Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    



Op Ed: We Can and Must Do Better - Together


 
Karen Springer is President and CEO, Saint Thomas Health, Senior Vice President, Ascension Healthcare, Tennessee Market Executive

This year, Congress has worked hard to craft solutions to real challenges being experienced in the healthcare marketplace. The fact is that in many states the individual insurance market needs to offer more health plan options at lower cost for Tennesseans. We need Congress to act now.

Throughout this debate, Ascension Tennessee has sought to be a voice for our patients by calling on Congress to pass legislation that meets three simple principles: (1) Preserve the safety net for those who are poor and vulnerable and continue the progress to assure access to affordable healthcare for all; (2) Strengthen and stabilize the individual market because a vibrant and sustainable individual and small group market is essential to a successful, equitable healthcare system; and (3) Provide sufficient resources to continue proactively to transform the financing for the delivery of care to one that is value-based rather than volume-based because that is the key to lowering healthcare costs over the long run. Over the last several months, I have talked with members of Congress and their staffs to communicate these three principles and to encourage them to craft legislation that achieves them. Unfortunately, the discussion draft of the Better Care Reconciliation Act of 2017 [BCRA] released by the Senate last Thursday falls short of achieving these three goals.

That said, I want to commend the Senate for some things it did well in this discussion draft. The Senate tried to make sure that individuals with pre-existing conditions are not charged significantly more for health care coverage. The Senate also moves toward a fairer tax credit than the House for older Americans who must buy insurance on the individual market. Americans closer to retirement will still have to pay significantly more than they do now because of the change in age rating bands, but the Senate will be more generous than the House in the amount of the tax credits provided to older Americans. The Senate also proposed waiving an outdated Medicaid exclusion for inpatient treatment of those with addiction, which is sorely needed. I commend them for these efforts to improve on the House of Representatives' proposal and in some cases current law.

Unfortunately, BCRA fails to meet our reform goals for legislation because it would result in even deeper cuts to Medicaid than the House version and put the care for millions of poor and vulnerable children, parents, adults, Americans with disabilities and the elderly at risk. The bill would cap and cut Medicaid at a rate far below the actual cost growth, especially in the years after 2026. In fact, it is the biggest restructuring of the Medicaid program in 40 years, which would impact the very people who need care the most. According to our estimates, this bill will cut $4.4 billion dollars from Tennessee's Medicaid program over the next decade and will likely force millions of people off of Medicaid coverage. We must do better than this.

The draft bill as written would also further destabilize the individual insurance market because it removes the incentive of continuous coverage that had been included in the House bill. States that have laws guaranteeing issue of insurance without at least a strong legal incentive for continuous coverage have seen losses of coverage and a severe deterioration in the insurance market that results in spiraling premiums. The Senate has diagnosed significant problems in the individual market but is prescribing the wrong medicine to address them.

Thankfully, the Senate bill is a work in progress. I urge the Senate to do three things in order to address the crucial issues facing healthcare while "doing no harm":

  1. Go back to the drawing board to keep working to find viable solutions that focusing on the three principles above.
  2. Immediately pass a short term bill to shore up the individual market and halt the spiraling costs and loss of coverage being experienced there.
  3. Sit down together with your colleagues on each side of the aisle to solve the short term and long term problems. Partisan efforts to pass legislation have been ineffective in solving the very real issues that face our healthcare system. Please work with each other to find consensus, lasting solutions.

I urge the Senate to continue working to develop a viable short term and long term proposal that preserves coverage, strengthens and stabilizes the individual market and continues the transformation of healthcare delivery to improve quality and lower costs.

 
Share:

Related Articles:


Recent Articles

Senate HELP Committee Hearing on Gene Editing Technology

On Nov. 14, the Senate health committee held a hearing on the gene editing method CRISPR to learn more about the technology from expert witnesses, which included Dr. Matthew Porteus, associate professor of Pediatrics at Stanford University; Katrine Bosley, CEO and president of Editas Medicine; and Dr. Jeffrey Kahn, director of the Johns Hopkins Berman Institute of Bioethics at Johns Hopkins School of Public Health.

Read More

Nashville Health Care Council Hosts Panel Discussion on Pharma/Provider Collaborations in Health Care

On Nov. 13, the Nashville Health Care Council hosted a panel discussion on collaborations between the pharmaceutical and healthcare provider sectors and how those collaborations can drive change in healthcare.

Read More

Tennessee Health Care Hall of Fame Class of 2017

Six healthcare luminaries were recently inducted into the Tennessee Health Care Hall of Fame.

Read More

NMGMA 10 Minute Takeaway

Nashville Medical News recently had the opportunity to chat with new NMGMA president Joy Testa.

Read More

Tennessee Joins Medical Licensing Compact

A new Tennessee law will make it easier for area physicians to practice across state lines beginning in 2019 as part of the Interstate Medical Licensure Compact.

Read More

A Plan to Address COPD

COPD is the third leading cause of death in America, yet it lags behind many other conditions in terms of research dollars and coordinated federal response ... but that seems to be changing.

Read More

Surgical Innovations

Two new procedures recently made their debut in Middle Tennessee offering new treatment options for coronary bifurcation lesions and lumbar fusion.

Read More

Don't fear the FBAR

If you are a taxpayer with offshore financial accounts, you could be in trouble with the IRS and not even know it.

Read More

HoneyCo Homes: Using Smart Technology to Help Seniors Age in Place

A Nashville startup is using technology to help seniors age in place while providing peace of mind to loved ones and actionable data to caregivers.

Read More

A Better Continuum Means Better Care

As the U.S. population ages, new partnerships along the continuum of care are necessary to achieve optimal outcomes for patients.

Read More

Email Print
 
 

 

 


Tags:
Ascension Health, BCRA, Better Care Reconciliation Act, Healthcare Reform, Karen Springer, Saint Thomas Health, Senate Healthcare Bill
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: