Tavenner Apologizes For Federal Health Care Site Problems
Tavenner apologizes for Federal Health Care site problems The Obama administration official directly responsible for the botched rollout of the federal healt...
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Tavenner Apologizes For Federal Health Care Site Problems - Video
Griffin to Pascrell: GOP health care reform plan protects individuals with pre-existing conditions
Griffin responded to Pascrell the next day on Fox News: http://youtu.be/DK_VdSES2uY Rep. Griffin is a cosponsor of the American Health Care Reform Act (H.R. ...
By: Rep Tim Griffin
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Congress grills Medicare head on health care site problems
Medicare chief Marilyn Tavenner faced questions on Capitol Hill about the rocky rollout of HealthCare.gov and the administration #39;s proposed timeline for fixe...
By: PBS NewsHour
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Congress grills Medicare head on health care site problems - Video
White House Races to Quell Health Care Uproar
The White House is racing to rebuild confidence in a new health-care system that has so far fallen short of President Obama #39;s promises. Colleen McCain Nelson...
By: WSJDigitalNetwork
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Nancy J Burke - "Travels in Exceptionsalism? Cuban health care on the island and around the world"
October 17, 2013 University of California, Irvine.
By: UCITLTC
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Obama Praises Mitt Romney in Boston: #39;He Did the Right Thing #39; On Health Care Reform
10/30/13 - Speaking before a supportive audience in Boston on Wednesday, President Barack Obama praised his former Republican presidential opponent, Mitt Rom...
By: WeNeedASavageNation
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Obama Praises Mitt Romney in Boston: 'He Did the Right Thing' On Health Care Reform - Video
CBS: Obama #39;s Keep Your Health Care Promises Are Broken
CBS: Obama #39;s Keep Your Health Care Promises Are Broken (October 31, 2013)
By: GOPICYMI
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CBS: Obama's Keep Your Health Care Promises Are Broken - Video
CRANFORD, N.J.(CBSNewYork) It was a health care shocker for college students in New Jersey who found out that they cant buy low-cost health insurance at their schools because of the Affordable Care Act.
Now, they are at the risk of being without insurance, CBS 2s Christine Sloan reported.
Alex McTaggert is majoring in Computer Science but even he is having trouble signing up for health insurance on the Federal website.
It said, info you entered is not valid so I have to call this number, McTaggart said.
For Carolina Mendonca it was easier to put together a creative Halloween costume than it was to call the number on the website.
I got no answer so I left it for another day and the other day never came and I went to the dentist yesterday and I have to pay $2,000 out-of-pocket, she said.
Many students have found themselves in health care limbo this semester. Community colleges in New Jersey used to offer cheap health insurance for hundreds of dollars a year but they had to drop the practice because Federal Law prohibits the sale of bare bones policies.
Under the Affordable Care Act it would have cost more to run the program and the cost would have been passed on to students.
More than a thousand dollars per student and that is dramatically different, said Union County Community College, Vice President of Administrative Services, Stephen Nacco said.
Students like Carlos Arias depended on the low-cost health care.
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Health Care Shocker For N.J. Students Looking For Low-Cost Insurance
POTTSVILLE - A Democratic congressman from Pennsylvania on Friday rebuked President Barack Obama's insistence that people could keep their health insurance under the federal health care law, but he did not waver from his support for the law in front of a critical, skeptical and answer-seeking town hall meeting crowd.
Rep. Matt Cartwright, a freshman, held the meeting on the law in the wake of an uproar over its website woes and insurers discontinuing plans that don't meet the law's standards. He acknowledged that Obama should not have said that the law would allow everybody to keep their health insurance plan, if they wanted to keep it.
"He shouldn't have said that," Cartwright said, as some of the approximately 100 attendees seated in the Sovereign Majestic Theater salted in their own criticism.
"It's a lie," called out several people, including Lola Smith, who was notified in recent weeks that her health care plan - with its approximately $240 premium for basic health care, but no dental or prescription coverage - will disappear.
Cartwright started again, "What he should have said " before attendee Smith, 63, interrupted him.
"It doesn't matter what he should have said," she finished.
Still, Cartwright, who represents northeastern Pennsylvania's biggest cities and some of its fading anthracite coal towns, including Pottsville, insisted some elements of the 2010 law are already up and working.
