California Healthline: Health Care Reform

Health Reform Law's Medical Device Tax Divides Democrats

Thu, 31 May 2012 08:00:00 GMT

Democrats are divided over a 2.3% medical device tax, which is projected to raise $2 billion annually to help fund the federal health reform law beginning in 2013. A recent House GOP leadership memo indicated that the House could vote on a bill that would repeal the tax as early as June 4. The bill has 238 co-sponsors, including 10 Democrats. Politico.

Pelosi Expects Supreme Court To Uphold Health Reform Law

Thu, 31 May 2012 08:00:00 GMT

At a Commonwealth Club event in San Francisco on Tuesday, House Minority Leader Nancy Pelosi said that she expects the U.S. Supreme Court to vote 6-3 to uphold the federal health reform law. She said she believes that the law's "constitutionally is ironclad." San Jose Mercury News.

Pre-Existing Condition Reform Passes

Thu, 31 May 2012 08:00:00 GMT

When state Sen. Ed Hernandez introduced his bill SB 961 to the Senate floor yesterday, the West Covina Democrat's speech was laden with the historic nature of the legislation.

"As we all know, on March 23rd of 2010, the president of the United States of America signed into law the comprehensive health care reform bill known as the Patient Protection and Affordable Care Act," Hernandez said.

"I feel tremendous responsibility to ensure that California continues to lead the nation in implementing federal reform," he said, "and that we serve as a model for the rest of this country."

ACA Grants Enable Inland Empire Clinics To Expand

Thu, 31 May 2012 08:00:00 GMT

The Affordable Care Act is funneling approximately $9 million into the Inland Empire to improve and expand community health centers in San Bernardino and Riverside counties.

If ACA Stands, What California Stands To Gain (or Lose)

Wed, 30 May 2012 08:00:00 GMT

The Supreme Court's ruling on ObamaCare is imminent, and most analysts have focused on what happens if the law gets struck down. Here's a reminder of what comes next if the law is allowed to stand.

House GOP's Summer Strategy Involves Repeal of Health Reform Law

Tue, 29 May 2012 08:00:00 GMT

House Majority Leader Eric Cantor says House Republicans plan to keep working to dismantle the health reform law as part of their summer strategy. According to Cantor, the House could vote by June 4 on two bills to repeal provisions of the overhaul. The Hill's "Healthwatch" et al.

Family-Run Health Centers To Receive About $5M From HHS

Tue, 29 May 2012 08:00:00 GMT

On Wednesday, HHS announced that it will provide about $5 million in grants under the federal health reform law to Family-to-Family Health Information Centers. The health centers are operated by the families of children with special needs and provide counseling to other families. The Hill's "Healthwatch."

Study: Most Individual Health Plans Fall Short of Reform Law Standards

Thu, 24 May 2012 08:00:00 GMT

A new Health Affairs study finds that more than half of all currently available individual health insurance policies do not meet the coverage standards established by the health reform law. However, most job-based health plans meet the federal standards. New York Times et al.

Reform Law Expected To Restrict Undocumented Residents' Care Access

Thu, 24 May 2012 08:00:00 GMT

The federal health reform law's planned expansion of health coverage is likely to strain the U.S. health care system and hinder access to care for undocumented residents. Some communities, like Los Angeles, are testing ways to extend care to undocumented residents. Politico.

IRS Seeks To Raise Awareness About Overhaul Tax Credit

Thu, 24 May 2012 08:00:00 GMT

On Tuesday, a Treasury Department official said the Internal Revenue Service is taking steps to raise awareness about the federal health reform law's small business tax credit. The announcement follows the release of a Government Accountability Office report finding that the credit is not big enough to incentivize businesses to offer health benefits. The Hill's "Healthwatch."

HHS Awards $20M Contract To Promote Reform Law

Wed, 23 May 2012 08:00:00 GMT

HHS has awarded a $20 million contract to public relations firm Porter Novelli to launch a multimedia advertising campaign designed to promote the federal health reform law. The campaign, which was mandated by the overhaul, aims to educate the public about how to stay healthy and prevent illness. The Hill's "Healthwatch."

Experts: Reform Law's Changes Will Continue To Affect Health System

Wed, 23 May 2012 08:00:00 GMT

During a forum yesterday, a senator and an Obama administration official said that several delivery system changes stemming from the health reform law are likely to remain even if the Supreme Court strikes down the overhaul. New York Times, Government Executive.

Does Health Care's Profit Motive Hurt More Than it Helps?

Wed, 23 May 2012 08:00:00 GMT

The federal health care law has created a whole new set of financial incentives, and some less-appealing implications -- like several marketers pitching hospice care as a "cost-cutter" for hospitals -- are now coming to light.

