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10 things you need to know before the opening bell (SPY, DIA, QQQ, SPX, AET, HUM, KHC, PM)

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10 things you need to know before the opening bell (SPY, DIA, QQQ, SPX, AET, HUM, KHC, PM) Here is what you need to know.

*Greece voted no.* The Greek people overwhelmingly voted against accepting a bailout proposal from European creditors. The finally tally showed 61% voted 'no,' which was a major surprise despite Prime Minister Alexis Tsipras' government campaigning for the outcome. Sunday's outcome set off a huge celebration in Athens' Syntagma Square. Greece's 2-year yield is up 1,565 basis points at 50.48%.

*Greece's finance minister has resigned. *Yanis Varoufakis announced his resignation on his blog. Greece's former finance minister stated: "I was made aware of a certain preference by some Eurogroup participants, and assorted ‘partners’, for my… ‘absence’ from its meetings; an idea that the Prime Minister judged to be potentially helpful to him in reaching an agreement. For this reason I am leaving the Ministry of Finance today." Yannis Dragasakis, Giorgos Stathakis, Euclid Tsakalotos and George Chouliarakis are being considered to replace Varoufakis.

*European leaders will hold an emergency summit on Tuesday. *European Union president Donald Tusk has called an emergency summit in response to Greece rejecting the bailout proposal from its creditors. Also, Eurogroup president Jeroen Dijsselbloem announced a Tuesday meeting to "discuss the state of play." The euro is weaker by 0.7% at 1.1038.

*China suspended IPOs and created a "market-stabilization fund." *Beijing announced the measures in an effort to provide stability to the topsy-turvy Chinese stock market. The suspension of IPOs was implemented in hopes of stemming the rush of capital from existing listings. Meanwhile, the "market-stabilization fund" is made up of more than 20 brokers who pledged to buy at least 120 billion yuan ($19.3 billion) in shares.

*Chinese stocks saw a roller coaster ride. *China's Shanghai Composite finished higher by 2.4% amid a volatile session. The index opened with a gain of more than 8.5% before sliding into negative territory shortly ahead of the European open. A lately rally lifted stocks comfortably above the breakeven line. Elsewhere, Hong Kong's Hang Seng (-3.2%) led Asian markets lower as trade entered a technical correction, now 11% off the April high. In Europe, Spain's IBEX (-1.8%) paces the decline. S&P 500 futures are lower by 9.75 points at 2059.00.

*Crude oil is getting smoked. *Early selling pressured West Texas Intermediate crude oil to its lowest level in three months. Currently, the energy component is down 4.4% near $54.45 per barrel.

*Aetna is buying Humana. *The $37 billion deal is “poised to be the biggest ever in the health-insurance industry," according to Bloomberg. The deal, announced on Friday, is a combination of cash and stock with the take out price at around $230 per Humana share. This makes for a 23% premium from Thursday's closing price.

*Kraft Heinz has completed the merger between Kraft and H.J. Heinz. *The combination of the two makes for the third largest food and beverage company in the United States and fifth largest in the world, according to Reuters. The stock will trade under the ticker 'KHC'. Warren Buffett has been named a member of the board.

*Philip Morris is planning a huge share sale for its Indonesia unit. *The cigarette-maker is planning to sell more than $1 billion worth of shares in its Indonesia operation. The Wall Street Journal reports that the sale "will allow Philip Morris to comply with a pending stock-exchange rule requiring all Indonesia-listed companies to have at least 7.5% of their shares in public hands." Indonesia is the world's second largest cigarette market, behind only China.

*US economic data is light. *Data is limited to the release of ISM Services at 10 a.m. ET. The US 10-year yield is down 7 basis points at 2.31%.

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NOW WATCH: Someone figured out the purpose of the extra shoelace hole on your running shoes — and it will blow your mind Reported by Business Insider 1 day ago.

