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Posts Tagged ‘insurance’

Anticipating The Finance Vote

nyt conversationsThe New York Times is inviting readers to start a conversation as the Senate Finance Commitee finally ends its own — members are scheduled to vote shortly on the committee’s health overhaul bill, the product of months-long negotiations and the last major congressional panel to take up reform.

The only committee member tweeting today is Orrin Hatch, R-Utah, who announces (unsurprisingly) “I will be voting against the Finance Committee health care bill today.”

Commentators are still buzzing about the insurance industry’s unexpected Sunday night report (pdf) saying the committee’s bill would significantly raise premiums.     

The Atlantic’s Marc Ambinder reports on the reaction: “Hoping to pop this trial balloon before it expands,  the White House and allies have counterpunched with an alacrity unfamiliar to Democrats. They’re first attacking the industry’s motives, which isn’t surprising. The Senate Finance Committee’s health staff, on the White House’s urging, held an unprecedented background call with more than 50 reporters this afternoon to rebut the report’s substance.”

Politico’s Chris Frates has his own summary of remarks from report author PriceWaterhouseCoopers: “Hey, we weren’t paid to evaluate the effects of the entire bill, but rather a small slice of it.”

The Washington Post’s Ezra Klein looks at numbers being floated by the White House compiled by MIT economist Jon Gruber, and says, “Gruber certainly has a lot less incentive to twist the facts than the insurance industry does, and his numbers, at least, are free from any glaring deficiencies.”

And National Journal’s Marilyn Werber-Serafini queries her experts, “How much merit is there [to the report]?” Thoughtful but predictable responses follow from Michael Cannon, John Goodman, Len Nichols and Ron Pollack.

snowe pollMany reports are focused on how Republican Olympia Snowe, Maine, will vote, but The New Republic’s Jonathan Cohn reports that “one Democrat also remains a question mark: Ron Wyden.”  An interview follows.

Cato’s Michael Cannon looks beyond today’s vote and predicts trouble: “The problem that Democrats have faced from Day One is finally coming to a head. The Left and the health care industry both want universal health insurance coverage.  The industry, because universal coverage means massive new government subsidies. The Left, because that’s their religion. But universal coverage is so expensive that Congress can’t get there without taxing Democrats.”

Elsewhere, the Galen Institute has launched a new health reform site, healthreformhub.org that rounds up conservative analyses and opinion.

Tuesday, October 13th, 2009

AHIP’S Awakening

On the eve of the Senate Finance Committee vote, America’s Health Insurance Plans, the key insurer lobby, has emerged from the sidelines with a critical new study (pdf) by PriceWaterhouseCoopers that finds the bill will increase the average cost of a family plan.

The insurance lobby was a key opponent of President Clinton’s reform plan in 1994, most famously producing the “Harry and Louise” ads, supported the broad principles of the Democratic health overhaul intiatives.  Bloggers are wondering if this apparent change in course could be a game-changer in the larger debate.

Politico’s Chris Frates headlines his post “And The Knives Come Out” and writes, “This could be a turning point that the White House and Baucus worked hard to avoid – when industry begins to publicly oppose Democratic reforms.”

Tevi Troy of the National Review’s Critical Condition says “Losing the insurers at this late hour is a blow to the White House’s hopes of keeping key industries aboard as the Baucus bill approaches a Finance Committee vote tomorrow. In addition, the study is giving Republicans ammunition against the Baucus bill.” He goes on to note: “trying to prevent people from feeling actual health-cost increases is one of the reasons that American health-care costs so much in the first place.”

The Washington Post’s Ezra Klein jokes, “In the hallowed tradition of the tobacco and energy industries, the health insurance industry has commissioned a report projecting doom and despair for those who seek to reform its business practices.”

The New Republic’s Jonathan Cohn says though PriceWaterhouseCoopers is probably “right about a few things,” the report makes several assumptions: “Plenty of experts, including the CBO, don’t think health care providers will simply charge private insurers more to make up for declining revenue from Medicare. The experts could all be wrong, but PriceWaterhouseCoopers doesn’t even acknowledge this belief let alone explain why it might be wrong. Indeed, nowhere in the document does the firm reveal its methods, which is interesting since–unlike CBO or even, say, a private outfit like Lewin–PriceWaterhouseCoopers is not particularly known for this sort of modeling.”

Heritage’s Ernest Istook defends the report: “The PWC projections track what The Heritage Foundation and many others have said about the legislation: It does not save money. It simply taxes those who have health coverage and uses the money to give care to others.”

But the American Prospect’s Adam Serwer thinks lawmakers could address AHIP’s concerns: “Despite the hype this seems far from a knockout punch, since there’s still time to fix things in conference if the bill passes the finance committee, and some of the things that AHIP wants changed health-care reform advocates probably want, too. It’s mostly politically frustrating for the White House, who seem to have assumed that all the ‘relevant stakeholders’ had been placated. By ‘relevant’ of course, I mean moneyed interests, not, you know, the American people.”

Monday, October 12th, 2009

Tuesday Roundup

Here’s a roundup of this morning’s posts.

