While the future of the 2010 health care law stabilised with the re-election of President Obama, both Democrats and Republicans say now is the time for them to come together to fix it, www.usatoday.com reported on Saturday.
“They need to actually create some solutions together,” said Don Berwick, former administrator of the Centres for Medicare and Medicaid Services. “I’ve had a few conversations with people from both sides; everyone resonates with the idea that something needs to happen.”
Until Tuesday, when Obama’s future was determined, Republicans opposed to the law waited for a change in administrations that would allow them to repeal the law. That will not happen now with a Democrat in the White House for the next four years. Repeal is no longer an option, and House Speaker John Boehner, R-Ohio, called it the law of the land.
But changes are imminent. “It’s pretty clear to me that the [law] will not end up the way it is now,” said Doug Holtz-Eakin, president of the American Action Forum and former economic policy adviser to 2008 Republican presidential nominee John McCain.
The analysts do agree on one thing, even if they don’t necessarily agree on how to go about it: Cutting costs through provider payments, rather than through the health care system itself, won’t cause health care costs to stabilise.
“I think with the lack of continuity in care and excess costs to the system, the very best way to address the problem is to improve care,” Berwick said.
That’s partially built into the law with a move toward coordinated care in Medicare, as well as charging hospitals if a Medicare patient is readmitted for preventable issues. But more must come from prevention, experts say.
“We’re not going to cut entitlements by continuing to cut payment rates,” said Ken Thorpe, chair of the department of health policy and management at Emory University in Atlanta .
Instead, he said, lower costs must come from encouraging people to take better care of themselves through proven diabetes-management and weight-loss programs, as well as improved coordination of care inside medical organizations so everyone on a team knows what the other is doing for a patient.
“We need to avert disease in the first place,” Thorpe said. “All of our growth is in multiple chronic health problems. The IPAB and premium control won’t work without prevention.”
The IPAB is the Independent Payment Advisory Board. The president-appointed and congressionally approved board goes into effect when Medicare and Medicaid spending goes above a certain level. It can determine if payments to providers should be lowered, but it may not do anything to affect the care received from those programs, such as by limiting the kind of care a person receives. Congress may reverse the board’s actions by passing legislation for specific recommendations.
Holtz-Eakin said the board “will go away. Only being able to cut payment to providers is always going to backfire.”
Latest Nigeria News
- Breaking New: Two Killed As Army Arrests Killers Of Soldiers In Nembe (photos)
- Police To Use Lie Detector To Select Recruits
- Mr. Chinakwe's Dog, The Sons Of Lucifer And The Seed Of Al Shaitan By Fani-Kayode
- Abubakar Shekau Wounded In NAF?s Sambia Raid
- DEBT RAVAGED STATES: Six Governors Who Are In Serious Trouble (Photo)
- Army And NSCDC Uncover Another Illegal Oil Well In Lagos
- Fight Over Loot Exposes Fake Miracles Syndicate In Enugu
- Why Restructuring Will Never Solve Nigeria?s Problem
- Buhari Ready To Investigate Of Senators, Reps Over N200 billion
- Fulani Housemaid Kidnaps Employer?s Children In Ogun, Turns Them To Beggars In Lagos
- We Have Discovered Another N33trn Stolen Under Jonathan Says APC
- Fayosegate: EFCC Traces Another $5m To Obanikoro And Fayose
- Rio Olympics: Why Dream Team Lost To Germany 2 ? 0 By Ka?oje
- Moghalu To Avengers: IPOB And MASSOB: Embrace Dialogue Now
- Ndigbo, Why Go Back Home When Lagos Offers You More Success?
- Trader Reveals Why He Named His Dog Buhari: I Didn?t Know It Was Offensive
- I Never Received Pension And The Truth About Cars I Received From Dasuki Says Buhari
- You Won?t Believe What Police Recovered From Burglars In Lagos
- 800 Boko Haram Members Surrender Voluntarily
- Boko Haram: Group Slams Journalist Ahmed Salkida For Links With Terrorist Group
- Lagos Police Uncovers illegal Oil Wells Inside People's House, Shuts 12 Buildiings (Photos)
- NHRC Indicts Iwu, Uduaghan, Osunbor, Shagari Of Electoral Malpractice
- Electoral Fraud: Maurice Iwu, 2 Ex-Governors, 105 Others Indicted
- Jonathan Using Avengers To Destabilise Buhari Government Says MEND
- BREAKING: Appeal Court Reserves Judgment On Ikpeazu?s Sack
- Pregnant Teenage Girl Dies After Drinking Otapiapia In Lagos
- Oil Rises To $45 After OPEC President?s Prediction
- Read How Suspected Car thief Consults His Pastor For Prayers Before Operations
- Dubai properties: Buratai did no wrong ? Lawyer
- Uche Jombo Opens Up On Her Dating History
- Northern Youths Threaten Action Against Anti-Buhari Campaigners
- FG Dialogue Tears Niger Delta Avengers Apart
- Read What Happened To Married Policeman Who Cheated With Married NSCDC Lover
- Appeal Court Dismisses Faleke?s Appeal Against Yahaya Bello
- Woman Suffering From Economic Depression Found Dead In Well
- Jibrin Claims: Dogara Bribing Members With $25,000,
- Patoranking Reportedly Denied Entry Into Uganda
- Seems Shekau Is Finally Dead, He Will Forever Be In Hell Says Nigerians
- Father Mbaka Tells Buhari: I Can Not Keep Quiet, There's Poverty Everywhere
- Herdsmen Go Berserk, Run Down Communities In 2 States