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Title: Medicare Disruptions Seen If Health Law Is Struck
Source:
Associated Press
URL Source: http://news.yahoo.com/medicare-disr ... struck-063952856--finance.html
Published: May 3, 2012
Author: Associated Press
Post Date: 2012-05-03 14:44:21 by Brian S
Keywords: None
Views: 3247
Comments: 11
WASHINGTON (AP) — Medicare's payment system, the unseen but vital network that handles 100 million monthly claims, could freeze up if President Barack Obama's health care law is summarily overturned, the administration has quietly informed the courts. Although Obama's overhaul made significant cuts to providers and improved prescription and preventive benefits, Medicare was overlooked in Supreme Court arguments that focused on the law's controversial requirement that individuals carry health insurance. Yet havoc for Medicare could have repercussions as both parties avidly court seniors in this election year and as hospitals and doctors increasingly complain the program doesn't pay enough. In papers filed with the Supreme Court, administration lawyers have warned of "extraordinary disruption" if Medicare is forced to unwind countless transactions that are based on payment changes required by more than 20 separate sections of the Affordable Care Act. Opponents say the whole law must go. The administration counters that even if it strikes down the insurance mandate, the court should preserve most of the rest of the legislation. That would leave in place its changes to Medicare as well as a major expansion of Medicaid coverage. Last year, in a lower court filing on the case, Justice Department lawyers said reversing the Medicare payment changes "would impose staggering administrative burdens" on the government and "could cause major delays and errors" in claims payment. Former program administrators disagree on the potential for major disruptions, while some private industry executives predict an avalanche of litigation unless Congress intervenes. AARP says it's concerned. If doctors became embroiled in a legal battle over payments, then "a general concern would be that physicians would cease to take on new Medicare patients, as well as potentially have issues seeing their current patients," said Ariel Gonzalez, top health care lobbyist for the organization. Medicare payment policies are set through a time-consuming process that begins with legislation passed by Congress. Even if the law were completely overturned, the government still would have authority under previous legislation to pay hospitals, doctors, insurance plans, nursing homes and other providers. "There is an independent legal basis to pay providers if the Supreme Court strikes down the entire law," said Thomas Barker, a former Health and Human Services general counsel in the George W. Bush administration. But reversing the new law's payment changes from one day to the next would be a huge legal and logistical challenge, raising many questions. How would Medicare treat payments made over the last two years, when the overhaul has been the law of the land? Would providers who have received cuts subsequently have a right to refunds? "Medicare cannot turn on a dime," said former administrator Don Berwick, Obama's first Medicare chief. "I would not be surprised if there are delays and problems with payment flow. Medicare has dealt with sudden changes in payment before, but it is not easy." It's not just reimbursement levels that would get scrambled, Berwick said. The law's new philosophy of paying hospitals and doctors for quality results, rather than for sheer volume of tests and procedures, has been incorporated in some payment policies. Tom Scully, who ran Medicare during former President George W. Bush's first term, does not foresee major problems, although he acknowledges it would be a "nightmare" for agency bureaucrats. "It is highly unlikely in the short term that any health plan or provider would suffer," said Scully. "They're probably likely to get paid more going forward. If you look at the way the law was (financed), it was a combination of higher taxes and lower (Medicare) payments. That's what you would be rolling back." The White House declined to comment. Administration officials say they are confident the entire law will be upheld by the Supreme Court, and there's no contingency planning to address whether all or parts of it are struck down. Sharp questioning by the court's conservative justices during public arguments has led many to speculate that at least some parts of the law will be struck down. Opponents of the law argue that Congress overstepped its constitutional authority by requiring most Americans to have health insurance, starting in 2014. The administration says the mandate is permissible because it serves to regulate interstate commerce, underpinning another provision of the law that requires insurance companies to accept people in poor health. A decision is expected by early summer. Former officials say it's likely that some form of high-level assessment and planning is going on within the administration. It has happened in the recent past. Last year, when the GOP-led House threatened to block funding for carrying out Obama's law, Health and Human Services Secretary Kathleen Sebelius wrote to Congress outlining potential consequences. She said the administration might have to suspend payments to Medicare Advantage plans, popular private insurance alternatives that cover about one-fourth of all beneficiaries. That would have sent millions of seniors back into traditional Medicare, scrambling to find new doctors and coping with higher out-of-pocket costs. Scully dismissed the notion that private Medicare plans would be jeopardized if the Supreme Court throws out the law. "The idea that Medicare Advantage plans would shut down and patients would be thrown into the street is just people making up arguments to stir the pot," he said. Repeal of the law would also mean that seniors would lose some new benefits, including the closing of the prescription coverage gap called the "doughnut hole," and no-charge preventive services such as an annual wellness physical. "There is no doubt that striking down (the) Medicare provisions would be enormously disruptive for patients, physicians, hospitals and countless other providers and suppliers," said Rep. Sander Levin, D-Mich., ranking Democrat on the House Ways and Means Committee, which oversees the program.