Poll Finds Most Voters See Health Care Costs as Important Concern

Tue, 22 May 2012 08:00:00 GMT

A poll finds that 84% of U.S. voters say the cost of health care is an extremely or very important concern. When asked about which presidential candidate would be better able to control health care costs, 51% chose President Obama and 44% chose Mitt Romney. Politico et al.

GAO Report: Overhaul's Tax Credit Not Appealing to Small Businesses

Tue, 22 May 2012 08:00:00 GMT

A new Government Accountability Office report finds that the health reform law's small business tax credit is not large enough to incentivize employers to offer health benefits. According to the report, the credit was claimed by 170,300 employers in 2010, far short of estimates. The Hill's "Healthwatch" et al.

Study: Reform Law Would Have Added 100,000 State Jobs in 2010

Mon, 21 May 2012 08:00:00 GMT

A new Bay Area Council Economic Institute report finds that the federal health reform law would have contributed $4.4 billion to California's economy and generated nearly 100,000 jobs in the state if it were fully implemented in 2010. KPCC's "KPCC News," BACEI release.

Calif. Lawmakers Push Reform Bills as State Awaits SCOTUS Decision

Mon, 21 May 2012 08:00:00 GMT

California lawmakers are trying to advance several bills that would implement health reform even if the U.S. Supreme Court decides to strike down the overhaul. One proposed measure would establish a state-run Basic Health Plan for low-income residents. Sacramento Business Journal.

Basic Health Program: Good or Bad Idea for California?

Mon, 21 May 2012 08:00:00 GMT

The California Legislature is considering a proposal to create a Basic Health Program in California that would provide low-cost public health insurance for as many as one million Californians who otherwise might not qualify for subsidized coverage. We asked stakeholders and experts what California should do.

Opinion: Medicaid Expansion a Costly Part of Health Reform

Fri, 18 May 2012 08:00:00 GMT

In a Payers & Providers opinion piece, Texas physician Chris Rangel argues that a provision in the federal health reform law that will expand Medicaid coverage to individuals below 133% of the federal poverty level "is more likely to raise health care costs over the next decade" than the law's individual insurance mandate. He writes, "Contrary to popular belief, the uninsured do not flood emergency rooms because they can't get care elsewhere." He notes, "They are their own best managed care system by avoiding expensive health care except for serious conditions," which they may no longer be compelled to do after the Medicaid expansion. Payers & Providers.

Boehner: House GOP Is Committed to Repeal of Health Reform Law

Fri, 18 May 2012 08:00:00 GMT

Yesterday, House Speaker John Boehner said House Republicans are committed to repealing the entire federal health reform law if the U.S. Supreme Court upholds all or part of the overhaul. According to Boehner, a full repeal of the law would boost the troubled economy. Politico et al.

HHS Issues Guidance, Releases New Details on Health Plan Exchanges

Thu, 17 May 2012 08:00:00 GMT

Yesterday, HHS said states have until Nov. 16 to submit plans for operating health insurance exchanges under the federal health reform law. HHS also released guidance on how it will facilitate exchanges for states that opt not to administer their own marketplaces. Reuters et al.

Insurers To Lose $1T if Reform Law Is Struck Down, Report Finds

Wed, 16 May 2012 08:00:00 GMT

If the U.S. Supreme Court overturns the federal health reform law, health insurers stand to lose nearly $1 trillion in new revenue and nearly $174 billion in profits between 2013 and 2020, according to a recent report by Bloomberg Government. The Hill's "Healthwatch" et al.

Four Myths About ObamaCare That Just Won't Die

Wed, 16 May 2012 08:00:00 GMT

Has any piece of major legislation ever engendered as much misinformation? More than two years after the Affordable Care Act passed, both critics and supporters are still telling tall tales -- and coming up with new ones, too.

Obama, Romney Attempt To Distinguish Rival Medicare Reform Plans

Tue, 15 May 2012 08:00:00 GMT

In recent months, President Obama and Republican presidential candidate Mitt Romney have tried to differentiate their plans to reform Medicare. The two also have accused each other of supporting plans that would effectively dismantle the program. New York Times.

School-Based Clinics To Get $75M for Building Projects

Mon, 14 May 2012 08:00:00 GMT

On Wednesday, HHS announced that it will provide $75 million in new grants for building and renovation projects for school-based health clinics. The funds are part of $200 million in grants allocated for the clinics under the federal health reform law. The Hill's "Healthwatch."

Many GOP Lawmakers Not Moving Forward on Health Plan Exchanges

Mon, 14 May 2012 08:00:00 GMT

Several Republican governors and state lawmakers are not taking steps to implement health insurance exchanges required by the health reform law. Some lawmakers say they are awaiting the Supreme Court's decision on the overhaul before moving forward. Washington Post et al.

HHS Releases Final Rule on Health Reform Law's Premium Rebate Checks

Mon, 14 May 2012 08:00:00 GMT

A new final rule requires health insurers to inform consumers that their premium rebates are a result of the federal health reform law. The requirement is seen as part of an attempt by the Obama administration to boost the law's popularity. Wall Street Journal, Time's "The Page."

