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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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