In response to a question about what he tells people whose health insurance policies are being canceled, Cartwright stressed that plans that are being discontinued are not necessarily comprehensive.
"You get what you pay for and there are policies out there that are illusory," Cartwright said. "You think you have health insurance, but you don't really have health insurance."
He also sought to defend the law in broad terms, warning that the cost of covering the uninsured was sinking community hospitals in his district.
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A new report finds that health-care insurance premiums for small businesses are up in 2013.
Two-thirds of small businesses report paying more for insurance premiums per employee this year than they did in 2012, according to a new study from the National Federation of Independent Business released Thursday.
The pro-business nonprofit group found in a survey of almost 1,000 small businesses that owners pay an average of $6,721 a month, or $80,652 a year, to provide health care insurance to their employees.
The report found that most employers are trying to shield workers from the cost increases.
Two-thirds of employees pay the same price for deductibles as they did last year, but 28 percent pay more, and only four percent pay less.
Owners are also covering higher insurance premiums, with 66 percent of small businesses cutting into profits to pay for cost increases, while 40 percent delayed, postponed or eliminated business investment to make room for health insurance. Nearly half of employers also sought to increase productivity to pay for the costs.
The authors of the study say the Obama administration's flawed rollout of the Affordable Care Act is part of the problem.
"The law's authors were primarily focused on increasing insurance coverage and expanding benefits -- they gave little or no consideration to concerns about cost or who would foot the bill," said William J. Dennis, the author of the study and a senior fellow at the NFIB Research Foundation.
"Ironically, had they instead made reducing costs a priority, this would have been a natural incentive for increasing coverage. Unfortunately though, this single-minded approach resulted in a law with a rising price tag, and Obamacare's authors failed to consider that someone has to pay for all the bells and whistles included in the law. That 'someone' it turns out is often the small-business community -- small employers, their employees and their families."
The NFIB surveyed 921 small business owners from around the country for the Small Business's Introduction to the Affordable Care Act study. The group will be surveyed once a year for three years to track the impact of the Affordable Care Act on their finances.
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President Barack Obama defended his health care law, saying the flawed online insurance exchange will get fixed and accusing critics of "grossly misleading" the public about how the program works.
Speaking at a rally in Boston Wednesday, Obama said the experience of Massachusetts with the start of its health care system in 2006 shows that the federal version, passed in 2010, will succeed. He addressed two criticisms from Republicans: that while he promised that people who liked their insurance could keep it, not all can, and that some people's insurance will get more expensive.
"A fraction" of higher income Americans will pay more for insurance plans that are better than they had, Obama said. Those people being thrown off plans that don't meet the law's standards will be getting better insurance, he said.
"If you leave that stuff out, you're being grossly misleading, to say the least," Obama said at historic Faneuil Hall. "It's no surprise that some of the same folks trying to scare people now are the same folks who've been trying to sink the Affordable Care Act from the beginning."
Obama spoke hours after his Health and Human Services secretary, Kathleen Sebelius, apologized at a House hearing in Washington for the "debacle" of the failed opening of the online insurance exchange that is a central part of the Patient Protection and Affordable Care Act.
Romney's law
The hall where he delivered his remarks is where then-Gov. Mitt Romney, a Republican who challenged Obama in the 2012 presidential campaign, signed the Massachusetts health care overhaul into law. Obama said Romney was joined that day by members of both parties, including now-deceased Sen. Edward Kennedy, a Massachusetts Democrat who championed universal health care.
Obama said a major part of the state law's success was from the bipartisan support it received. They "joined forces to connect the progressive vision of health care for all with some ideas about markets and competition that had long been championed by conservatives," Obama said. "It worked."
The flawed debut of the federal exchange, where uninsured Americans can shop for coverage, and the prospect of millions of people being thrown off existing plans have tarnished Obama's signature first-term legislative achievement and threaten to overwhelm his second-term agenda.
Obama's polling
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WASHINGTON -- Defending President Barack Obama's much-maligned health care overhaul in Congress, his top health official was confronted Wednesday with a government memo raising new security concerns about the trouble-prone website that consumers are using to enroll.
The document, obtained by The Associated Press, shows that administration officials at the Centers for Medicare and Medicaid Services were concerned that a lack of testing posed a potentially "high" security risk for the HealthCare.gov website serving 36 states. It was granted a temporary security certificate so it could operate.
