Posts Tagged ‘Medicare Advantage’

Publius

Of Course: AARP Gets ObamaCare Waiver

by Publius

From The Daily Caller:

The Daily Caller has learned that the Department of Health and Human Services (HHS) rate review rules, which it finalized on Thursday, exempt “Medigap” policy providers, like the American Association of Retired Persons (AARP), from oversight when such providers increase payment rates for their supplemental insurance plans.

Insurance providers who aren’t exempt from Obamacare’s rate review rules are required to publicly release and explain some health care payment rate increases.

The AARP is the nation’s biggest seller of Medigap policies, or supplemental healthcare plans that add onto what Medicare won’t cover for seniors. The senior citizens interest group advocated for Obamacare to include an attack on Medigap policies’ biggest competitor, Medicare Advantage.

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Mike Flynn

AARP’s Billion Dollar ObamaCare Windfall

by Mike Flynn

Ever since the passage of ObamaCare, I’ve been perplexed by a lingering question: Why did AARP so aggressively lobby for passage of the law? After all, the plan was built on $500 billion in cuts to Medicare. Even in Washington, half a trillion dollars is still a ton of money. Medicare is sacrosanct among America’s senior citizens. It was unfathomable to me that the nation’s largest membership association of seniors would, not just not oppose the cuts, but would actively lobby for them. It didn’t make any sense.

Mostly, I just chalked up AARP’s actions to its general leftist, partisan leanings. Medicare cuts by Republicans are bad, but cuts by Democrats to increase government involvement in health care are okay. Boy, was I wrong.

According to this blockbuster report, released today by the House Ways and Means Committee, AARP’s support of ObamaCare and, specifically, the Medicare cuts was entirely rational and self-serving. The Committee found, after an 18 month investigation, that AARP stands to reap an extra billion dollars in profits from ObamaCare. (Yes, that is billion with a B.) Worse, this extra profit is largely BECAUSE of the Medicare cuts.

AARP’s members may face uncertainty over their future health care because of the cuts, but AARP faces certain windfall profits for itself.

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Dr. David Janda

Blair House Summit: Obama’s Moses Moment…Not so much!

by Dr. David Janda

Last Thursday, February 25th, the Obama Administration staged a ‘Health Care Summit’ at Blair House. It was to be the President’s President “Moses Moment,” when e would part the seas and bring the Republicans, Democrats and Our country together and get everyone on board his “much maligned” Federally Run Health Care Program. (ObamaCare 2.0). His approach would be to “Listen,” particularly to The Republicans and Independents, and then part the Seas of Conflict and pass through to the Promised Land of a compromise. Well, it was over, finally over, after 7 hours of heavy winds. The event showed Obama less like a Moses parting the Red Sea, and more like a deadly tsunami poised to wreak havoc on American shores.

Obama Health Care Overhaul

On his walk from The White House to The Blair House earlier in the morning, Mr. Obama declared he was going “to listen.” He listened, but not so much. When the meeting was over it turned out that his soliloquy lasted over 122 minutes, The Democrats spoke 135 minutes, and The Republicans were “allowed” to speak for 111 minutes (30% of the entire meeting). So it is official, he is not The Listener in Chief. When asked about his lack of listening ability and his penchant for wanting to listen to his own voice, Mr. Obama responded, “I don’t count my time because I am…The President.” This is the official 2010 version of “Let Them Eat Cake.”

Unfortunately for Mr. Obama, the week’s health care rollout did not start off well, when on Monday he posted a new ObamaCare 2.0 on The White House website. This Plan was eerily similar to a “worst of” compilation of excerpts from the House and Senate Health Care Plans. This Plan did not have any input from Republicans or Independents. Isn’t it odd that ObamaCare 2.0 was posted on the site — without a Press Conference? This Administration has a Press Conference when he sneezes, but no such fanfare for what the Administration claims is the most important domestic issue. The teleprompter must have developed Swine Flu, or maybe Mr. Obama held off on the press event because he would have to answer questions on HIS health care plan from that pesky press.

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Doug O'Brien

Bush Administration Saw the Market as Key to Health Reform

by Doug O'Brien

Judging by their unprecedented use of the word “unprecedented” to describe everything the Obama administration has done it appears that they truly think they have fundamentally changed the national landscape in one short year.

article-1135603-034A1057000005DC-377_468x286Of course, those outside the delusional bubble of the White House know that the only truly unprecedented thing this administration has done is to destroy its own popularity faster than any other modern president, primarily thanks to its ham-handed push for a left-of-center realignment of the nation.

Nowhere is this more apparent than in the titanic health care “reform” struggle.  The administration cannot seem to grasp the reality or the reasons for the public’s rejection of Obamacare.  The White House is correct that Americans want to reform health care and make it more affordable, accessible and understandable.  But the people know intuitively that a government takeover, or just a much bigger government role, won’t achieve those goals.

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Larry O'Connor

Behind the Curtain: Why AARP Supports ObamaCare

by Larry O'Connor

When the AARP began its full-throated support for the President’s Health Care Scheme many wondered why this venerable organization would support a plan which would  cut hundreds of billions of dollars from Medicare, mostly by putting strict price controls on the very popular Medicare Advantage program.

breath-alcohol-test-wizard-oz-794341

By putting enormous price controls (cuts) in the Medicare Advantage program, many seniors will be forced to look to the other Medicare supplemental offer, MediGap.   It just so happens that AARP sells MediGap coverage to its members.  The income generated from those sales accounts for 60.3% of AARP’s revenues, ten years ago, this income only accounted for 10% of their budget.

