Tuesday, June 13, 2017

What I’m Reading: Fox News



Someone drive to D.C. and explain Americare to President Trump -- he's clearly ready.

Apparently, Trump either didn't pay attention or, if he did, didn't understand the House bill he just got passed. He recently told Republican senators that the bill passed by the House to repeal and replace ObamaCare is "mean" and "harsh," multiple GOP and Senate sources have told Fox News.

Article: Trump tells senators House health care bill is ‘mean,’ sources say

Link: http://www.foxnews.com/politics/2017/06/13/trump-tells-senators-house-health-care-bill-is-mean-sources-say.html

Friday, June 9, 2017

What I’m Reading: CNN.com


When then-Sen. Sam Brownback was elected governor of Kansas in 2010, he promised to turn the state into a fiscal conservative paradise. For residents of the Sunflower State, the intervening years have fallen well short of that dream. Brownback's struggles reached a climax earlier this week when the strongly Republican state legislature jettisoned the tax cuts that had been the centerpiece of his governing vision.

Article: How the grand conservative experiment failed in Kansas

Link: http://www.cnn.com/2017/06/09/politics/sam-brownback-kansas/index.html

Thursday, June 8, 2017

What I’m Reading: National Center for Health Statistics


Below is a recent report on the increase in high deductible health plans. The definition of high deductible may surprise you: it is $1,300 for single and $2,600 for family. Using that definition, 40% of commercial insurance coverage is now a high deductible plan.

NCHS Study: High-deductible Health Plans and Financial Barriers to Medical Care: Early Release of Estimates From the National Health Interview Survey

Link: https://www.cdc.gov/nchs/data/nhis/earlyrelease/ERHDHP_Access_0617.pdf

Kansas

The Kansas legislature continues to push back against the “living experiment” in ultra conservative economics touted by Brownback (who is part of the same cabal advising Trump). They recently overrode his veto of legislation repealing many of his extreme tax cuts which Brownback “guaranteed” would stimulate the Kansas economy so much that the increased revenue would offset the tax cuts only to have Kansas tie Louisiana (which underwent a similar “living experiment” fostered by Bobby Jindal, a rising star who crashed and burned when reality got in the way) for the worst performing economy in all 50 states. Unfortunately, the Kansas legislature could not override Brownback’s veto of a Medicaid expansion—something the new Louisiana governor was able to accomplish. Now, the Kansas legislature has found a source of funds to help restore Brownback cuts to Medicaid: commercial insurance companies who Brownback allowed to operate in Kansas while paying lower fees than most states impose.

The Kansas legislature approved a bill aimed at offsetting about $56 million in cuts to the state's Medicaid program ordered by Republican Gov. Sam Brownback in May 2016. The Senate substitute for House Bill 2079 proposes increasing the fee health maintenance organizations pay to operate in Kansas to replace the funds. The bill calls for a 5.77 percent fee, up from 3.31 percent. State lawmakers anticipate the change, set to take place January 2018, would garner $108.6 million for Medicaid next year, and $144.6 million in fiscal year 2019. Brownback has threatened to veto the bill in order to protect his friends and lobbyists in the insurance industry.

I want to say, “At long last sir, have you no shame?”

What I’m Reading: Missouri Hospital Association



New research from MHA finds that the American Health Care Act would disadvantage the 19 Medicaid nonexpansion states, including Missouri, by more than $680 billion throughout 10 years. The significant disparity is evident even after the bill’s restored disproportionate share hospital payments and $10 billion safety-net fund are included in the analysis. The research projects that federal per capita Medicaid spending disparity between states will be 67 percent with $1,936 in spending per capita in expansion states and $1,158 in nonexpansion states in 2025. The U.S. Senate is expected to outline its replacement for the Affordable Care Act this week.

MHA STUDY: The American Health Care Act Fails to Restore Parity in Medicaid Spending for Nonexpansion States

Link: https://www.mhanet.com/mhaimages/advocacy/PolicyBrief_AHCA_Non-ExpansionStates.pdf

Wednesday, June 7, 2017

MAP Fraud

The DOJ is suing UnitedHealth, accusing the nation’s largest MAP of exploiting the program by providing inaccurate information about the health of its enrollees. DOJ alleges the practices have led to damages of more than $1.14 billion from 2011-2014.

In separate news, two Florida MAPs, Freedom Health and Optimum HealthCare, recently agreed to pay nearly $32 million to settle a whistleblower lawsuit that alleged they exaggerated how sick patients were and took other steps to overbill the government health plan for the elderly.

Politicians have made a living by promoting the idea that Medicare and Medicaid programs are rife with fraud. No politician in recent history has focused on the track record of MAPs (Care or Caid) in either perpetrating or uncovering fraud. The truth is commercial insurers do not bother auditing for fraud (perhaps because they know they live in extremely fragile glass houses) but instead simply rely on their age old tactic of denying claims to “save” money. It is a fascinating illustration of how politicians control the narrative by creating myths people accept as gospel.

I seriously doubt these recent stories about fraud in the MAP sector will become part of the political narrative.

Thursday, June 1, 2017

What I’m Reading: Bloomberg


Something for everyone. Americans, in general, support government-provided universal health care. A Pew Research Center survey taken in January found that 60 percent say that it’s the responsibility of the federal government to make sure that all Americans have health coverage. A Morning Consult/Politico poll in April found that support for a single-payer health system outweighs opposition, by 44 percent to 36 percent (with 19 percent unsure). A Gallup poll turned up similar results.

Americans Sure Seem to Like Universal Health Care

Article: https://www.bloomberg.com/view/articles/2017-06-01/americans-sure-seem-to-like-universal-health-care?utm_campaign=news&utm_medium=bd&utm_source=applenews