Fri
Oct 2 2009
04:43 am

Cantwell Amendment Passes Senate Finance Committee: Rick Ungar


continued...

When in the amendment she says "this approach takes advantage of an innovative, non -Medicaid based coverage model that has worked at the state level for more than 20 years," she's referring to this.
It's probably not everything you've dreamed of but she does have several amendments starting on page 128 here that would screw these people and do some things that have been proven to work:
#C1- Incentives for States to Offer Home and Community Based Services (HCBS) as a Long-Term Care Alternative to Nursing Homes for the Medicaid Population. (short title) "structural reforms in ... Medicaid long-term care programs that have been proven to increase nursing home diversions and access to home and community based services." hot.
#C3- "Demonstrations have achieved savings by diverting Medicaid eligible clients who qualify for institutional care to the Medicaid home and community based service (HCBS) waivers." yes, please. have some.
#C5- "States that have piloted these programs see documented savings by helping participants avoid hospitalizations and unnecessary physician visits." an ounce of prevention
#C6- ok, $11.49 billion ounces of prevention
#C9- might be a death panel but it requires no funding.
#C12- lay off the pills, Part D
shortly after 2am, it's done. Final committee vote Tuesday or Wednesday.

rikki's picture

Not. This is not a matter of

Not. This is not a matter of negotiation; it's a matter of sharing risk. States and insurers would not be bargaining over price, but over how to ration care. That is what the Senators should be deciding, but they're passing the buck to some bureaucratic panel, I presume.

This approach treats lack of insurance as a poverty issue, but those who suffer the greatest hardships in the existing system often have insurance, earn well above poverty income and simply have exceptional medical needs. How does this plan help them? Does it do anything to unlink health coverage from employment?

It looks like weak gruel from a bunch of spoiled millionaires who are thinking more about appearances than effective reform.

EricLykins's picture

Carper & Wyden sittin in a tree

How about Tom Carper? Mildly arousing or lackluster handjob?

Rikki, since there's a couple of weeks before this beast makes conference kissyface with the other committee, is there any natural resources news that won't make me feel icky? I feel like the low budget Mike Rowe of this, like I've had my arm shoulder-deep in a horse's ass. We all need better candidates.

rikki's picture

I could live with letting

I could live with letting the states choose their own approaches. I'm sure Tennessee would screw it up, but some states would get it right, then the others could just mimic their success. It would give people a reason to pay more attention to state elections instead of letting retired people do all the voting.

As far as natural resources go, there was a ceremony yesterday at the Wampler's sausage plant in Lenoir City to celebrate three USDA grants for rural solar power installations: Wampler's, Apalachee Nursery in Turtletown and Hometown Medical Clinic in Madisonville. Also, there is a solar energy showcase and home tour tomorrow morning in Krutch Park.

EricLykins's picture

look up here

EricLykins's picture

Still hot Sen. Maria

Still hot

Sen. Maria Cantwell, one of the most effective advocates for strong derivatives regulation during the Dodd-Frank debates, says, "I can't believe the first decision the administration would make to carry out Dodd-Frank would be an anti-transparency decision. The idea that the foreign-exchange markets are not at risk is preposterous -- we now know that they required multitrillion-dollar bailouts. Anytime you have a lack of transparency, there is potential for abuse."

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