GOP Might Avoid Large-Scale Reform Law Replacement

Fri, 11 May 2012 08:00:00 GMT

Some House and Senate Republicans are suggesting that party leaders refrain from proposing a comprehensive health reform plan to replace the federal health reform law if the U.S. Supreme Court strikes down the law. The GOP lawmakers argue that voters might oppose another effort to push a large-scale overhaul plan quickly through Congress. Instead, some Republican lawmakers want the party to take a piecemeal approach that focuses on individual health care policies. The Hill's "Healthwatch."

Study: Millions of Small Businesses Not Claiming Reform Law Tax Credits

Thu, 10 May 2012 08:00:00 GMT

A study by Families USA and the Small Business Majority finds that millions of small businesses have not taken advantage of a tax credit under the federal health reform law designed to help them provide health coverage to their employees. The Hill's "Healthwatch," CQ HealthBeat.

State Loses Bid To Cut FQHC Rates, Restructure Pay System

Thu, 10 May 2012 08:00:00 GMT

Two budget subcommittees recently rejected an attempt by the state Department of Health Care Services to rework the way it pays federally qualified health centers and rural health clinics. The proposal included a funding cut of 10%, or about $100 million, to those centers.

Proposed Rule Would Boost Medicaid Pay for Primary Care Physicians

Thu, 10 May 2012 08:00:00 GMT

Yesterday, HHS released a proposed rule that would increase Medicaid reimbursements for primary care physicians over two years. Under the proposal, which stems from the health reform law, the federal government would cover the entire cost of the increase. Washington Post et al.

Report Calls for Limiting Number of Plans in Exchanges

Wed, 09 May 2012 08:00:00 GMT

A report published Monday in the journal Health Affairs recommends that states follow Massachusetts' example and limit the number of health plans consumers can choose from in state health insurance exchanges required under the federal health reform law. Authors of the report say that consumers prefer choosing from a few carefully vetted and clearly explained health plan options. The Hill's "Healthwatch."

If Individual Mandate Is Overturned, States Still Have Lots of Options

Wed, 09 May 2012 08:00:00 GMT

As they await a ruling from the Supreme Court on the Affordable Care Act, state officials are weighing their options if the individual mandate is struck down. And there are a number of choices to consider.

Ore. Health Reform Plan Nabs Tentative $1.9B Federal Boost

Mon, 07 May 2012 08:00:00 GMT

The Obama administration has tentatively agreed to contribute $1.9 billion to Oregon's health care overhaul, signaling a federal endorsement of the state's plan to focus on preventive care by establishing "coordinated care organizations." Using a patient-centered medical home model and a global Medicaid budget, each CCO will be charged with caring for Medicaid beneficiaries in a given area and determining the best way to provide comprehensive health care. AP/San Francisco Chronicle et al.

Massachusetts Bill Aims To Help Control Rise in Health Care Spending

Mon, 07 May 2012 08:00:00 GMT

Last week, Massachusetts lawmakers introduced state legislation that aims to control rising health care costs. The bill would establish a growth rate for health care spending and create a quasi-governmental entity to enforce the rate. Boston Globe's "White Coat Notes" et al.

Obama Administration Keeps Up Promotion of Health Care Overhaul

Fri, 04 May 2012 08:00:00 GMT

While Republicans continue to criticize the federal health reform law, the Obama administration has released a steady stream of information touting the law's benefits. The strategy aims to help U.S. residents better understand how the law works. The Hill's "Healthwatch."

U.S. Supreme Court Public Approval Hits New Low

Thu, 03 May 2012 08:00:00 GMT

A new Pew Research Center poll has found that public approval of the U.S. Supreme Court has fallen to an all-time low of 52%. Observers say the results could affect Republicans' and Democrats' strategies for addressing the court's ruling this summer on the constitutionality of the health reform law. The Hill's "Healthwatch," Reuters/Hartford Courant.

Medicare Expected To Face Payment Issues if Reform Struck Down

Thu, 03 May 2012 08:00:00 GMT

According to the Obama administration, Medicare could face payment disruptions if the Supreme Court strikes down the health reform law. Former CMS administrators Don Berwick and Tom Scully disagree on how the ruling would affect payments. AP/San Francisco Chronicle.

Health Law Reduced Medicare Beneficiaries' Rx Spending

Wed, 02 May 2012 08:00:00 GMT

On Monday, CMS released new data showing that Medicare beneficiaries in the first quarter of 2012 spent an average of $837 less on prescription drugs because of the federal health reform law. According to the data, beneficiaries have spent $3.4 billion less on prescription drugs since the overhaul was enacted in March 2010. The Hill's "Healthwatch," Washington Times.

