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Communities: Plan Design & Financing Strategies

Galen Institute Releases Recommendations for the Super Committee

The Joint Select Committee on Deficit Reduction — the Super Committee — is operating in a cloud of silence during its bipartisan negotiations on a proposal to cut at least $1.2 trillion from federal spending over the next 10 years. Numerous members, committees, and organizations have offered advice on the best way to achieve spending reductions, and many more have weighed in with warnings on the dire consequences if their industry were to be targeted. A new paper released by the Galen Institute offers a concise list of do’s and don’ts that the committee might consider to advance good policy in changes for Medicare and Medicaid.

POLICY IDEAS WORTH CONSIDERING
  • Gradually increase the eligibility age for Medicare
  • Mind the Medigap
  • Improve care for dual-eligibles
  • Provide incentives for choosing generics in Medicaid
  • Block grant Medicaid
  • Shore up the Medicare Advantage program
  • Protect Medicare Part D
  • Reduce hospital regulations
  • Modify the Part B deductible
  • Introduce home health co-payments for new beneficiaries
  • Introduce a Part B premium surcharge for new beneficiaries who purchase Medigap
  • Apply a single blended matching rate to Medicaid and CHIP
  • Reduce the Medicaid provider tax threshold

HARMFUL IDEAS TO AVOID
  • Don’t extend prescription drug rebates to dual-eligibles
  • Don’t reduce the protection period for biologic innovators
  • Don’t extend price controls to the FEHBP
  • Don’t give even more powers to the IPAB
  • Don’t expand the (misnamed) Competitive Bidding Program to Medicaid

More Health Plans / Managed Care Articles

“Wellness Checks” for Your Health Plan Administration

We all know how important it is to stay current with preventive screenings and wellness visits to ensure our personal good health.

Self-insurance: A Surprising New Trend

The Wall Street Journal reported on May 28 that national health plans are offering small employers (as few as 10 members) self-insurance. The purpose of this new option is to help small businesses avoid new requirements under the Affordable Care Act, such as richer benefits and pricing rules.

State of Self-funding and the TPA Industry

For more than 30 years I have had the privilege of sharing candid personal insights with stakeholders about the status of the TPA industry, employee benefits marketplace, and always-swirling government environment. My reports and predictions have sometimes seemed wild, but I am amazed that they have had about a 90

HealthCare Consumerism Radio: Cecily Hall, Executive Vice President, MedEncentive

Hosts Brent Macy, Managing Director with The Institute for HealthCare Consumerism (IHC), and Ron Bachman, Chairman of the Editorial Advisory Board, speak with Cecily Hall, Executive Vice President, MedEncentive. Cecily talks about her FORUM workshop "Achieving the Triple Aim by Triangulating the Interests of Payors, Providers and Patients".

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