urged
caution as the deal now goes before their Conference.
2013 Budget: On Monday, the White House
released its proposed
budget for 2013. Among the ‘highlights’: Familiar
cuts to both Medicare and Medicaid, the
expiration of Bush-era tax cuts, and
increased funding for infrastructure projects. The $3.8
trillion price tag would seek to garner $4 trillion in
savings over the next decade. Unsurprisingly, the proposed
budget drew no shortage of
comments from both sides of the aisle.
What an Exchange Costs: Among the items in
the budget offered up Monday, a marked
increase for the Centers for Medicare and Medicaid
Services (CMS). Specifically, the proposed budget sets
aside $864 million to help states set up the federally-run
health insurance
exchange program slated to go on-line in 2014.
ICD-10 Timetable: On Tuesday, acting CMS
chief, Marilyn Tavenner, signaled that the agency was
considering pushing back the October 1st deadline
currently in place for the implementation of an updated
medical coding system. The new iteration of the
International Classification of Diseases, 10th
Revision (ICD-10) looks to expand the number of codes
currently being used from 18,000 to 140,000.
Appearances Can be Deceiving: Despite
assumptions to the contrary, the most satisfied patients
don’t necessarily make for the healthiest ones. In a
recent study published Monday in the Archives of
Internal Medicine, healthy outcomes had little
correlation with patient satisfaction amongst the more
than 50,000 participants surveyed nationally between 2000
and 2007.
Program Recovers $4.1 Billion: The
Department of Health and Human Services (HHS), in
coordination with the Department of Justice,
announced Tuesday that it had recovered nearly $4.1
billion in 2011 through its Health Care Fraud and Abuse
Control Program (HCFAC). Through enhanced prevention and
enforcement efforts, authorities were able to reduce fraud
and crack down on individuals and companies abusing Medicare
and Medicaid.
GOTV
Bounce Back: Coming off a stretch that saw
him lose both the Colorado and Minnesota caucuses, as well
as the Missouri primary to Rick Santorum, Mitt Romney
narrowly regained the momentum on Saturday, capturing the
Maine caucus. The former Massachusetts governor also
walked away with the
straw poll conducted by the Conservative Political
Action Committee at their annual conference over the
weekend.
Looking Ahead
Negotiators work to finalize specifics of the brokered
payroll tax cut extension ahead of next week’s recess.
Plus, the race to the GOP nomination cools its jets ahead of
the month’s final two primaries in Arizona and Michigan. |
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