Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Strengthening Medicaid; ERISA And The Goals Of Transparency
Last year, the Medicaid program celebrated its golden anniversary. A lot has changed over the last 50 years. Originally created in 1965 as a joint federal-state program to provide health care coverage for low-income, vulnerable Americans, it is now the world鈥檚 largest health insurance program. Today Medicaid is an important lifeline for so many in Michigan and across the country. It is estimated the program will expand to cover 83 million people this year 鈥 that鈥檚 one in four Americans. Given its rapidly growing size, it is imperative the program is working as it is intended 鈥 providing care for folks who need it most. (Rep. Fred Upton, 3/11)
On March 1, 2016, the U.S. Supreme Court held in Gobeille v. Liberty Mutual Insurance Co. that a Vermont law requiring comprehensive claims information to be conveyed to the state鈥檚 all-payer claims database was preempted by the federal ERISA statute and could not be applied to self-insured employers or their third-party administrators. Almost immediately, commentators on both sides of the political aisle objected to the ruling, which makes it seem as if nobody won the case. To my way of looking at it, a better conclusion is that nobody lost. (William Sage, 3/10)
A little over a year ago, on January 1, 2015, Medicare implemented a chronic care management (CCM) billing code. This code, which pays an average of $42, can be billed once a month when a practitioner provides at least 20 minutes of CCM services to a patient with 2 or more chronic conditions. The CCM services include the monitoring of a beneficiary鈥檚 care plan, the provision of access 24 hours a day, 7 days a week, to clinical staff who can retrieve information from the beneficiary鈥檚 electronic health record even when the office is closed; management of a beneficiary鈥檚 care transitions; and coordination with other clinicians, hospitals, and others who provide clinical services. (Andrew B. Bindman and Donald F. Cox, 3/10)
Ohio Governor John Kasich has spent no small amount of time on the presidential campaign trail discussing his decision to expand Medicaid to 650,000 able-bodied adults under Obamacare. But policymakers in non-expansion states should take a closer look at what鈥檚 actually unfolded in Ohio before considering going down the same path. (Akash Chougule, 3/8)
Even if we feel occasionally nostalgic for the 1970s, most people are content to leave their leisure suits and bell-bottoms in the attic until Halloween. Society learns from its fashion faux pas, but government rarely corrects its regulatory blunders. (Bauman and Manley, 3/10)
Maine Family Planning recently announced a decision that will put Maine ahead of the curve in terms of women鈥檚 health care. The nonprofit is allowing women to access medication to end early pregnancies without requiring an in-office consultation with a doctor, making Maine just the third state in the U.S. where telemedicine is being used to expand abortion access. Maine women stand to gain from the greater availablity of a safer, more affordable form of abortion, and Maine Family Planning should be praised for taking this step forward on its patients鈥 behalf. (Leggett-Brown, 3/10)
In the case of morcellation, availability exaggerated the risk of LMS [leiomyosarcoma, a rare, aggressive cancer]. Media coverage featured the faces of women dying of LMS, ravaged by chemotherapy, flanked in photos by their husbands and young children. Meanwhile, the benefits of morcellation are largely invisible and thus 鈥渦navailable.鈥 Who sees the women who undergo a minimally invasive procedure, recover quickly, and avoid losing income? ... our capacity to speak science to emotion seems to be collapsing. As our patient-safety focus intensifies and physicians鈥 behavior is publicly dissected, a story that goes viral has outsized power. Questioning narratives that portray the victimization of the innocent seems monstrous. ... To recognize that some women may benefit from morcellation is not to dismiss the pain of those it has harmed. But society suffers when there鈥檚 no rational debate. (Lisa Rosenbaum, 3/10)
In case you missed it, an Iowa state senator argued on the Senate floor this week for a measure to make abortion a 鈥渉ate crime鈥 under the Iowa statute. A hate crime against a group that doesn't even exist in society: The unborn. Adel鈥檚 Republican Sen. Jake Chapman raised the proposal as an amendment to Senate File 2284. That bill being considered would add gender identity and gender expression to the list of protected classes covered by the state鈥檚 hate crimes law. The law brings enhanced penalties for crimes committed out of hatred on the basis of a victim's immutable characteristics, such as race, religion and sexual orientation. It applies to groups recognized for protection under Iowa鈥檚 civil rights law. (Rekha Basu, 3/10)
If you had to undergo a heart transplant, chances are you'd be in no hurry to get back to work 鈥 if a return was even possible. Now consider the situation of Oscar Munoz, chief executive of United Airlines. The carrier proudly announced this week that he'll be back on the job Monday, just two months after having a new heart sewn into his chest. (David Lazarus, 3/11)
Forcing companies to label genetically modified foods sounds simple enough. Don鈥檛 consumers have a right to know what they're eating? Like a lot of seemingly straightforward ideas these days, though, this one is anything but. Mandatory labeling 鈥 set to go into effect in Vermont on July 1 unless Congress overrides state laws 鈥 has risks and consequences its backers rarely acknowledge. On balance it鈥檚 a bad idea. A key reason is that it validates the notion that genetically modified organisms (GMOs) are dangerous, which is simply not true. (3/10)
People have the right to know what is in their food. It鈥檚 not a radical idea. We already require food companies to label nutritional values such as calories or sugar content and to include an ingredient list. When it comes to labeling genetically modified organisms (GMOs) in food, more than 64 countries already require it. (Peter Shumlin, 3/10