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Wednesday, Jun 3 2015

Full Issue

Viewpoints: Assessing Rate Increase Requests; GOP's Lack Of Contingency On Subsidies

A selection of opinions on health care from around the country.

Insurance companies have begun announcing rate increases for the health care plans they will sell next year on the Obamacare marketplaces, and a handy new website from the federal government makes searching for rate change requests easier than ever. Some of the rate increases are substantial. But for several reasons, simply looking at the current numbers can be misleading. (Margot Sanger-Katz, 6/2)

If you want to know about the Republican Party鈥檚 priorities for health care, pay close attention to what transpired -- and what didn鈥檛 transpire -- on Capitol Hill Tuesday. The House Ways and Means Committee held a session to consider a number of health care-related measures. In theory, it would have been an ideal time to take up, amend and maybe even vote on a contingency plan for King v. Burwell .... The Ways and Means chairman, Rep. Paul Ryan (R-Wis.), has said repeatedly that his party will have a contingency plan ready to go if the court sides with the law鈥檚 challengers. ... But take a look at the official agenda for the Ways and Means Committee on Tuesday. You鈥檒l see a bill to repeal Obamacare鈥檚 tax on medical device makers and a proposal to repeal the so-called Independent Payment Advisory Board, which sets reimbursement rates under Medicare. ... Here鈥檚 what you won鈥檛 see: contingency plans for the upcoming Supreme Court ruling or alternative schemes for expanding insurance coverage. (Jonathan Cohn, 6/2)

King v. Burwell, revolves around the IRS potentially paying illegal subsidies to people who bought their premiums on the federal exchange, Healthcare.gov. It is more than unfortunate that Congress had to pass the law to find out what was in it, as former Speaker of the House Nancy Pelosi so eloquently demanded of her congressional colleagues on the floor of the House. (Glen Casada, 6/2)

The state of Tennessee has been playing games with the public records law, and it has to stop. The Tennessean has made uncomfortable records requests over the last four months concerning which lawmakers are on the state health insurance plan, how much they and the state are paying in premiums, and how much the state is paying out in medical costs for their care. (David Plazas, 6/2)

Kansas鈥檚 budget woes have overshadowed another important element of [Gov. Sam] Brownback鈥檚 red-state experiment: his refusal to expand Medicaid under the Affordable Care Act. In the latest issue of The Nation, features editor Kai Wright reports on the devastating consequences of that decision. As Wright explains, Kansas has some of the most restrictive Medicaid eligibility requirements in the country. The program is available only to non-disabled adults earning less than 32 percent of the federal poverty level, and most childless adults don鈥檛 qualify, regardless of income. The Affordable Care Act was supposed to raise that threshold to 138 percent, but Brownback declined to implement the Medicaid expansion. As a result, thousands of poor Kansans who would qualify for Medicaid in other states remain uninsured. (Katrina vanden Heuvel, 6/2)

Our friends, neighbors and constituents want and deserve a Florida that is a great place to work, raise a family and retire. They know the best way to a strong Florida isn't laden with Washington mandates; it's by working with strong leaders back at home. This is why our communities elected my freshmen Republican colleagues and me to the Florida House this November to stand up to the feds. This is why I oppose D.C.'s trying to run our health-care system with Obamacare's Medicaid expansion, and I urge my Republican partners to stand with me. (State Rep. Scott Plakon, 6/3)

Imagine a company that produces a high-quality product, operates efficiently and generates $16 million in year-over-year savings. Then imagine that the company is not allowed to retain those savings, but is assessed a financial penalty. Hard to imagine? Well, it's a reality in the American healthcare system today. Dartmouth-Hitchcock and other leading academic health systems in Medicare's Pioneer accountable care organization program face a payment conundrum. Instead of sharing in savings generated through the program鈥攖he incentive鈥擠artmouth-Hitchcock will be hit with a multimillion-dollar Medicare penalty. How could that be? As you might expect, there's more to the story. (Drs. James Weinstein and William Weeks, 6/3)

We are near a tipping point with antibiotic resistance. An increasing proportion of bacteria no longer respond to the drugs designed to kill them. We can either work to improve antibiotic use and prevent infections, or watch as the clock turns back to a world where simple infections kill people. (CDC Director Tom Frieden, 6/2)

Yet policy makers and the media are doing no favors either to the public or the transgendered by treating their confusions as a right in need of defending rather than as a mental disorder that deserves understanding, treatment and prevention. This intensely felt sense of being transgendered constitutes a mental disorder in two respects. The first is that the idea of sex misalignment is simply mistaken鈥攊t does not correspond with physical reality. The second is that it can lead to grim psychological outcomes. (Paul McHugh, 6/2)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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