Security issues are a new concern for the troubled HealthCare.gov website. If they cannot be resolved, they could prove to be more serious than the long list of technical problems the administration is trying to address.
"You accepted a risk on behalf of every user...that put their personal financial information at risk," Rep. Mike Rogers, R-Mich., told Health and Human Services Secretary Kathleen Sebelius during questioning before the House Energy and Commerce Committee. "Amazon would never do this. ProFlowers would never do this. Kayak would never do this. This is completely an unacceptable level of security."
Sebelius countered that the system is secure, even though the site has a temporary certificate, known in government parlance as an "authority to operate." Sebelius said a permanent certificate will only be issued once all security issues are addressed.
Added spokeswoman Joanne Peters: "When consumers fill out their online...applications, they can trust that the information they're providing is protected by stringent security standards and that the technology underlying the application process has been tested and is secure. Security testing happens on an ongoing basis using industry best practices."
A security certificate is required before any government computer system can process, store or transmit agency data. Temporary certificates are allowable, but under specific circumstances.
Earlier, the secretary said she's responsible for the "debacle" of cascading problems that overwhelmed the government website intended to make shopping for health insurance clear and simple.
"Hold me accountable for the debacle," Sebelius said during a contentious hearing. "I'm responsible."
Sebelius is promising to have the problems fixed by Nov. 30, even as Republicans opposed to Mr. Obama's health care law are calling in chorus for her resignation. She told the committee that the technical issues that led to frozen screens and error messages are being cleared up on a daily basis.
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By: Christina Bellantoni and Katelyn Polantz
Health and Human Services Secretary Kathleen Sebelius said she takes full responsibility for the deficiencies in the health care website at a hearing before the Energy and Commerce Committee on Wednesday. Photo by Chip Somodevilla/Getty Images
In politics, everyone has bad days.
Wednesday certainly wasn't the worst one President Barack Obama has seen, but his signature domestic achievement was on trial before House Republicans in charge of the Energy and Commerce Committee.
Health and Human Services Secretary Kathleen Sebelius diffused some of the fireworks early in her testimony by taking responsibility for some of the failures of HealthCare.gov in the rollout of the federal insurance exchanges this month.
"Hold me accountable for the debacle. I'm responsible," she said.
As Sebelius spoke, HealthCare.gov was down, giving television networks carrying the hearing an opportunity to do one of those unfortunate split screens.
The president was on the road to trumpet the Affordable Care Act, and defended his administration while saying it can do better.
And a new poll from NBC News/Wall Street Journal found Mr. Obama's approval rating had declined to "an all-time low."
Senior political editor Mark Murray writes that just 42 percent approve of the president's job performance, a drop of five points from last month. And the survey found 51 percent disapprove.
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The Republican Crusade For Health Care: Bulls#%t
46 votes to repeal/dismantle it. 16 votes to shut down the government to stop it. It will "kill people," it #39;s "the most dangerous legislation ever passed," i...
By: AmericansUnited
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Testing the Health Care Marketplace
Many differing viewpoints on the health care marketplace. Two Oklahomans share their experience and we put it to the test.
By: KOCO 5 News
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Improving mental health care in Sierra Leone
An international team of researchers led by the University of York is helping healthcare professionals in Sierra Leone to rebuild and improve the country #39;s m...
By: universityofyorkuk
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Originally Published: October 29, 2013 11:58 AMModified: October 29, 2013 3:16 PM
Maureen Bisognano
A national leader in improving health care called for a more expansive and holistic approach to patient care during her keynote address at Crain's 5th Annual Health Care Leadership Summit today at the San Marino Club in Troy.
Maureen Bisognano, CEO of the Institute for Healthcare Improvement, is a major proponent of health care organizations hospitals, physician groups and insurers that develop innovative programs to improve the health of populations they serve, enhance patient care experiences and also reduce per capita costs. Her book, Pursuing the Triple Aim, explores these topics.
"We need to move outside of the walls of hospitals" to coordinate care for people in their homes and other health care settings, said Bisognano, adding that engaging patients in their own care should be a key goal for the health care delivery system.
At a recent Institute of Medicine panel discussion, Bisognano said the value of patient engagement was seen as "the next biggest blockbuster drug."
