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Title : The 2007 Congressional Wellness Policy Agenda

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The 2007 Congressional Wellness Policy Agenda

The Congressional Agenda—Old Business

The electrical flow Congress is leaving a lot of operate undone:
• H5N1 Health Information Technology (HIT) Bill – The sometime Congress volition non endure able to consummate operate on the House together with Senate versions of a HIT bill. Before the election, they had hoped to endure able to complete it during the “lame duck” session. It is at nowadays clear that won’t hap together with the novel Congress volition start from scratch on the resultant side past times side year.

That way the Congress has non implemented a requirement that payers together with providers volition get got to purpose the novel ICD claim-coding arrangement past times 2010. It likewise probable way Democrats volition endure to a greater extent than worried nearly privacy protections together with less worried nearly giving hospitals to a greater extent than command over the evolution together with financing of the novel systems equally the Republican House nib would get got done.

The novel Congress volition start from scratch on a novel HIT bill.

• Medicare Physician Fee Cuts – Republicans had hoped to uncovering the coin to waive the 5% physician fee scheduled to get got house on Jan 1. Helping the docs out earlier Jan 1st is probable simply about other casualty of the election. That is non to enjoin the Democrats don’t desire to assist the physicians—they do. But the Democrats can’t larn to it until early on side past times side twelvemonth together with when they do, it volition endure mortal Medicare plans that volition probable make the needed cash.

New Business inward a New Congress
The sometime Republican favorites—expansion of wellness savings accounts, Association Health Plans, together with medical malpractice reform—are out together with novel Democratic agenda items are in.

This is where many of the analysts are right—with a Bush veto together with the 60-vote dominion inward a Senate that has 51 Democrats—it volition endure really hard to make to a greater extent than than tread H2O on novel non-budget wellness tending proposals.

Here’s a facial expression at the novel agenda:

• Medicare together with the Drug Companies – House Democrats enjoin they volition transcend legislation enabling Medicare to negotiate drug prices straight amongst the drug companies inward the first 100 hours of the novel Congress. They will. And together with then the nib volition probable languish inward a to a greater extent than divided Senate. If it does larn past times the Senate—which is non probable but non impossible either—Bush volition veto it.

• Drug Reimportation – This was a big Democratic resultant during the election. I wouldn’t endure surprised to come across the Democrats couplet drug reimportation together with giving Medicare the ability to negotiate drug prices into 1 nib all designed to attract a Bush veto for what are popular—if non controversial—proposals.

• H5N1 Patients’ Bill of Rights – You read it correctly. House Energy together with Commerce Committee Chair John Dingell has this 1 on his listing of things to make side past times side year. Apparently, he didn’t larn the memo this 1 is off the voters’ listing of worries. It likely won’t larn really far but at that topographic point mightiness endure simply about HMO bashing hearings—perhaps focused on Part D issues.

• The Uninsured – Now upwards to 46 million, facial expression for the Democrats to tackle this resultant to a greater extent than directly. That endeavor was helped past times a wellness insurance manufacture proposal from America’s Health Plans (AHP) that called for the expansion of Medicaid for the lower income (which the Democrats liked) together with the creation of taxation credits to assist others (which the Republicans liked).

However, the AHP proposal has a $300 billion toll tag together with no strategy for cost containment.

While that specific proposal won’t probable conk really far inward the near-term, the AHP did itself good past times jump-starting a give-and-take nearly incremental solutions that combine both a mortal together with world effort.

By existence incremental together with edifice on existing programs together with ideas that both sides tin embrace, the insurance manufacture proposal may conk the seed that started a constructive give-and-take for the longer term.

• Medicare Reform – The “Part A,” infirmary portion, of Medicare is expected conk into negative cash menses inward simply 3 years equally the infant boomers laid about to endure eligible for the program.

Under Republican leadership, the likes of House Ways together with Means Chair Bill Thomas get got dominated the give-and-take amongst his market-based proposals together with the 2003 Medicare bill.

Now, it volition endure the Democrats who volition dominate the Medicare give-and-take amongst their agenda setting commission chairmanships. They hit every indication of wanting to dive into the programme together with its diverse challenges from provider reimbursement to mortal programme payments.

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