Skip to comments.Surprise! HHS pilot program to send 2 million poor seniors from Medicare into … “voucher” programs
Posted on 09/08/2012 8:43:44 PM PDT by chessplayer
I know that every campaign promise Barack Obama makes has an expiration date but this is ridiculous. The confetti is barely off the floor at the Time Warner Cable Arena in Charlotte, North Carolina after Obamas acceptance speech, and already we find out that hes flip-flopped. Remember this part of the speech, in which he attacks the Paul Ryan plan to apply free-market reform and cost controls to Medicare?
And I will I will never turn Medicare into a voucher.
"No American should ever have to spend their golden years at the mercy of insurance companies. They should retire with the care and the dignity they have earned. Yes, we will reform and strengthen Medicare for the long haul, but well do it by reducing the cost of health care, not by asking seniors to pay thousands of dollars more. And we will keep the promise of Social Security by taking the responsible steps to strengthen it, not by turning it over to Wall Street."
Expiration date the very next day:
"In his convention speech in Charlotte, President Obama vowed to block the Republican Medicare reform plan because no American should ever have to spend their golden years at the mercy of insurance companies.
"But back in Washington, his Health and Human Services Department is launching a pilot program that would shift up to 2 million of the poorest and most-vulnerable seniors out of the federal Medicare program and into private health insurance plans overseen by the states."
Obama said that at the convention knowing full well it was a lie. How long was that voucher thing in the pipeline; long before this speech I bet
But does that mean those seniors have to pay thousands of dollars and/or use vouchers? Or is it just the states run it rather than the federal government? I didn’t see anything there that said seniors have to pay a lot of money and/or they had to use vouchers.
“But back in Washington, his Health and Human Services Department is launching a pilot program that would shift up to 2 million of the poorest and most-vulnerable seniors out of the federal Medicare program and into private health insurance plans overseen by the states.”
Nope, that’s the HillaryRomney plan, to benefit the phony banking and insurance papers with no collateral, and the National Bureau Socialists. The plan all along.
The bailout pushed all along. Romney Massachusetts Extortion Care.
And so it starts, Socialist “insurance company” and “banking” fascism. Romney their tool.
It sounds like Medicaid.
The list, Ping
Let me know if you would like to be on or off the ping list
I just heard a zero add on tv.
~a promise made ... You’ve payed in to it your whole life, don’t let Romney replace those funds with a voucher~
Oh my if you cannot get their votes just kill em. My, my, this guy is trying to give the most evil men of world history a run for their dirty deeds done dirt cheap.
To Ed Morrisey-Hotair:
Please source your quotes because without them, we cannot safely use this information in columns, emails, etc.
We need numbers to define the word “poor” here.
In his convention speech in Charlotte, President Obama vowed to block the Republican Medicare reform plan because no American should ever have to spend their golden years at the mercy of insurance companies.
But back in Washington, his Health and Human Services Department is launching a pilot program that would shift up to 2 million of the poorest and most-vulnerable seniors out of the federal Medicare program and into private health insurance plans overseen by the states.
The administration has accepted applications from 18 states to participate in the program, which would give states money to purchase managed-care plans for people who are either disabled or poor enough to qualify for both Medicare and Medicaid. HHS approved the first state plan, one for Massachusetts, last month.
Obamas 2010 health reform law allows experimentation in delivering health care at lower cost through demonstration projects. Many states would like permission to shift their entire population of so-called dual-eligible beneficiaries into the new plans. HHS has indicated that it will enroll about 2 million beneficiaries, out of about 7 million who qualify for full benefits from both government health programs.
California is already counting on more than $500 million in budget savings from its own program this year. Most states are proposing to automatically enroll people. Those who dont want to participate would need to opt out. The Massachusetts plan includes that feature.
Potential cost savings are a big incentive for states. Patients who qualify for both federal health programs are a costly population and include many who need nursing-home care or other expensive services. About 40 percent of Medicaids costs go toward patients who are also eligible for Medicare. Advocates of the pilot program also say it could lead to better coordination of care for patients who often struggle to navigate the two different programs.
Still, there is powerful opposition to the pilots among doctors, hospitals, nursing homes, patient groups, and key lawmakers, including Sen. Jay Rockefeller, D-W.Va., who wrote the provision in the health law that created the office in charge of the pilot program.