Under the current health care delivery system, Bisognano said patients visit their primary care doctors for a variety of reasons to help manage high cholesterol or because their knee hurts. For patients with more serious chronic diseases, patients spend more than 5,000 hours each year taking care of themselves, and only a fraction of that time is spent talking with or visiting their providers.
"Doctors (should say) patients are the team captain and the rest of you are coaches," Bisognano said. "We need to optimize (physician) visits, but we also need to engage" doctors, nurses, pharmacists and other providers in a coordinated team approach.
"When we do that, we are really getting at the triple aim," she said.
For example, some pharmacists and health care organizations are using iPads or other wireless video devices to communicate with patients in real time. This telemedicine approach that can apply for many health care settings can help patients understand their medications, answer questions and identify potential drug interactions and other problems.
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Health care visionary calls for telemedicine, coordinated patient care during Crain's summit in Troy
67 WALL STREET, New York - October 29, 2013 - The Wall Street Transcript has just published its Health Care IT Report offering a timely review of the sector to serious investors and industry executives. This special feature contains expert industry commentary through in-depth interviews with public company CEOs, Equity Analysts and Money Managers. The full issue is available by calling (212) 952-7433 or via The Wall Street Transcript Online.
Topics covered: HIT Consolidation Activity - Electronic Health Records Implementation - Affordable Care Act - Healthcare IT Consolidation Trends
Companies include: Cerner Corp. (CERN), Allscripts-Misys Healthcare So (MDRX), Quality Systems Inc. (QSII), MedAssets, Inc. (MDAS), Tenet Healthcare Corp. (THC), Community Health Systems, Inc. (CYH), Health Management Associates I (HMA), Omnicell Inc. (OMCL) and many others.
In the following excerpt from the Health Care IT Report, a leading analyst discusses the coming consolidation and new developments in the sector for investors:
TWST: Could you define the health care IT space for us in your mind?
Mr. Carpio: I define it as any company that uses technology in the health care arena in order to either improve costs, improve outcomes, or improve the efficiency of health care delivery or outcomes. There are the pure-play companies that solely do electronic medical records and billing management, but there are also other health care companies that are in the space. For example, the HMOs have health care IT assets in the space that I also track. The hospitals have health care IT assets internally that they use in the space. And then there are other, more edgy companies that offer analytics data on the Web, as well as those who offer mobile apps and other products and services that are more geared toward the consumer.
TWST: How would you characterize the industry over the last 12 months or so?
Mr. Carpio: The industry was very active in the last 12 months, and I think we're in a sustainable period of activity going forward. We're seeing some big changes in the space. We're seeing a very big replacement cycle coming along. A lot of the health care providers have realized that the software they use to meet prior government regulations, such as the HITECH stage 1 regs, are inadequate for stages 2 and 3, and also inadequate for meeting ICD-10 and other future requirements. So there is going to be significant replacement cycle. On the physician side, from a third to half of the installed base could be looking for a new system, and on the hospital side, we're looking at a third or even more hospitals looking for replacement systems.
The second major trend is consolidation within the space. We're going to see a lot of the vendors who can't meet the capital expenditure requirements for creating bigger and better systems falling away. On the physician side, we've got 300-plus vendors right now. I could envision that easily going down to 50 to 100 vendors, and ultimately 50 vendors of critical mass, over a 12- to 18-month period. So you've got a land-grab opportunity coming for the surviving vendors.
The third big trend is a growing focus on data analytics, population health and the use of mobile apps going forward...
Original post:
67 WALL STREET, New York - October 29, 2013 - The Wall Street Transcript has just published its Health Care IT Report offering a timely review of the sector to serious investors and industry executives. This special feature contains expert industry commentary through in-depth interviews with public company CEOs, Equity Analysts and Money Managers. The full issue is available by calling (212) 952-7433 or via The Wall Street Transcript Online.
Topics covered: HIT Consolidation Activity - Electronic Health Records Implementation - Affordable Care Act - Healthcare IT Consolidation Trends
Companies include: Cerner Corp. (CERN), Allscripts-Misys Healthcare So (MDRX), Quality Systems Inc. (QSII), MedAssets, Inc. (MDAS), Tenet Healthcare Corp. (THC), Community Health Systems, Inc. (CYH), Health Management Associates I (HMA), Omnicell Inc. (OMCL) and many others.
