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Title : Don't Pit Children Against Seniors--The Ahip Takes The Medicare Wages Struggle To About Other Low

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Don't Pit Children Against Seniors--The Ahip Takes The Medicare Wages Struggle To About Other Low

When the health insurance manufacture merchandise association, AHIP, tried to employ the NAACP inwards their battle to protect Medicare Advantage (MA) payments final May past times disceptation higher payments to the manufacture are proficient for wretched people, I asked, could they choose sunk whatsoever lower?

From the looks of a letter to the editor inwards Sunday’s Washington Post, the respond is yes.

The championship of AHIP CEO Karen Ignagni’s letter is, “Don’t Pit Children Against Seniors.”

In her alphabetic quality she makes a number of points:

• Proponents would strip “funds from the Medicare Advantage program, on the theory that health plans providing comprehensive protection from seniors are overpaid.” What “theory?” They are overpaid. The CBO has clearly documented that solely a share of the total MA plans are paid inwards excess of criterion Medicare goes for extra benefits for seniors. Does she choose prove to the contrary?
• That Congress “corrected” the “inequity” inwards payment rates when it increased payments that had barred senior participation specially inwards “mid-size cities, pocket-size towns in addition to rural areas from access to Medicare Advantage.” Yes they did--ultimately through the creation of the Private Fee For Service programme which straightaway pays the plans an average of 19% to a greater extent than than criterion Medicare. But the Congress never intended that to survive to a greater extent than than a transitional strategy—not permanent corporate welfare.
• “The force to cutting reimbursement ignores the value non solely of the added benefits but equally good of bringing coverage choices to to a greater extent than areas, equally Congress mandated inwards 2000.” All of the information points to MA plans having higher benefits but solely because they are paid more. And, the information shows that non all of the extra payments decease to to a greater extent than benefits—these payments equally good decease to profits specially for the Private Fee For Service plans. Is she suggesting that the private Medicare market deserves payments--and senior benefits--that are permanently higher than the traditional Medicare conception receives for each senior it covers?
• “The Congressional Budget Office predicts that three 1000000 seniors—mostly rural Americans—will lose their Medicare Advantage coverage altogether if the House pecker becomes law.” I am certain that is right. But the CBO is right to a greater extent than because the plans that choose been gaming the Private Fee For Service payment organization won’t whatsoever longer survive able to exercise it in addition to volition run out those markets.
• And thus the big one: “There’s no justification for pitting children against seniors.” Damn right. So, why are you making this into a kids versus seniors issue?
  

Private Medicare is an experiment that nosotros choose got to run across through to decide if the marketplace is inwards fact an respond to making Medicare sustainable.

But, that experiment should survive almost an honest contest betwixt the someone sector in addition to government. Head-to-head. No unfair advantages--either way.

Priming the see amongst extra dollars to larn the someone sector into the describe of piece of occupation concern in addition to encouraging seniors to endeavor it is a fair policy.

But it becomes zero but corporate welfare when manufacture leaders endeavor to defend it inwards a agency that ignores the master copy intent.

It becomes only disgusting when they convey the likes of the NAACP in addition to kids into it.

Does Karen non choose confidence that her industry, inwards a fair in addition to fifty-fifty competition, tin laissez passer on notice trounce the government?

Original Washington Post editorial

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