Mr Obama wants to extend the power of the area 15 members that health care was created by the new law to curb Medicare costs.
But not only do, Republicans and some Democrats are against the powers of the Management Board, they want to eliminate you. Opponents fear that the Panel, known purchasing power of one of the most important and expensive social programs of the Government would seize payment, Congressional as independent Advisory Board.
According to the law issues would be recommended cuts of the appointed Panel automatically effective when the Congress voted to block or modify it. In General, federal courts could actions for the implementation of the recommendations not review board. The effects of decisions of the Board of Directors can be, increased because private insurers in Medicare rates often as a guide or as a benchmark for use in paying doctors, hospitals and other providers.
Last week, Mr Obama said in his speech on deficit reduction, he wants beef of boards cost powers in an indeterminate way the growth of Medicare spending exceeds certain objectives. Proponents say that the Board, to take tough decisions, since it will be isolated from legislative politics.
Legislators agree not. Representative Paul D. Ryan, Republican of Wisconsin and Chairman of the House Budget Committee, called it "a rationing Board" and said Congress should not "delegate Medicare decision making on 15 people by the President appointed." He said that that proposal would allow the Board Mr Obama "impose more price controls and other restrictions for providers that are cutting services for senior citizens at the end."
Senator John Cornyn, a Texas Republican, that a bill last month introduced, pick up, the Medicare Board, said the proposal of the President "Difficult decisions on health issues on a Board of unelected, unaccountable bureaucrats punts."
Representative Allyson y. Schwartz, Pennsylvania Democrats on health care issues, said: "It is our constitutional duty as members of Congress, responsibility for Medicare take over and not turn around decisions to a Board." "This responsibility, depriving whether our ability, our constituents, including senior citizens undermines insurance companies or by an unelected Commission, and with disabilities represent."
Woman on Friday as a co-sponsor of a law, the Board lift Schwartz logged.
The Panel, in accordance with the health care law aims to reduce the rate of growth in Medicare spending per beneficiary and per. The law sets annual goals - "target growth rates" - for Medicare spending under the average of the last 15 years.
Board members are subject to change - Senate no easy task in the current political climate. Terms are six years. Members may serve no more than two full terms. The White House has to submit more nominations for the Board.
"Why have legislators?" asked representative Pete Stark of California, senior Democrat on the ways and means Subcommittee on health.
In a sense Mr Stark said the performance of the Board extended as bad as buy Medicare beneficiaries, private insurance companies could give vouchers. "Theoretically, at least you can the vouchers put on an adequate level," he said. "But in his effort to limit growth of Medicare spending, which is Board expected to inadequate payment rates for health care providers, set you could compromise patient care."
Representative Shelley Berkley, Democrat from Nevada, said she wanted to pick up the Medicare Board. "I trust, that this Administration together can have a strong, independent and knowledgeable Board," said Mrs Berkley, but she said that she had less confidence in future administrations.
Mark Parkinson, President who American Association health care, which represents nursing homes, said that its members did not like the Board of Directors, so that Congress and the President of "Difficult decisions to subcontract."
However, could the idea, a potent Medicare Board a live option, if the White House in budget negotiations with Congress on.
Mr Obama said last week that he issues "wasteful subsidies and erroneous payments, would reduce" to cut back on prescription drugs and 2023 to save $500 billion in Medicare and Medicaid other steps. "But if we are wrong and Medicare costs rise faster than we expect," he said, the Medicare Board would have "the authority additional savings by further improving Medicare."
Proposal of the President put more stringent targets for Medicare spending and some kind of automatic cutting device as an "enforcement mechanism" to establish, but Mr Obama said not exactly how it would work.
Kathleen Sebelius, the Secretary of health and human services, described the Board as a stop "to ensure that health costs are reduced." The Board not to act if the President slow the growth of Medicare spending can have other proposals, said it.
The Committee is of the proposals of Mr Obama and Senator John D. Rockefeller IV, Democrat of West Virginia.
Mr Rockefeller said "Medicare payment terms should be found by experts, with evidence, not through the influence of special interests,".
Association expressed concern about the latest proposal of the President of the American Medical Association, AARP and the American Hospital.
"Before relying on any spending objectives no good way to health policy, especially when decisions to the unelected and unaccountable, can be left to", said A. Barry RAND, Chief Executive of the AARP, the lobby for older Americans.
According to the law, not the Board may increase referrals to "Ration health care," sales or beneficiary premiums to increase deductibles or co-payments. This increases the likelihood that the Board will try to save money by cutting Medicare reimbursements to health care providers.
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