In the following excerpt from the Health Care IT Report, a leading analyst discusses the coming consolidation and new developments in the sector for investors:
TWST: Could you define the health care IT space for us in your mind?
Mr. Carpio: I define it as any company that uses technology in the health care arena in order to either improve costs, improve outcomes, or improve the efficiency of health care delivery or outcomes. There are the pure-play companies that solely do electronic medical records and billing management, but there are also other health care companies that are in the space. For example, the HMOs have health care IT assets in the space that I also track. The hospitals have health care IT assets internally that they use in the space. And then there are other, more edgy companies that offer analytics data on the Web, as well as those who offer mobile apps and other products and services that are more geared toward the consumer.
TWST: How would you characterize the industry over the last 12 months or so?
Mr. Carpio: The industry was very active in the last 12 months, and I think we're in a sustainable period of activity going forward. We're seeing some big changes in the space. We're seeing a very big replacement cycle coming along. A lot of the health care providers have realized that the software they use to meet prior government regulations, such as the HITECH stage 1 regs, are inadequate for stages 2 and 3, and also inadequate for meeting ICD-10 and other future requirements. So there is going to be significant replacement cycle. On the physician side, from a third to half of the installed base could be looking for a new system, and on the hospital side, we're looking at a third or even more hospitals looking for replacement systems.
The second major trend is consolidation within the space. We're going to see a lot of the vendors who can't meet the capital expenditure requirements for creating bigger and better systems falling away. On the physician side, we've got 300-plus vendors right now. I could envision that easily going down to 50 to 100 vendors, and ultimately 50 vendors of critical mass, over a 12- to 18-month period. So you've got a land-grab opportunity coming for the surviving vendors.
The third big trend is a growing focus on data analytics, population health and the use of mobile apps going forward...
See the article here:
The health-care political fight has become a Four Years War, and that hasnt been good for either side Sebelius on the hot seat as she testifies before House Energy and Commerce Committee beginning at 9:00 am ET Obama speaks in Boston at 3:55 pm ET to make two health-care arguments: 1) implementation got off to a slow start there, too; and 2) the experience shows that reform can work Misleading rhetoric on health care all around New national NBC/WSJ poll comes at 6:30 pm ET National Review vs. Erick Erickson and how it illustrates the divide inside the GOP And new Quinnipiac poll shows McAuliffe up by just four points, 45%-41%.
By Chuck Todd, Mark Murray, Domenico Montanaro, and Jessica Taylor, NBC News
*** The Four Years War: Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill today about the health-care websites rocky rollout, while President Obama heads to Massachusetts to remind the public that implementing health-reform there didnt go smoothly at first, either. Given these two events -- as well as the partisan back-and-forth over the law -- its worth emphasizing that this health-care war has now lasted four-plus years. There was the drafting of the law during 2009-2010. The 2010 midterms. The 2012 Supreme Court fight. The 2012 presidential race. Now the implementation battle of 2013. And its worth noting that this Four Years War hasnt been good for either side. For the White House and Democrats, it has distracted from other second-term priorities theyd rather talk about (like the economy or immigration reform). Does anyone think Obama would be in Boston today if implementation was going swimmingly? Whats more, the rocky rollout has only helped to reinforce the idea that government isnt very efficient and can sometimes be incompetent. For Republicans, the current story has been a blessing (masking the partys ideological struggles), and they would like nothing more than for the 2014 midterms to be about health care. But what they are doing is litigating the past rather than telling Americans where they would like to take the country. Remember, the GOPs low poll numbers were coming out well before the government shutdown. The party is simply being defined by what it is NOT for; it is very hard to explain to the average American what the Republican Party stands for these days.
Evan Vucci / AP
Health and Human Services Secretary Kathleen Sebelius arrives in the Rose Garden of the White House in Washington, Monday, Oct. 21, 2013, for and event with President Barack Obama on the initial rollout of the health care overhaul.