Not-for-Profit Hospitals Draw Scrutiny Over Charity Care

Wed, 02 May 2012 08:00:00 GMT

New rules implemented under the federal health reform law seek to clarify how not-for-profit hospitals must report charity care and provide health care services to low-income patients. However, the rules are not being actively enforced, allowing some not-for-profit hospitals to seek payment from patients who struggle to pay hospital bills. NPR's "Shots."

GOP Report: Employers Would Save Money by Dropping Coverage

Wed, 02 May 2012 08:00:00 GMT

A report by House Republicans contends that the largest U.S. companies could save billions of dollars by dropping coverage and shifting workers into the federal health reform law's insurance exchanges. Democrats called the report's predictions "cynical." The Hill's "Healthwatch" et al.

Health Facilities Get Improvement Boost

Wed, 02 May 2012 08:00:00 GMT

The federal government yesterday issued $722 million in renovation and construction grants to community health centers, including $122 million in grants to California facilities.

Dean Germano, CEO of Shasta Community Health Center in Redding, said his center's $5 million capital grant announced yesterday will pay for about half of a planned $10 million building addition.

"The plans are completed, and we were waiting on a decision from HHS to see if we could do this," Germano said.

'The Passage of Power' and the Passage of Medicare

Wed, 02 May 2012 08:00:00 GMT

A long-awaited biography of Lyndon Johnson goes inside White House strategy in the early 1960s. Does the battle to pass Medicare hold any lessons for today?

Republicans Divided on Replacement Legislation for Health Reform Law

Tue, 01 May 2012 08:00:00 GMT

Republicans have differing views on legislation to replace the federal health reform law, which could make it difficult for the party to unite behind a single plan if the law is overturned. So far, House Republicans have proposed four health reform law replacement plans. Politico et al.

Mass. Lawmakers Poised To Launch Health Care Payment Reform Efforts

Tue, 01 May 2012 08:00:00 GMT

Massachusetts lawmakers soon are expected to consider legislation that would overhaul the way health care providers are paid. For example, a legislative committee is advancing a bill that would move all state health care providers to a value-based payment model. Washington Post.

House OKs Student Loan Bill That Would Cut Preventive Health Funds

Mon, 30 Apr 2012 08:00:00 GMT

Last week, the House approved a student loan bill that would cut funding from the health reform law's Prevention and Public Health Fund. The measure is expected to be defeated in the Senate, and White House officials said President Obama would veto the bill. Reuters et al.

How Should California Respond if Part or All of ACA Is Struck Down?

Mon, 30 Apr 2012 08:00:00 GMT

California, which has embraced and prepared for reform more aggressively than most states, might have the most to lose if the rules change. We asked policymakers and stakeholders how California should respond if the U.S. Supreme Court strikes down part or all of the Affordable Care Act.

Mixed Reviews at Basic Health Program Briefing

Mon, 30 Apr 2012 08:00:00 GMT

The state Legislature is considering a bill to create a Basic Health Program in California. If adopted, SB 703 by Ed Hernandez (D-West Covina) would create low-cost health care insurance for as many as one million low-income Californians.

One of the options offered states in the Affordable Care Act, the Basic Health Program shares some goals with the Health Benefit Exchange, though the cost of insurance is expected to be significantly lower under the BHP.

That prospect would seem to be a slam-dunk proposition for patient advocates, but it's not as simple as that.

California Community Clinics Integrate Mental Health, Clinical Care

Mon, 30 Apr 2012 08:00:00 GMT

Many California community clinics are using federal health reform law funding to transition to the medical home model of care. However, efforts to expand access to comprehensive care largely depend on the Supreme Court's decision on the constitutionality of the overhaul. HealthyCal.

Poll: Most Hospital Execs Say Overhaul Will Hurt Revenue

Fri, 27 Apr 2012 08:00:00 GMT

Fifty-five percent of hospitals and health systems expect the federal health reform law to cause revenue to decline, while just 12% anticipate an increase in revenue, according to a poll by health care benefits management firm HighRoads and management consulting firm Sullivan, Cotter and Associates. According to the poll, 28% of hospitals and health systems were unsure of how the law would affect their revenue. The Hill's "Healthwatch."

KFF: Insurers To Issue $1.3B in Medical-Loss Ratio Rebates This Year

Fri, 27 Apr 2012 08:00:00 GMT

As a result of the federal health reform law's medical-loss ratio rule, at least 436 health plans covering 15.8 million U.S. residents are expected to issue about $1.3 billion in rebates this year, according to a Kaiser Family Foundation report. The Hill's "Healthwatch" et al.

Employers Say Reform Law Will Increase Health Costs, GOP Report Finds

Fri, 27 Apr 2012 08:00:00 GMT

A report by Republicans on a House committee finds that certain companies on President Obama's jobs council expect the federal health reform law to increase their health care costs, which could lead them to drop health coverage for employees. Wall Street Journal et al.