I urge you to take immediate steps to halt this initiative as currently structured and to take the time necessary to develop a well-designed and thoroughly evaluated care coordination model for dual eligibles that meets the standards outlined in the law, Rockefeller wrote in a letter to HHS.
The Medicare Payment Advisory Commission, a group of experts who advise Congress on Medicare policy, has also weighed in with an 11-page letter to HHS, warning that the speed and scope of the program raised questions about whether patients would receive the care they need.
Scott Gottlieb, a former health official in President George W. Bushs administration, called the program immoral.
Why are we taking the duals, who are entitled to Medicare benefits, and moving them into Medicaid? asked Gottlieb, now a scholar at the American Enterprise Institute.
Well thank goodness you posted this to cut down on the conclusion jumping. Jay Rockefeller needs to be pist and chagrined and humiliated as does Obama, of course!!!
Remember this part of the speech, in which he attacks the Paul Ryan plan to apply free-market reform and cost controls to Medicare? "And I will -- I will never turn Medicare into a voucher." ...Expiration date -- the very next dayIn Zero's defense, he stated "I will" as well as "I will never". So he's covered either way. And no one else is...
He was against Medicare vouchers before he was for them. What a fraud!
They are so driven to make dependents of their "wards of the state" and control their lives that they have created these "dual elgibles" who are eligible for coverage of their every acute/serious medical need plus permanent, chronic illness long term nursing home/care homes and even home care/day care and then eligible for Medicare for acute care as well.
Of course this is liberal Democrat over-reach and they cannot tolerate Republicans giving any possible consideration of improvement and taking their "ownership" of this most popular program away from them. They will not share. Have you noticed how upset they were over the Republicans and Bush passing the Medicare Part D (Drugs) prescription enhancement? They were fried because it wasn't more expensive and left a gap (donut hole) in that coverage.
If Romney and Ryan can pull through on this election and implement these potentially good options without forcing anyone to leave original Medicare, It will create a fatal wound to the phony reputation Democrats unjustly enjoy of being more compassionate than Republicans. It will pave the way for far-reaching reform of entitlements far into the future and they know it and are very, very afraid!!!
Then why has he limited the ability of women to 74 for Momo’s? Death Panels. I have very painful issues with them but for those who can tolerate them they should be there. MRI’s are actually cheaper in the long run as no false readings in the process witch means needless furthering testing. They are 100 % accurate and no false positive, vs the 97% testing of Mamos with lots of false positives.
It is 7 TRILLION over 20 years via the WSJ.
Those of us on Medicare and Tricare Live will feel the effects most. They already are paying the docs and providers at a 20 cent Per $ return which is causing docs to refuse us as patients. More and more signs are going up in docs offices as “no new Medicare patients’
No, they have not “created” these dual eligibles in order to control anything. Policy affecting duals has been around since the creation of both systems. Pilots such as this, approved under the authority of section 1115 of ssa, are common in all of the states. The state submits the proposal to CMS for approval, CMS approves with an expiration date, and if the state wants to renew it must resubmit with evidence of cost effectiveness evidence. HHS cannot and does not propose and approve anything.
This is a poorly written article showing little to no understanding of the program processes for the dual eligible system and demonstration processes used by states. With a little research the author would know that similar demonstrations are approved and running in other states, some with republican leadership.
Oh for goodness sakes. I want OFF this upside down world....I don’t like it one bit!
The Lord CANNOT return quick enough!
Outcomes are overall worst in government health care programs versus either private insurance or, more shockingly, no insurance at all.
Bureaucrats aren’t good at anything. Why give them a chance to run your health?
Apparently, many who back ObamaIdiot are either in perpetual denial or simply Kool-Aid drinking idiots given ObamaIdiot became POTUS based upon lies and is now attempting to gain a second term .... based upon lies. =.=
Thank goodness that these doctors still maintain the freedom to refuse Medicare patients. If the late Ted Kennedy and other lefties had gotten their way, refusal to treat Medicare patients according to government-imposed terms by a doctor would be a federal crime and such an office would be shut down by the feds.
I've been helping seniors, both rich and poor with health insurance since before there was either Medicare or Medicaid or a President LBJ. I throw that in before you come back with your comeback.
Yes I work in CMS and have been reviewing Medicaid SPAs, waivers, demonstrations and Title 19 and 21 programs for years.
It means death panels for seniors and truly disabled.