Louise Norris of Colorado Health Insurance Insider looks at a story from NPR and KHN on individuals who are self-employed and struggling with purchasing health coverage.  Norris, an insurance broker, did some comparative shopping and says, “I checked rates for a healthy, non-smoking, 52 year-old female, and came up with a range of options priced between $200/month and $260/month for a good quality, $5000 deductible, HSA qualified plan (people like Lyn, who rarely need their health insurance and are in good health, are good candidates for high deductible plans).   So hopefully Lyn will get a pleasant surprise when she gets her quotes, and the premiums won’t be as high as she was expecting.”

Heritage’s Conn Carroll expands on Louisiana Governor Bobby Jindal’s (R) health reform ideas.  They include purchasing pools, tax credits and portability of health insurance.

The Hastings Center has launched a new blog that features contributors from around the health policy blogosphere writing about values in connection with health reform.

James Capretta of the New Atlantis does some number crunching and concludes that the health overhaul bills in Congress “send signals to low-wage breadwinners that it no longer makes sense to seek a higher-paying job.”

One of the first health policy blogs to gain traction in the blogosphere, The Health Care Blog, is abuzz with the start of the Health 2.0 Conference, a gathering of medical, policy and technology professionals about online tools that seek to improve the doctor-patient relationship and give consumers more tools to manage their health.

And because the health policy world isn’t always serious, here’s another parody of a tonuge-in-cheek PSA that featured celebrities mocking insurance company executives. This time it features the line, “People are saying mean things about Big Goverment.” (Hat tip: Insure Blog.)

Tuesday, October 6th, 2009

Subdued Monday

Monday finds commentators somewhat subdued as they continue to follow developments in the health overhaul debate in Washington.  As the people in the know stay focused on the hottest political show in town, others are offering a different kind of analysis. Exhibit A – some dueling health reform songs:

Here’s Paul Hipp, with a tongue-in-cheek song about the World Health Organization’s ranking of the world’s best health care systems — the U.S. comes in at #37.  Some lyrics:

“We’re Number 37
We’re the USA
The big Number 37
And we want to keep it that way
Be sure to bring the kids
All of the boys and girls
Because the #1 health care system in the world.

Is in France???”

And YouTube user BornTwyce parodied Don McClean’s American Pie with a song called “The Day Obamacare Died:”

A long, long time ago
I can still remember
How, the protests used to make me smile
Cause I knew we could ram it thru
Before they ever had a clue
Then maybe they’d shut-up for a while
But the protests grew and made me shiver
Pelosi and Reid could not deliver
Now our push for health care has to wait
Til September [Spoken: or October or next year]
I cant remember if I cried
When I heard the right had organized”

Over in the wonkosphere, a few bloggers focused on the economics of health insurance:

Bob Laszewski digs into the Senate Finance Committee’s proposal to tax insurers offering plans over a certain dollar value and says the tax will be passed to consumers: “At any rate, whatever the tax, it will be passed through to those who pay the premiums. This is not a theoretical exercise. Taxes like this are what we call a premium load. You can load these costs as long as there are premiums available to load—loadings available.”

Insure Blog’s Bob Vineyard looks at a new health insurance regulations in Maryland and declares, “This effectively closes the door for new, individual health insurance policies in Maryland until further notice.”

And Wonk Room’s Igor Volsky blogs about a debate between former presidential candidate and DNC Chair Howard Dean and Karl R0ve, adviser to President George W. Bush.  Describing contention about Medicare’s administrative costs, Volsky writes:

But, one man’s ‘excess overhead’ is another man’s profit and the public industry’s ability to provide care more efficiently is precisely the reason why private insurers and Karl Rove — who actually criticized the President for vilifying private health insurers in his address — are afraid of competing with an efficient Medicare-like public option.

Hot Air’s Ed Morrissey lambast’s the Washington Post/ABC News’ statistical sampling for their latest public opinion poll on President Obama’s speech and health reform and concludes:

Given the fact that Obama continues to lose ground even in skewed samples of all adults, it means that he’s getting clobbered among likely voters.  The speech didn’t even stop Obama’s slide.  At best, it may have slowed his descent a little.  That’s not nearly good enough, and it shows that the more Obama appears on TV to angrily repeat the same old slogans, the less people care what he has to say.

Elsewhere, former Speaker Newt Gingrich on AEI’s blog suggests three ways for Obama to “prove” he is serious about bipartisanship: include an amendment requiring valid identification to prevent illegal immigrants from receiving services, reduce fraud and set a cap on non-economic damages in medical malpractice cases.

But The New Yorker’s Hedrik Hertzberg disagrees with Gingrich, examining the president’s strategy to pass a health overhaul bill in light of intense conservative activist opposition and says:

Bipartisanship is a fine sentiment and an appealing tactic, but where health care is concerned it was never a great idea. The boorish South Carolina Republican who shouted “You lie!” at the President after he said, truthfully, that reform “would not apply to those who are here illegally” did the public weal a favor by underlining bipartisanship’s futility. A bill that reflects a necessary compromise among Democrats is bound to be stronger than one that reflects an unnecessary compromise between Democrats and Republicans. And that’s no lie.

And finally, another health policy and politics blog has arrived on the scene — Politico has expanded the Politico Pulse feature to be updated throughout the day, blog-style, here.

Monday, September 14th, 2009