Award of IT Contract for Calif. Insurance Exchange Delayed

Thu, 26 Apr 2012 08:00:00 GMT

On Wednesday, David Panush -- government relations director for the California Health Benefit Exchange -- said that the awarding of a $27 million IT contract for the exchange has been delayed. The contract winner will be tasked with building an IT system to handle insurance eligibility, enrollment and retention for millions of residents who gain insurance through the exchange. Timing for the delayed announcement, which was originally expected Tuesday, is unknown. Sacramento Bee.

Advocates Hope ACA Will Knit Children's Patchwork

Wed, 25 Apr 2012 08:00:00 GMT

Hoping the Affordable Care Act will knit together a patchwork of protections, advocates for children's health coverage await the Supreme Court's ruling with an uncomfortable mixture of worry and optimism.

Poll: Opinions on Reform Law Remain Unchanged, Knowledge Increases

Tue, 24 Apr 2012 08:00:00 GMT

A new Kaiser Family Foundation poll finds that public opinion on the federal health law remains unchanged from last month. However, more residents are aware of the law's individual insurance mandate, according to the poll. Wall Street Journal's "Health Blog" et al.

Many U.S. Adults Faced Gaps in Coverage Last Year, Survey Finds

Thu, 19 Apr 2012 08:00:00 GMT

A Commonwealth Fund survey finds that more than 25% of U.S. residents ages 19 to 64 had gaps in insurance coverage at some point last year, and nearly 70% of those residents had been uninsured for one year or longer. Los Angeles Times et al.

Columnist Criticizes Reform Law for 'Crazy Spending'

Thu, 19 Apr 2012 08:00:00 GMT

Syndicated columnist Jay Ambrose argues that the federal health reform law's contraception coverage provision "sums up part of what [the law] is about: interventions helping some by the most autocratic, complicated, ineffective means possible while hurting many others." He writes, "But Obamacare is also about crazy spending," adding, "Are there lifeboats for this fiscal Titanic of ours? We could go under." Orange County Register.

A Second Opinion on Medicare 'Double Counting'

Wed, 18 Apr 2012 08:00:00 GMT

Myth or fact: There's no such thing as an honest Medicare budget. Why the latest blow-up over health care accounting is symptomatic of a larger problem.

Sebelius: No Backup Plan for Federal Health Reform Law

Mon, 16 Apr 2012 08:00:00 GMT

Following a speech at the National Action Network's annual meeting last week, HHS Secretary Kathleen Sebelius said that the agency does not have a contingency plan if the federal health reform law is struck down by the U.S. Supreme Court. She said federal officials are not discussing a backup plan, noting that she is "confident that [the overhaul] is constitutional." Reuters, Politico.

Lawmakers To Hold Slew of Hearings on Expiring Health Care Policies

Mon, 16 Apr 2012 08:00:00 GMT

Today, Congress returned from recess to a series of hearings aimed at addressing expiring health care policies. Lawmakers will examine an update to prescription drug and medical device user fees, medical malpractice legislation and other issues. The Hill's "Healthwatch."

Experts See Challenges in New Medicare Payment System for Physicians

Mon, 16 Apr 2012 08:00:00 GMT

The Physician Value-Based Payment Modifier program, set to begin in 2015, will give higher payments to Medicare physicians who provide high-quality care at a lower cost. Experts say it will be difficult to accurately assess doctors' quality of care. Kaiser Health News/Washington Post.

Obama Campaign Marks Sixth Anniversary of Mass. Health Care Law

Fri, 13 Apr 2012 08:00:00 GMT

Obama's re-election campaign has released a Web video marking the sixth anniversary of Massachusetts' health reform law, which GOP presidential candidate Mitt Romney signed as governor. The video aims to counter Romney's criticism of the federal health reform law. The Hill's "Healthwatch" et al.

Misunderstanding Could Sway Ruling on Health Reform Law

Thu, 12 Apr 2012 08:00:00 GMT

Some insurance experts say that a potential misunderstanding about the federal health reform law's individual mandate during last month's Supreme Court oral arguments could affect the justices' ruling on the overhaul. During oral arguments, some justices and lawyers appeared to believe that the law would not allow U.S. residents to purchase low-cost insurance plans and still comply with the individual mandate. However, insurance experts note that the law permits individuals to purchase so-called "bronze" plans -- which would be similar to catastrophic coverage policies -- to comply with the individual mandate. AP/U-T San Diego.

Lawmakers Ask IRS To Explain Plans for Using Reform Law Funding

Thu, 12 Apr 2012 08:00:00 GMT

Two House Republicans have sent a letter asking the Internal Revenue Service to explain how it plans to use the $500 million it is receiving for the implementation of the health reform law. The lawmakers asked IRS to respond by April 27. The Hill's "Healthwatch," Washington Times.

