Trump nominates Pence ally to oversee MedicaidBy Darlene Powers Dec 02, 2016
President-elect Donald Trump is giving daily indications that despite his rhetoric during the campaign he will try to be a good president for the very rich and not so good for the working class - and everyone else, for that matter. Trump has met that pledge by appointing people most likely to dismantle it from the inside.
Verma, who has worked closely on healthcare with Vice President-elect Mark Pence in IN state, is to be the Administrator of the Centers for Medicare and Medicaid Services overseeing government health insurance programmes.
The woman considered to be the architect of the state's Healthy Indiana Plan is expected to be nominated by President-elect Donald Trump to be administrator of the Centers for Medicare and Medicaid Services.
Adding to the political complications for the GOP, Trump campaigned as a protector of Medicare, saying in an interview with The Daily Signal past year: "I'm not going to cut Social Security like every other Republican and I'm not going to cut Medicare or Medicaid". They oppose requirements that poor people pay for medical care, which is included in the Medicaid policy adopted in IN and is up for consideration by other Republican-led states.
But a study of adding premiums or cost-sharing to Medicaid programs by the Kaiser Family Foundation found that they largely "act as barriers to obtaining and maintaining coverage for low-income groups".
Dr. Sampat Shivangi, chairman of the American Association of Physicians of Indian Origin and the Mississippi State Department of Mental Health, believes Verma has the track record for success in her new role.
This pick addresses one of the stickier questions for Republicans after repeal: what next? "She is the godmother of conservative Medicaid reform ideas and implementation", he told MedPage Today in a phone interview.
Susan Jo Thomas, who heads the IN insurance advocacy group Covering Kids and Families, said Vermas contributions to HIP 2.0 made Medicaid expansion possible IN a Republican state.
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Bevin has said his plan would be transformative and sustainable, encouraging Kentuckians to get healthier and transition to the commercial health insurance model to become independent of the government program. This consistency is also important to mitigate the subsidy "cliff", which effectively increases the marginal tax on work. Supporters say the change will bring more efficient, effective care, but detractors argue it is a giveaway to private business and is causing struggles for thousands of poor or disabled Iowans.
Reducing socioeconomic health disparities and encouraging providers to leverage population health management and data analytics in pursuit of better patient outcomes are two of the major goals of CMS' ongoing Equity Plan for Improving Quality in Medicare, says Cara V. James, PhD, Director of the Office of Minority Health, in a CMS blog post.
A 2012 estimate from the Urban Institute said that year's proposal could result in 17 million people losing coverage, and payments to health care providers could be cut by almost a third. Those who don't keep up on monthly payments, which can be as low as $4, aren't eligible for as many services. A missed payment can result in a six-month lockout from insurance coverage.
Metrics in several areas are significantly better among contributing members.
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The new system has provided coverage to hundreds of thousands of people of modest means who were previously uninsured.
HIP is a first cousin to Paul Ryan's premium-support plan for Medicare.
Price has also opposed federal requirements that insurers cover contraception, but as a Georgia state senator he voted in favor of in-state requirements, according to the Wall Street Journal. As a bonus, those who hope to use the government's pharmaceutical purchasing power to help rein in costs-one of the real sources of potential savings-fear that Medicaid's negotiating power could be reduced if it is handed over to the states wholesale.
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