Healthcare providers still weary from the most recent drawn-out budget battle in Washington could have the next fiscal fight on their hands sooner than they think.
Experts have warned that it's the next round of deficit-reduction negotiations that the healthcare industry should be worried about, and it could hit providers in a couple of ways. Federal lawmakers must tackle the sequester, the automatic spending cuts that Congress postponed for two months in last week's fiscal-cliff legislation. (Medicare providers would not have seen their cuts kick in until early February, according to the Congressional Budget Office).
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The charge that AARP's lobbying is driven primarily by the profits it derives from its Medigap insurance plans, which supplement standard Medicare coverage, has been a staple of congressional Republicans since the seniors group threw its considerable weight behind passage of Patient Protection and Affordable Care Act.
Now some high-ranking Democrats are joining in the attack. Sen. Jay Rockefeller (D-W.Va.) blasted the powerful seniors' group Tuesday for basing its Washington lobbying priorities on its financial profits. The chairman of the Finance Committee's Health Subcommittee accused the 20-million strong seniors group of failing to back congressional Democrats' efforts to block Medicaid changes as part of a major year-end debt deal.
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One of the casualties from last week's congressional elections is a familiar face in the healthcare industry: Rep. Pete Stark, the California Democrat who currently serves as the Ways and Means Health Subcommittee's ranking member and is widely known for the three-part physician self-referral law that bears his name.
A longtime champion of a single-payer healthcare system, Stark—who has served in the U.S. House of Representatives in the 8th, 9th and currently 13th district of California since 1973—was beaten by Eric Swalwell, a fellow Democrat, to represent the Golden State's 15th district. In the healthcare industry, Stark's influence largely stems from his work drafting legislation that governs physician self-referral in the Medicare and Medicaid programs. The first phase prohibited physician self-referral for clinical lab services in Medicare starting in 1992, and additional phases became effective in 1994 and 2007, as the law eventually expanded to other healthcare services and also applied to Medicaid.
From 2007 to 2010, Stark served as the subcommittee's chairman. His departure now leaves open the health subcommittee ranking-member spot on the hugely influential panel that makes tax law.
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Did President Barack Obama and former Massachusetts Gov. Mitt Romney miss an opportunity in Tuesday night's debate to attract the much-coveted female voting bloc by barely touching on healthcare issues? Or should moderator Candy Crowley take responsibility for that instead?
Ilisa Halpern Paul, managing government relations director at the law firm Drinker, Biddle and Reath watched the 90-minute debate with her colleague Jodie Curtis, who serves as government relations director at the firm. When I spoke with them late Tuesday, they both expressed surprise that the town hall discussion didn't include one direct question on healthcare.
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America's Health Insurance Plans on Friday had reason to celebrate after HHS released the 2013 quality ratings for Medicare's health and drug plans.
“Currently, 37% of Medicare Advantage beneficiaries are enrolled in a plan with four or more stars, an increase from 24% in 2011,” Karen Ignagni, president and CEO at AHIP, said in an e-mail. “This increase is indicative of the commitment by Medicare Advantage plans to advance new and innovative strategies to improve healthcare quality and health outcomes.”
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Here's to diving below the overheated healthcare rhetoric.
It's widely assumed that tonight's vice presidential debate will be a health policy wonkfest (with zingers) that submerges deeply into the numerous conflicting approaches of the two presidential tickets. Specifically, the debate likely will focus on Medicare due to the significant changes the Obama administration has made to the program and because of the overhaul proposed by the Romney-Ryan ticket.
But there are a couple health policy questions that each campaign has rarely addressed that could give some insight and move beyond the rhetoric of which side is “ending Medicare as we know it.”
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Coming off a historic slapdown by the government’s nonpartisan ethics watchdog over a recent political speech, HHS Secretary Kathleen Sebelius hopped right back into the political fray this week.
Sebelius spoke Wednesday to a Washington gathering of the National Hispanic Council on Aging just a few weeks after the independent U.S. Office of Special Counsel found she violated federal law. The office cited her “extemporaneous partisan remarks” delivered during a February speech in which Sebelius was acting in her official capacity as head of HHS. It was the first such finding against a senior administration official since 2007.
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“Debates are what make America great,” Johnny Carson said on The Tonight Show 28 years ago this month. “The candidates stand before their electorate and reporters ask hard-hitting questions, and it's up to the people to decide which one evaded them more skillfully.”
We'll have our first chance to do that in this election cycle tonight, as President Barack Obama and former Massachusetts Gov. Mitt Romney will match up at the University of Denver for the first of three presidential debates this month. On Tuesday, lawmakers and health policy experts prepared for healthcare to feature prominently in that discussion.
In a call with reporters, Democratic National Committee Chairwoman Debbie Wasserman Schultz (D-Fla.) and former Michigan Gov. Jennifer Granholm centered on women's health and equal pay for women. Granholm said she expects “zero details” from Romney about his plan for the future, even though American women and their families deserve more than “vague platitudes.”
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In Washington, the National Institutes of Health is special. But is it super special?
That is, will the research agency's unique bipartisan appeal inside the Beltway produce both an agreement to avoid looming cuts to the agency under a deficit-reduction law and show the way to broader deficit deal? At least one member of Congress who sits on an influential committee thinks it can.
Rep. Brian Bilbray (R-Calif.), a member of the Energy and Commerce Committee, said Thursday that bipartisan efforts under way to avoid cuts to the relatively tiny NIH budget could “build the foundation” for an agreement replacing many of the $1.2 trillion in across-the-board cuts required by the Budget Control Act of 2011. Providers are among the multitude watching discussions to replace the so-called sequester, as it requires Medicare to cut $11.1 billion from their reimbursements next year.
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Later this week, the nation's hospitals and physicians will launch another round of ads in Washington-based publications to warn Congress of the disastrous results that will come from cuts to Medicare early next year. Meanwhile, an investigative study from the Center for Public Integrity shows one way hospitals and doctors are coping with the tough federal reimbursement environment: steadily billing higher rates for treating Medicare patients in the last 10 years.
Established in 1989, the Center for Public Integrity is a nonpartisan, not-for-profit, investigative news organization. In its new study, the center found that from 2001 through 2010, thousands of providers chose more expensive billing codes over less costlier ones, even though “there's little hard evidence they spent more time with patients or that their patients were sicker and required more complicated—and time-consuming—care.”
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Later this week, the nation's hospitals and physicians will launch another round of ads in Washington-based publications to warn Congress of the disastrous results that will come from cuts to Medicare early next year. Meanwhile, an investigative study from the Center for Public Integrity shows one way hospitals and doctors are coping with the tough federal reimbursement environment: steadily billing higher rates for treating Medicare patients in the last 10 years.
Established in 1989, the Center for Public Integrity is a nonpartisan, not-for-profit, investigative news organization. In its new study, the center found that from 2001 through 2010, thousands of providers chose more expensive billing codes over less costlier ones, even though “there's little hard evidence they spent more time with patients or that their patients were sicker and required more complicated—and time-consuming—care.”
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