Opinion: Congress Must Stop Rollout of Health Reform Law

Wed, 11 Apr 2012 08:00:00 GMT

In response to a recent article in The Hill that said the Obama administration is "quietly diverting" $500 million to the IRS to implement some of the federal health reform law's provisions, Mike Brownfield -- assistant director of strategic communications for The Heritage Foundation and editor of its policy blog, The Foundry -- in an Orange County Register opinion piece writes, "So as the Supreme Court decides Obamacare's constitutionality, the Obama administration is moving full-speed ahead to implement the law" adding, "There's only one that can be done to stop it: Congress can and should repeal Obamacare today." Orange County Register.

CMS Announces First 27 Participants in Medicare Shared Savings Program

Wed, 11 Apr 2012 08:00:00 GMT

Yesterday, CMS announced the first participants in Medicare's Shared Savings Program, which provides incentives for health care providers to form accountable care organizations. Two of the first 27 participants in the ACO program are based in California. Modern Healthcare et al.

Essential Health Benefit Bill Clears Committee

Wed, 11 Apr 2012 08:00:00 GMT

Bill Monning, chair of the Assembly Committee on Health, knew the moment was a big one.

"We are serving as policymakers in extraordinary times," Monning (D-Carmel) said yesterday at the health committee hearing. "For up to 5 million Californians, we have the opportunity before us to set essential health benefits."

Monning introduced AB 1453, which laid out a plan for what essential benefits will be covered in California under the Affordable Care Act. The proposed set of benefits is modeled on the Kaiser small group HMO plan.

Health Reform To Add Billions to Deficit Over 10 Years, Report Says

Tue, 10 Apr 2012 08:00:00 GMT

A report released today by the GOP trustee for Medicare and Social Security estimates that the health reform law will add more than $340 billion to the federal deficit over the next 10 years. The Obama administration criticized the report's calculation methods. Reuters et al.

Health IT: The Common Ground in Health Care Reform?

Tue, 10 Apr 2012 08:00:00 GMT

Arguments inside and outside the Supreme Court building last month reaffirmed the nation's sharp divide over the federal health reform law. But one aspect of the law is likely to continue drawing support from both sides of the aisle: health information technology.

Thomas Criticizes Other Justices for Questioning During Reform Law Case

Mon, 09 Apr 2012 08:00:00 GMT

Supreme Court Justice Clarence Thomas recently criticized his colleagues for asking too many questions during oral arguments on the health reform law. Thomas said that he believes such questioning impedes attorneys' ability to argue their cases. The Hill's "Blog Briefing Room" et al.

Should California Reconsider Health Care Districts?

Mon, 09 Apr 2012 08:00:00 GMT

With the Affordable Care Act poised to dramatically change the state's health care system, should California be reconsidering special health care districts that generate and consume millions of dollars every year? We asked experts to weigh in.

Opinion Piece Faults Health Reform Law for Cost Shifting

Mon, 09 Apr 2012 08:00:00 GMT

In a Los Angeles Times opinion piece, William Voegeli -- senior editor of the Claremont Review of Books, author and visiting scholar at Claremont McKenna College's Salvatori Center -- writes that "the rationale" for including the individual mandate in the federal health reform law "is to prevent 'cost shifting' -- from people who could purchase health insurance policies but don't to people who already have insurance." However, he writes, the law is "curtailed not to avert harm to others but to provide benefits for others." According to Voegeli, "Under the guise of preventing cost shifting, that is, Obamacare commits cost shifting." Los Angeles Times.

Holder Affirms Federal Courts' Powers, Defends Obama's Comments

Fri, 06 Apr 2012 08:00:00 GMT

In response to a request by a federal appeals judge, U.S. Attorney General Eric Holder formally confirmed the ability of federal courts to overturn federal law and defended recent comments by President Obama on the Supreme Court's review of the federal health reform law. New York Times et al.

State To Continue With Insurance Exchange Despite Court Case

Thu, 05 Apr 2012 08:00:00 GMT

California will work to launch a health benefit exchange regardless of the Supreme Court's decision on the federal health law, according to officials. The state already has received $40 million in federal funding for the exchange. San Francisco Chronicle.

Where Would Consumers, Insurers Land if ACA Is Struck Down?

Thu, 05 Apr 2012 08:00:00 GMT

If the Supreme Court strikes down part or all of the Affordable Care Act, what might it mean for consumers who support the changes promised in reform? And what might it mean for insurers who were promised millions of new customers?

Report: Medical-Loss Ratio Rule Would Have Led to Rebates for 2010

Thu, 05 Apr 2012 08:00:00 GMT

If the federal health reform law's medical-loss ratio rule had gone into effect in 2010, private health insurers would have paid their customers about $2 billion in rebates for that year, according to a recently released report from the Commonwealth Fund. National Journal et al.