So, in short, the Obama Health Care Scheme puts hundreds of millions of dollars in AARP’s coffers by forcing seniors off of Medicare Advantage and into MediGap programs.  You would think that this was enough of a payback to the AARP for their support.  But Big Government now reveals another little prize that has been awarded to AARP in time for their recent official endorsement of the Senate Bill.

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Dr. David Janda

ObamaCare: Let the Rationing Begin

by Dr. David Janda

Last week,  the Federal Government Ivory Tower trumpeted important news.  One of its illustrious Task Forces has decided that women in their 40’s would be the first to experience “Medical Darwinism.”

breast_cancer_screening

The United States Preventive Services Task Force, comprised of 16 appointees, decreed that:

1.       Women in their 40’s no longer need routine yearly mammograms

2.       Women aged 50-74 are to have mammograms only every other year

3.       Self breast exams are no longer to be done at any age

Of note, this Task Force does NOT have even one member who is a cancer specialist or oncologist, let alone a breast cancer specialist. This panel based its recommendations NOT on comprehensive new clinical studies or research, but rather on computer projections of certain data points.  A review of previous recommendations by the same Federal Government reveals that these recommendations are diametrically at odds with recommendations made just six months ago. So, what changed in six months?

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Publius

Here We Go Again: Rostenkowski, Health Care and the Original Town-Hall Protest

by Publius

Back in 1989, the Democrat House, led by Ways and Means Chairman Dan Rostenkowski, passed the ‘Catastrophic Health Care Act.’ The Act promised to expand coverage and benefits, financed by a surcharge on senior’s existing Medicare benefits. Passage of the Act sparked on outcry from seniors. CBSNews goes back into the archives to find footage of one of the protests.

The report forgets to mention that Congress quickly repealed the Catastrophic Act in response to the voter backlash. Something current Members of Congress might want to keep in mind.

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Capitol Confidential

HHS Chief Actuary on ObamaCare: Total Health Care Spending Will Go Up, Not Down

by Capitol Confidential

Richard Foster, Chief Actuary for the Department of Health and Human Services’ Centers for Medicare and Medicaid Services, released this week to several Congressional offices a financial analysis of HR 3200, the House version of ObamaCare. He reached some inconvenient conclusions for President Obama and Congressional Leadership:

-“Total national health expenditures under this bill would increase by an estimated 2.7 percent in 2019…”

 -“The additional demand for health services could be difficult to meet initially with existing health provider resources and could lead to price increases, cost-shifting, and/or changes in providers’ willingness to treat patients with low-reimbursement health coverage.”

-More than half of the expansion in coverage (18 million out of 34 million) would be from increased Medicaid coverage.

-12 million people would lose employer-sponsored coverage.

-The productivity adjustments to Medicare are “unrealistic” and providers “might end their participation” because the cuts would make serving Medicare beneficiaries unprofitable.

-Medicare Advantage enrollment would decrease by 64 percent (from a projected level of 13.2 million to 4.7 million under the proposal).

As of today, HHS still hadn’t published the analysis on their website, even though it was written by its own staff. We have a feeling it may never find a home there. So, we’ve brought it to you directly. Full financial analysis below.  

 


CMS OACT – Memo on Financial Impact of H R 3200 09-10-21

Publius

Is Baucus Strong-Arming Humana? FOIA Requests on the Way

by Publius

The good folks at Let Freedom Ring pass on this news:

Let Freedom Ring today submitted a Freedom of Information Act (FOIA) request demanding answers after The Centers for Medicare and Medicaid Services launched a massive investigation into Humana’s role in influencing the healthcare reform fight.  Senate Finance Committee Chairman Max Baucus (D-MT) called for the investigation, slamming Humana for inciting fear among its beneficiaries.  

The FOIA letter requests “access to and copies of all correspondence, notes, emails, faxes, telephone logs, office visit logs, records of meetings and related documents exchanged between United States Senator Max Baucus’ office and the Centers for Medicare and Medicaid Services of the U. S. Department of Health and Human Services (CMS) directly or indirectly related to a letter that Humana, Inc. sent to its Medicare Advantage policyholders suggesting that proposed health-care legislation could lower their benefits.”

 “We filed the FOIA letter today to dig deeper into the possible political pressure that was applied to CMS, and what implications that could have in the middle of a pitched fight over the future of healthcare,” said Let Freedom Ring President Colin Hanna.  “Our letter requires the government to provide timely and complete information that could shine some sunlight on what is driving the investigation.

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Rep. Bob Latta (R-OH)

OBAMACARE IS “BIG GOVERNMENT”

by Rep. Bob Latta (R-OH)

I believe that President Obama’s address to Congress, and our Nation, did not go far enough to put the numerous concerns Americans have to rest with the healthcare reform proposals before the House and the Senate.  There are still too many unanswered questions surrounding these discussions and too much at stake to simply pass any bill without intensive scrutiny and review.  After reading the over 1,000 page House Democrat proposal and fielding over 8,000 constituent correspondences into my office, it is clear that there is much work to be done.  

 During the August district work period, I attended numerous meetings across my congressional district and met with hundreds of constituents who made it clear that they are unhappy with the way Congress is conducting the current health care debate.  Democrat Congressional leadership continues to rush health care legislation through both chambers, without any real explanation.  Constituents in Ohio’s Fifth District, in addition to millions of other Americans, have asked Congress to slow this process down and thoroughly examine probably one of the most important pieces of legislation Congress has debated since the New Deal.  No one will argue that our nation does not need health care reform, but it is clear that Congress must start over with real bipartisan negotiations where Republicans can be included and have input into the final legislation.

health care

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