Category: Uncategorized

Taxing Health Insurance Companies to Pay for Health Care

Sep 14, 2009• 9

By ROBERT LASZEWSKI

The Congress has investigated about every conceivable way to tax people to pay for the health care proposals—a millionaire’s tax, bigger taxes on home mortgages and charitable contributions, and a couple of dozen more ideas.

Now Congress looks to be the most interested in taxing insurance companies to pay for a big chunk of their health care proposals. The new taxes would come in two parts––a 35% excise tax on any health benefit cost above an $8,000 single and $21,000 family annual premium as well as a flat $6 billion annual tax on the industry to be allocated among the companies proportionate to their premium.

There is certain logic to this. Taxing high priced benefits could help deflate the health care economy. Taxing all of the health insurance companies that stand to get more than a $1 trillion in new business—most of it in the from new private insurance and Medicaid subsidies and the rest from the consumer’s share of those new private plan premiums—seems fair at one level.

Calling for a tax on that big rich insurance company also sounds a lot better to the politicians than looking voters straight in the eye and raising their taxes directly.Continue reading…

Health 2.0 Conference

Sep 14, 2009

Health 2.0 is right around the corner – be sure to register before it sells out! If
you are a practicing physician and want a special opportunity to
review Health 2.0 tools and attend the conference for free, apply here.

CBO: HELP Bill’s Public Plan Not Much Help on Costs

Sep 14, 2009• 5

By MERRILL GOOZNER

The green-eyeshade meanies in the Congressional Budget Office took another whack at the public plan today, at least the one contained in the health reform bill passed by the Senate Health Education Labor and Pensions committee last June. Responding to queries from ranking member Michael Enzi (R-WY), CBO chief Doug Elmendorf noted on his blog that “premiums for the public plan would typically be comparable to the average premiums of private plans offered in the insurance exchanges.”

The reason given was the HELP bill emasculated the public plan’s ability to piggyback on the administrative efficiencies of Medicare and required it to be “financially self-sufficient.”Continue reading…

What Voters Really Think About Evidence-Based Health Care

Sep 13, 2009• 8

By ROBERT LASZEWSKI Campaign for Effective Patient Care

I want to call your attention to an important survey done by the California-based Campaign for Effective Patient Care. They surveyed California voters on their understanding of evidence-based medicine.The bad news is that patients think their health care treatment is generally evidence-based even though that assumption is highly questionable. The good news is that patients want it to be evidence-based.At a time when we hear anecdotal evidence, particularly from town hall meetings, that people don't want any "interference" between them and their doctors they do seem to appreciate they need to get all of the facts when making a treatment decision.Here is the survey summary. You can access all of it here.

Recently on THCB

Sep 13, 2009

10,000 US Physicians have something to say, and we’re not wasting time by Dr. Daniel Palestrant What Obama Must Demand from Congress on Health Care by Robert Reich Public Still Backs the Public Plan by Merrill Goozner Not Really An Option by Gary Nissen No Alternative: An Analysis of the GOP Plan by Harris Meyer“Winners and Losers – Strategy in a Post-Reform World” by Roger Collier“Betsy McCaughey’s Infected Advocacy” by Michael Millenson“The Health care cost shifting myth” by Austin Frakt“Health care reform good for the business of healthcare” by Robert Laszewski“Can the two Democratic parties get it together on healthcare reform?” by Jeff Goldsmith“Health Panels are a NICE way of controlling costs” by Adrian Baker “Winners and Losers – Strategy in a Post Reform World” by Bill Kramer“Our President is on the Ropes” by Dr. Stephen Kardos“Will Republicans be spoilers or problem solvers on health care reform?” by Brian Klepper and Dr. David Kibbe“The Right to Live” by David Shaywitz“Tweaking Medical Education to Leverage EHRS” by Glenn Laffel

Not Really an Option

Sep 13, 2009• 16

By GARY NISSEN

To: Executives leading U.S. Hospitals

The public option appears to back in the national dialogue and I’m wondering how concerned you all are about that.

After all, many of you have been quite successful at minimizing the appearance of true profit by growing your cost structure on the backs of private insurers, right?

Thinking back over the last ten to fifteen years, many things have changed.Continue reading…

Reminding Washington of What the Health Care Debate is About

Sep 12, 2009• 6

By ROB DAY

This summer, we witnessed countless demonstrations on the health care debate across the country. The media has broadcast and written about impassioned pleas from conservatives and liberals alike, each swearing, with an alarming level of certainty, that their way is the only way. As we enter the fall and as Washington returns to work, Americans must ask themselves what really matters when it comes to reform. From my standpoint, while I think it’s a good thing the country is discussing much-needed health care reform, there is one important element missing from this enthusiastic debate. The patients. Individual Americans, and their best interests, are, or at least should be, at the core of any health care dialogue. Some will be much more affected than others, regardless of what the makeup of the final language that is passed.

Joint Commission Apes Newt, Takes on IHI

Sep 12, 2009• 7

By MICHAEL L. MILLENSON

Not content with handing out demerits for bad behavior, the Joint Commission has launched an effort to help those who misbehave change their ways.

As detailed in the Wall Street Journal’s Health Blog, the mission of the Joint Commission’s new Center for Transforming Healthcare will be, in the Journal’s words, “to work on new collaborative programs with leading hospitals and health care systems to find a cause of the most deadly breakdowns in patient care, and put a stop to them.”If the name of the new group sounds familiar, you could be confusing it with Newt Gingrich’s Center for Health Transformation. That center was launched by the former House Speaker to tout the benefits of health information technology and a changed reimbursement system and then show how those benefits could work in practice through demonstration projects. Of course, with the advent of the Obama administration, the for-profit center has changed its mission just a tad from Newt-the-Wonk’s, “Paper Kills” to Newt-the-Republican-Attack-Dog’s “Democrats kill.” Visitors to the Center’s site can now find helpful op-eds with titles like “Healthcare Rationing” and “Listen to Barney Frank or listen to America?”

The Speech: Could this have been what he planned all along?

Sep 11, 2009• 17

A conventional look at The Speech: Obama over-learned the lessons of Hillary-care; he gave Congress too long a leash; he lost control of the message; the wacko’s attacked with a barrage of Socialist/Nazi/Plug-Pulling-on-Grandma-isms; not only was health reform on the ropes but the entire Obama Presidency was in danger of imploding (taking the Dems down with him in the mid-terms); Obama had his back against the wall, a make-or-break moment. Then last night, the President gave a great speech that staked out a thoughtful middle ground; Joe Wilson went rogue, horrifying nearly everyone; this led to real sympathy for Obama and the Dems and a shift in the political landscape. In the end, a mild version of health reform – with nearly-universal coverage, some regulatory protections against the most heinous insurance practices, fee hikes to pay for it all, and a little movement toward improving quality and efficiency – passes.

Another look at The Speech:

Obama, a student of history, realizes that health reform is a near-impossible sell since every special interest will come out swinging; he gives Congress the ball knowing that whatever plan emerges from their sausage factory will simply be red meat for demagoguing Republicans and special interests worried about preserving their Gravy Train; Congress obliges by developing plans that overpromise and under-resource, or that push predictable hot buttons (immigrant coverage, palliative care); the Right and its attack dogs go berserk throughout the Wacko Days of August; the left hunkers down, drawing a line in the sand on the Public Option, kyboshing malpractice reform, and avoiding the hard questions about financing.Continue reading…