Bay Area Could Lose Millions in Medi-Cal Expansion Ruling

Thu, 05 Apr 2012 08:00:00 GMT

Bay Area counties could lose tens of millions of dollars if the U.S. Supreme Court rules that a planned Medi-Cal expansion under the federal health reform law is unconstitutional. Forty-seven California counties by the end of January had established low-income health programs to prepare for implementing the Medicaid expansion in 2014, including Alameda, Contra Costa, San Mateo and Santa Clara counties. If the expansion is ruled unconstitutional, the counties could lose out on expected federal funding. San Jose Mercury News.

Opinion Piece Stumps for Deregulated Insurance Market

Thu, 05 Apr 2012 08:00:00 GMT

In an Orange County Register opinion piece, John Cochrane -- a professor of finance at the University of Chicago Booth School of Business and an adjunct scholar at the Cato Institute -- argues, "If we had a deregulated, competitive" health care and health insurance market, "that market would be so much cheaper than what's offered today that we would likely not even need the [individual] mandate." Orange County Register.

Obama Seeks To Clarify Remarks on High Court's Health Reform Law Case

Wed, 04 Apr 2012 08:00:00 GMT

Yesterday, President Obama attempted to clarify his previous remarks that it would be "unprecedented" for the Supreme Court to strike down the federal health reform law. Obama said he believes the justices "take their responsibilities very seriously." The Hill's "Healthwatch" et al.

'We'll Deal With it Then': The State of Play if ACA is Struck Down

Wed, 04 Apr 2012 08:00:00 GMT

Most states -- even some that have sued the government over the Affordable Care Act -- are preparing contingency plans whether the law is upheld or struck down. But not all states are equally ready to respond.

Opinion: Free-Market Reforms Won't Fix Health Care System

Tue, 03 Apr 2012 08:00:00 GMT

In a Los Angeles Times opinion piece, Beverly Hills physician Daniel Stone questions Republican presidential candidate Mitt Romney's strategy to use free-market initiatives "to improve access to care." He writes, "Despite Romney's optimism, free markets will never solve the problems." Stone argues, "If universal coverage is the goal, there is no alternative to subsidies funded by employers and taxpayers." Los Angeles Times.

President To Criticize Ryan's GOP Budget Plan as 'Social Darwinism'

Tue, 03 Apr 2012 08:00:00 GMT

According to the White House, President Obama in a speech today is expected to say that Rep. Paul Ryan's budget proposal is "nothing but thinly-veiled social Darwinism." Ryan's plan would repeal the health reform law and alter Medicare and Medicaid. Washington Post's "44" et al.

Insurers, GOP Object to MLR Rebate Notification Letters

Tue, 03 Apr 2012 08:00:00 GMT

Health insurers and Republicans have objected to the language of a letter that will go out with rebates required under the medical-loss ratio rule in the federal health reform law, as well as its intended recipients. Insurers, led by the lobbying group America's Health Insurance Plans, are upset that HHS might require insurers to send the letters to U.S. residents who are not eligible for a rebate, as well as those who do receive a refund. Meanwhile, Republicans have said that the timing of the letters -- which are expected to be sent just weeks ahead of the November election -- makes them tantamount to campaign literature for Democrats. Kaiser Health News/Sacramento Bee.

Obama Defends Health Law in Public Comments on Supreme Court Case

Tue, 03 Apr 2012 08:00:00 GMT

Yesterday, President Obama said he is confident that the Supreme Court will uphold the federal health reform law, saying that striking down the law would be an "unprecedented" step. The comments mark Obama's first public discussion of the Supreme Court case. New York Times et al.

State Officials Consider Ways To Continue Health Reform in Calif.

Mon, 02 Apr 2012 08:00:00 GMT

California officials are examining ways to continue health reform if the U.S. Supreme Court strikes down the federal overhaul. Supporters say an individual mandate is necessary to spread the risk and lower health care costs. Los Angeles Times.

Editorial: GOP Reform Plans Would Bar Preventive Care

Mon, 02 Apr 2012 08:00:00 GMT

Republicans have argued for repealing and replacing the federal health reform law, but the law "has gotten too little credit for already improving the lives of millions of Americans," according to a San Jose Mercury News editorial. The editorial states that, under Republican health reform proposals, "more Americans would be stuck with high-deductible plans that discourage them from getting preventive care." The editorial notes, "This will lead to poorer health, lost productivity and even greater reliance on costly emergency room care." San Jose Mercury News.

Democratic Lawmakers Reaffirm Support for Health Care Reform Law

Mon, 02 Apr 2012 08:00:00 GMT

During two re-election events in Vermont last week, President Obama touted the benefits of the health reform law. Vice President Biden and Congressional Democrats also defended the overhaul during Sunday morning talk show appearances. USA Today's "The Oval" et al.

Brown Administration Says Calif. Will Proceed With Health Reform

Fri, 30 Mar 2012 08:00:00 GMT

Yesterday, California Health and Human Services Agency Secretary Diana Dooley said the state will continue working to implement health reform, even if the Supreme Court strikes down the Affordable Care Act. Sacramento Bee, Capital Public Radio's "KXJZ News."

