Word: hmos
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...benefit. Democrats, who also know that a Bush victory on prescription drugs would be politically devastating, are scrambling to stop the $400 billion measure. More important, Democrats oppose the bill's embrace of private-style health care, its failure to rein in pharmaceutical companies and its generous subsidies for HMOs. The House narrowly passed the controversial measure early Saturday morning, 220-215, but only after the vote was held open for nearly three hours so both Republican leaders on the floor and Bush on the phone could browbeat G.O.P. conservatives, angry that the bill didn't contain enough market reforms...
...drug benefit. Democrats, who also know that a Bush victory on prescription drugs could be politically devastating, scrambled to stop the $400 billion measure. More important, Democrats opposed the bill's embrace of private-style health care, its failure to rein in pharmaceutical companies and its generous subsidies for HMOs. The House narrowly passed the controversial measure early Saturday morning, 220-215, but only after the vote was held open for nearly three hours so both Republican leaders on the floor and Bush on the phone could browbeat G.O.P conservatives, angry that the bill didn't contain enough market reforms...
...MEDICAL MIGRAINE No matter whether you are running a business, toiling in an office or looking for a job, you are probably feeling the health-care sting. Workers notice it in the form of higher payroll deductions and larger co-pays for prescription drugs. HMOs, which typically used to cover hospital stays in full, are adding deductibles of about $240 a visit...
...prescription drug benefit—and other health insurance benefits under Medicare—should be managed principally by competing private plans or by the traditional government-run plan. The current House bill contains significant incentives for seniors to leave the conventional Medicare plan in 2010 and join private HMOs and other managed care insurers. This is likely to become controversial because, according to a recent Kaiser Family Foundation/Harvard School of Public Health poll, 63 percent of seniors would prefer to receive their benefits from the current government Medicare program—as opposed to 19 percent who would prefer...
...third issue is what to do about the cost of the new drug benefit as it rises over time. Spending on prescription drugs by the insured population has grown faster than spending on most other areas of health care. The bills currently being debated rely on market competition among HMOs and other managed care plans to contain the future cost of the new drug benefit, and the jury is still out on whether such an approach will succeed. If competition is not successful in containing costs, we are likely to see proposals for government regulation of prices, negotiated discounts from...