*** Sebelius on the hot seat: As mentioned above, HHS Secretary Sebelius testifies before the House Energy and Commerce Committee beginning at 9:00 am ET. As NBCs Daniel Arkin notes, Sebelius will acknowledge the problems with the federal health-care website and pledge to fix them, according to her advance testimony. "The initial consumer experience of HealthCare.gov has not lived up to the expectations of the American people and is not acceptable," she is expected to say. "We are committed to fixing these problems as soon as possible." More from the secretary: "By enlisting additional technical help, aggressively monitoring errors, testing to prevent new issues from cropping up, and regularly deploying fixes to the site, we are working to ensure consumers' interaction with HealthCare.gov is a positive one, and that the Affordable Care Act fully delivers on its promise." Essentially, Sebelius will be saying much of the same thing the head of CMS said yesterday, except today the questions will be even more pointed and Sebelius answers will be even more scrutinized. This is a big credibility test for the secretary, who needs a good performance if simply to restore confidence about her abilities inside the West Wing, let alone for the public.
*** Obama: Remember Romneycare? Meanwhile, President Obama delivers remarks at 3:55 pm ET from Faneuil Hall in Boston, where the Massachusetts health-reform was signed into law in 2006. He is expected to make two arguments: 1) implementation got off to a slow start there, too (with just 123 individuals signing up for coverage in the first month of enrollment); and 2) that the experience there shows that health-care reform can work. But as NBCs Ali Weinberg notes, there was ONE BIG difference between what Massachusetts passed and what Obama signed into law: The Massachusetts law was a bipartisan effort, and both Democrats and Republicans worked to ensure it was implemented well. "I think part of the reason it went well here in Massachusetts is because we had such wide agreement that it was a good idea," said Jonathan Gruber, professor of economics at MIT and a key adviser for both the Romney and Obama health-care plans. Gruber said he still has confidence that the tide of public opinion will turn in favor of the national health law. "I believe enough in the laboratories of democracy in America that the fact that it's going to go well in some states is going to put pressure on these other states to realize they're denying their citizens the fundamental value of the Affordable Care Act," he said. That said, dont miss this Boston Globe headline greeting Obama today: Beseiged President Obama heads to Boston.
*** Misleading health-care rhetoric all around: As we wrote yesterday, President Obama put himself into a corner when he declared, If you like your health-care plan, youll be able to keep your health-care plan, period. It was a promise, as weve discovered, that was impossible to keep, particularly given the small fraction of Americans who buy their insurance on the individual market. And then there was promise the administration made regarding the website; in fact, during briefings with reporters and lawmakers, they were almost bragging about how good the website was going to be. But lets not forget all of the misleading and dishonest rhetoric in this entire health-care debate. Socialism! (when it turns out that private insurance companies are the ones providing the coverage). Death panels! (when that was never true). Obama is cutting your Medicare (when the cuts were to providers rather than beneficiaries and when House Budget Committee Chairman Paul Ryan adopted those same cuts to help balance his budget). Theres no doubt that the presidents promise deserves scrutiny -- even three or four years later but lets not pretend they occurred in a vacuum, either. Its a reminder that the health-care debate over the last four years has usually focused more on side issues than the heart of the actual law. And too many times, over-the-top things were said in order to deal with the politics of the moment rather than actually debate the law itself.
*** NBC/WSJ poll day! What are Americans impressions of the health-care rollout? What are their attitudes about Obama and Republicans two weeks after the government shutdown? Tune in beginning at 6:30 pm ET for answers from our brand-new NBC/WSJ poll.
*** National Review vs. Erick Erickson: The intense scrutiny over the health-care website and law has obscured another political story over the last few days: The ideological civil war inside the Republican Party is well underway. In addition to the Senate Conservative Fund airing a new TV ad against Mitch McConnell in Kentucky, National Review is now battling with prominent conservative blogger Erick Erickson. In National Review, editors Ramesh Ponnuru and Rich Lowry penned a long piece arguing that in order to enact change, conservatives need to win elections and thus broaden their appeal. There arent enough conservative voters to elect enough officials to enact a conservative agenda in Washington, D.C. or to sustain them in that project even if they were elected. The challenge, fundamentally, isnt a redoubling of ideological commitment, but more success at persuasion and at winning elections. That prompted a response from Erickson, who charged that National Review is choosing to sit either with the establishment or on the sidelines. Like much of the Republican Leadership, National Review wants to win majorities before unleashing hell, but history shows us repeatedly that Republicans never unleash hell once they have the majority. They become well-fed denizens of power, using it to reward friends and influence people, instead of willingly surrendering it to shrink the leviathan.
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