Small Businesses Unlikely To Claim Reform Law Tax Credit

Thu, 29 Mar 2012 08:00:00 GMT

Most small businesses that qualify for a tax credit under the federal health reform law are unlikely to claim it. According to several industry experts, many small employers are unaware the credit is available, while others say health benefits are too costly even with the credit. U-T San Diego.

UC-Berkeley Assesses ACO Preparedness of Safety-Net Providers

Thu, 29 Mar 2012 08:00:00 GMT

UC-Berkeley surveyed Alameda and Orange county safety-net health care providers to evaluate their readiness to participate in accountable care organizations. The survey examined readiness in multiple categories, including performance reporting. Modern Healthcare, UC-Berkeley survey.

High Court Wraps Up Hearings on Federal Health Reform Law Case

Thu, 29 Mar 2012 08:00:00 GMT

During the final day of hearings in the case challenging the health reform law, Supreme Court justices questioned both sides about the severability of the individual mandate and whether the law's Medicaid expansion is coercive. Washington Post et al.

Columnist Weighs Health Care Reform Without Mandate

Thu, 29 Mar 2012 08:00:00 GMT

According to several experts and lawmakers, if the U.S. Supreme Court decides that the individual mandate is unconstitutional ”some elements of Obamacare would presumably be able to stand, but the potency of the law would be significantly diminished," Orange County Register columnist Brian Calle writes. Orange County Register.

Experts: Medicaid Expansion Will Stand; Mandate's Fate Unclear

Thu, 29 Mar 2012 08:00:00 GMT

Legal and health policy experts were divided in their predictions about how specific challenges to the Affordable Care Act may play out in the Supreme Court, but all agreed that substantive changes to the law could have profound effects in California.

Opinion: Reform Law, Mass. Overhaul 'Radically Different'

Wed, 28 Mar 2012 08:00:00 GMT

Syndicated columnist Debra Saunders argues that President Obama's insistence that the federal health reform law was modeled after the Massachusetts health reform law that Mitt Romney signed in 2006 "tells you how unpopular Obamacare is." She adds that "the philosophies behind the federal plan and the Massachusetts plan are radically different." According to Saunders, "Romney set out to offer a plan that would address the state's" uninsured rate "without putting undue burden on state employers," while the federal reform law "is mandate heaven." Orange County Register.

Romney Reiterates Opposition to Federal Health Reform Law

Wed, 28 Mar 2012 08:00:00 GMT

During a two-day campaign stop in California, Republican presidential candidate Mitt Romney reiterated his opposition to the federal health reform law and his pledge to repeal the law if he is elected. He spoke at NuVasive, a medical device manufacturer in San Diego. Los Angeles Times.

Does Obama Deserve Blame for Mandate's Troubles?

Wed, 28 Mar 2012 08:00:00 GMT

Candidate Obama opposed health reform's individual mandate; President Obama signed the mandate into law. Why did the president shift his thinking -- and will the decision haunt his signature legislation?

Columnist Rejects Reform Law, Civil Rights Comparison

Wed, 28 Mar 2012 08:00:00 GMT

Syndicated columnist Kathleen Parker writes that President Obama's suggestion that the federal health reform law is like the Civil Rights Act of 1964 "has been perpetuated by countless talk-show hosts and their guests." She argues, "Civil rights activists who were beaten, bloodied and killed in the struggle to have a voice were nothing like the bureaucrats and politicians who insist that the [overhaul] is a comparable victory," adding, "The Civil Rights Act was a monument to freedom and human dignity. Health care reform is ... something else." Sacramento Bee.

Conservative Justices Question Reform Law's Individual Mandate

Wed, 28 Mar 2012 08:00:00 GMT

During yesterday's oral arguments in the Supreme Court case challenging the federal health reform law, conservative justices appeared skeptical of Congress' authority to mandate that all U.S. residents purchase health insurance coverage. Los Angeles Times et al.

Justices Unlikely To Defer Ruling on Federal Health Reform Law

Tue, 27 Mar 2012 08:00:00 GMT

During Monday's oral arguments in the Supreme Court case challenging the federal health reform law, justices appeared to support the idea that they can rule on the law now, rather than defer a decision until the law's penalties take effect. Los Angeles Times et al.

ACA Case Could Affect Other Laws, Opinion Piece Argues

Tue, 27 Mar 2012 08:00:00 GMT

In a Los Angeles Times opinion piece, Bloomberg columnist and former Times editorial page editor Michael Kinsley warns of the far-reaching implications if the Supreme Court declares the Affordable Care Act unconstitutional. He writes that it will not only be the "future of 'Obamacare' that will suddenly be shaky," adding, "Every piece of legislation for about the last 70 years that rested on the [U.S. Constitution's] commerce clause will suddenly be up for grabs." Los Angeles Times.