I am so sick of Issa and his hearings. He has a hearing on this or that and it drops into the memory hole. NOTHING ever gets accomplished. How many months since Lois Lerner took the 5th and on and on it drags.
Jeff Coyler - R Kansas Physician
plans to hire new employees and uncertainty
New development - sole practitioner, to rewrite compliance manuals, same Hippa requirements, but new documentations result is less new jobs, less care
Other company - needs to avoid mandate
ACA is a drag on the economy
Determine eligibility - Kansas strong relationship with CMS (medicare)
Technical updates - additional update before Oct 1 making it difficult
Medicaid - Kansas - real income, if not able to verify - we would lose funding.
Issue: education and outreach by federal gov. Naviagtors got contract and we just learned who those would be, but the system isn’t ready to go live today.
Issue: rates - very expensive - 2 insurers on exchange, that is less competition
you have more choices in medicaid than in exchange
I see this every day - we serve the uninsured - this is not going to solve those issues. It is not going to make it more affordable or better.
It is best left to states.