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Title : The Wellness Insurance Manufacture Employs Minority Groups To Protect Medicare Wages Payments--Could They Accept Sunk Whatever Lower?

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The Wellness Insurance Manufacture Employs Minority Groups To Protect Medicare Wages Payments--Could They Accept Sunk Whatever Lower?

The Democratic led Congress is looking difficult at cutting payments to insurers participating inwards the Medicare Advantage business.

With both the Medicare Payment Advisory Commission (MedPAC) as well as the Congressional Budget Office (CBO) proverb the someone plans are overpaid yesteryear billions of dollars (the CBO says yesteryear $54 billion over 5 years) these HMO payments are a tempting target for Democrats looking to reverse the scheduled 2008 10% Medicare doc fee cutting as well as detect coin to reauthorize the State Children's Health Insurance Program (S-CHIP).

With literally billions of dollars of wellness insurer profits at stake over these cuts, the health insurance manufacture merchandise association has pulled out all the stops to undermine Democratic attempts to larn later these payments. The latest is the enlisting of the NAACP as well as the League of Latin American Citizens (LULAC) to back upwardly the higher Medicare HMO payments because they afford miserable people who sign upwardly for the someone plans to a greater extent than comprehensive coverage.

Sarah Lueck had a terrific even out on this topic on the forepart page of Monday's Wall Street Journal that is worth a read.

Let's root larn a yoke of things out of the way.

Everyone inwards the wellness insurance manufacture knows 2 things:

1. There are extra Medicare Advantage payments. The extra coin isn't necessarily a bad policy. After the large Medicare HMO cuts inwards 1997, the manufacture had all but given upwardly on the someone Medicare marketplace as well as coin was needed to "prime the pump" as well as larn HMOs dorsum inwards the delineate of piece of work concern to show the someone marketplace had a house inwards Medicare. After the manufacture withdrew its plans inwards thence many markets, seniors too had to hold upwardly enticed dorsum to the choice programs. These extra payments mightiness non hold upwardly defensible for the long term, but at that spot is a logic to the "prime the pump" strategy.
   
2. If at that spot are cuts, the for-profit HMOs, who dominate this business, are going to cutting the extra benefits to seniors earlier they forgo profits as well as disappoint Wall Street.

I don't receive got a moral consequence alongside the release 1. We tin hand the axe fence nigh whether the marketplace tin hand the axe create a amend project than the someone sector all twenty-four hr menses long. Influenza A virus subtype H5N1 reasonable, if debatable, indicate tin hand the axe hold upwardly made to back upwardly the "priming the pump" strategy to entice the marketplace to larn into the delineate of piece of work concern as well as show whether or non the someone sector tin hand the axe amend larn by wellness attention as well as thence the traditional Medicare program.

My work is that it is clear the wellness insurance manufacture merchandise association hasn't made the minute indicate clear to the minority community it is thence aggressively recruiting to defend it.

Will Medicare Advantage payments hold upwardly cut? Highly likely. The solely existent interrogation is when as well as yesteryear how much? Pete Stark would similar a 10% to 12% cutting now--the amount by as well as large regarded every bit the "extra" payment.

But alongside Republicans, as well as moderate Democrats similar Senate Finance Chair Max Baucus wanting to overstep on to a greater extent than carefully, Stark won't larn all he wants. He volition receive got to compromise.

In the end, House as well as Senate budget negotiators volition cutting only about amount from the Medicare HMOs. The Congress only needs a lot of coin for the Medicare doc fee create as well as S-CHIP as well as they tin hand the axe detect it inwards the Medicare Advantage payments. It is unlikely the cuts volition hold upwardly the total 12% as well as it is only every bit unlikely at that spot volition hold upwardly no cuts. In Washington, the safest bet is that the cuts volition come upwardly somewhere inwards the middle.

That's the 3rd affair everyone is expecting--there volition hold upwardly a compromise on the size of the cuts Medicare HMOs get.

Even a 5% or 6% "splitting the difference" cutting volition crusade the manufacture to receive got to brand a choice:

1. The Medicare HMOs could cutting senior benefits inwards lodge to hold profits--and delight Wall Street.
2. The Medicare HMOs could cutting profits as well as hold the extra benefits for seniors--and delight the NAACP as well as the LULAC.

Guess which 1 the for-profit HMOs are going to choose?

You see, everyone inwards the wellness insurance manufacture already knows these things.

That is why the wellness insurance manufacture merchandise association's "minority strategy" is thence disgusting--and disingenuous.

It's 1 affair to play hardball politics inwards defending your constituency. It's 1 affair to brand "strange bedfellows" inwards advancing your political agenda.

But, this is only nigh every bit depression every bit it gets.

Maybe the NAACP as well as the LULAC ought to enquire their novel friends inwards the wellness insurance manufacture merchandise association what they are going to create if it comes downwards to a pick betwixt the minority community as well as Wall Street.

Thus the article The Wellness Insurance Manufacture Employs Minority Groups To Protect Medicare Wages Payments--Could They Accept Sunk Whatever Lower?

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