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#1. To: Brian S (#0)
You'll post anything to scare people into the police-state programs, won't you? You're SCUM.
LoonyMing: I brandish my ignorance like a crucifix at vampires. 'It's now very common to hear people say, "I'm rather offended by that", as if that gives them certain rights. It's no more than a whine. It has no meaning, it has no purpose, it has no reason to be respected as a phrase. "I'm offended by that." Well, so fucking what?' —Stephen Fry
You'll post anything to scare people into the police-state programs, won't you? You're SCUM. Knowing that brianna is a libTURD isn't that just a wee bit redundant? Of course it's 100% TRUE. These SCUM remind me of how the Menendez brothers who were convicted of shotgunning their parents, later TRIED at sentencing to get a mitigation because they were orphans. (I sh!t thee NOT.) The point being that a sane person can't reason with a CRAZY person. They are F'ing CRAZY. That's where we are now. Trying to deal with these F'ing INSANE libTURD SCUM.
Spoiled, stupid and ignorant, brain dead phuckwads, libTURD fools, tools, and idiots, are the real sickness; the messiah "king" obammy and his regime are only the symptoms.
LOL. Ok, I stand corrected! 8^) LoonyMing: I brandish my ignorance like a crucifix at vampires. 'It's now very common to hear people say, "I'm rather offended by that", as if that gives them certain rights. It's no more than a whine. It has no meaning, it has no purpose, it has no reason to be respected as a phrase. "I'm offended by that." Well, so fucking what?' —Stephen Fry
LOL! ;^)
Spoiled, stupid and ignorant, brain dead phuckwads, libTURD fools, tools, and idiots, are the real sickness; the messiah "king" obammy and his regime are only the symptoms.
uhuh
If anyone has caused a disruption it's the Kenyan usurper who signed ObongoCare, and the traitors in congress who voted for that unconstitutional and illegal legislation. You've got to sign it before you read it, or some such caca.
Obama's watch stopped on 24 May 2008, but he's been too busy smoking crack to notice.
Kind of looks like good old uncle Lenin. Why do all the commies and marxists look so similar?
Eating tofu and drinking lattes at Starbucks?
Obama's watch stopped on 24 May 2008, but he's been too busy smoking crack to notice.
It must be something like that. Or maybe it's just because they are so against the individual that they're lock step in trying to all be just like each other.
We've stopped. GreenMountain SodaStream for details...;}
Medicare Disruptions Seen If Health Law Is Struck
The economy is wonderful!
Re-elect Obama, he'll pay your rent!
A chicken in every pot!
-Baghdad Bri-bri-
Translation: IGNORANCE IS STRENGTH
#2. To: Capitalist Eric, BrianS (#1)
Medicare Disruptions Seen If Health Law Is Struck
#3. To: Mad Dog (#2)
(Edited)
Knowing that brianna is a libTURD isn't that just a wee bit redundant?
The economy is wonderful!
Re-elect Obama, he'll pay your rent!
A chicken in every pot!
-Baghdad Bri-bri-
Translation: IGNORANCE IS STRENGTH
#4. To: Capitalist Eric (#3)
#5. To: Brian S (#0)
The author: By RICARDO ALONSO-ZALDIVAR
#6. To: All (#5)
#7. To: Brian S, *Ron Paul for President* (#0)
(Edited)
"We (government) need to do a lot less, a lot sooner" ~Ron Paul
#8. To: All (#6)
#9. To: SJN, *Extended Clip Progressives* (#8)
Why do all the commies and marxists look so similar?
"We (government) need to do a lot less, a lot sooner" ~Ron Paul
#10. To: hondo68 (#9)
#11. To: hondo68 (#9)
Eating tofu and drinking lattes at Starbucks?
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