The Choice Ahead: A Private Health-Insurance Monopoly or a Single Payer

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The Supreme Court's recent blessing of Obamacare has precipitated a rush among the nation's biggest health insurers to consolidate into two or three behemoths.The result will be good for their shareholders and executives, but bad for the rest of us -- who will pay through the nose for the health insurance we need.We have another choice, but before I get to it let me give you some background.Last week, Aetna announced it would spend $35 billion to buy rival Humana in a deal that will create the second-largest health insurer in the nation, with 33 million members.The combination will claim a large share of the insurance market in many states -- 88 percent in Kansas and 58 percent in Iowa, for example.A week before Aetna's announcement, Anthem disclosed its $47 billion offer for giant insurer Cigna. If the deal goes through, the combined firm will become the largest health insurer in America.Meanwhile, middle-sized and small insurers are being gobbled up. Centene just announced a $6.3 billion deal to acquire Health Net. Earlier this year Anthem bought Simply Healthcare Holdings for $800 million.Executives say these combinations will make their companies more efficient, allowing them to gain economies of scale and squeeze waste out of the system.This is what big companies always say when they acquire rivals.Their real purpose is to give the giant health insurers more bargaining leverage over employees, consumers, state regulators and healthcare providers (which have also been consolidating).The big health insurers have money to make these acquisitions because their Medicare businesses have been growing and Obamacare is bringing in hundreds of thousands of new customers. They've also been cutting payrolls and squeezing more work out of their employees.This is also why their stock values have skyrocketed. A few months ago the Standard & Poor's (S&P) 500 Managed Health Care Index hit its highest level in more than twenty years. Since 2010, the biggest for-profit insurers have outperformed the entire S&P 500.Insurers are seeking rate hikes of 20 to 40 percent for next year because they think they already have enough economic and political clout to get them.That's not what they're telling federal and state regulators, of course. They say rate increases are necessary because people enrolling in Obamacare are sicker than they expected, and they're losing money.Remember, this an industry with rising share values and wads of cash for mergers and acquisitions.It also has enough dough to bestow huge pay packages on its top executives. The CEOs of the five largest for-profit health insurance companies each raked in $10 to $15 million last year.After the mergers, the biggest insurers will have even larger profits, higher share values, and fatter pay packages for their top brass.There's abundant evidence that when health insurers merge, premiums rise. For example, Leemore Dafny, a professor at the Kellogg School of Management at Northwestern University, and his two co-authors, found that after Aetna merged with Prudential HealthCare in 1999, premiums rose 7 percent higher than had the merger not occurred.The problem isn't Obamacare. The real problem is the current patchwork of state insurance regulations, insurance commissioners, and federal regulators can't stop the tidal wave of mergers, or limit the economic and political power of the emerging giants.Which is why, ultimately, American will have to make a choice.If we continue in the direction we're headed we'll soon have a health insurance system dominated by two or three mammoth for-profit corporations capable of squeezing employees and consumers for all they're worth -- and handing over the profits to their shareholders and executives.The alternative is a government-run single payer system -- such as is in place in almost every other advanced economy -- dedicated to lower premiums and better care.Which do you prefer?
ROBERT B. REICH's film "Inequality for All" is now available on DVD and blu-ray, and on Netflix. Watch the trailer below:

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 22 hours ago.

America's Biggest Health Insurance Providers

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Reported by Forbes.com 20 hours ago.

Mount Sinai CEO Kenneth L. Davis, MD: Our Ability to Access Information in Real Time to Prevent Disease is Drawing Closer

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The ability of the medical field to access and use “Big Data” to improve health and cut costs is now on the horizon

Aspen, CO (PRWEB) July 06, 2015

Health care systems and genomics projects have generated massive patient data sets for years now, and the ability of the medical field to access and use this “Big Data” to improve health and cut costs is now on the horizon, predicts Kenneth L. Davis, MD, President and Chief Executive Officer of the Mount Sinai Health System in New York City. Physicians will have these new capabilities within two decades, preventing disease to dramatically “bend the cost curve” in medicine, Dr. Davis said.

He made his remarks as part of the Aspen Ideas Festival, held in Aspen, Colorado, from June 25 to July 4. Presented by the Aspen Institute and The Atlantic, the festival is a unique global exchange of ideas that gathers leading thinkers to discuss vital issues.

"The mapping of the human genome has given us the ability to see trends quickly, and combining that with the electronic medical record, we can see patterns in genes, or systems of genes, related to disease risk and treatment choices that we have never been able to see before," said Dr. Davis. "We are in a brave new world where new tests, apps and devices can predict illness before it happens,” and in real time, often before a patient leaves the doctor’s office.

"While we are currently able to identify high-risk patients using Mount Sinai supercomputers, I envision a future where hospital technicians in a central control room monitor and identify patients in danger of a medical crisis that we would prevent in real time using low-energy chips and the right mathematics," said Dr. Davis.

During the festival, the Supreme Court upheld the Affordable Care Act’s subsidies for individual health insurance in states with a federal exchange. On that topic, Dr. Davis told audiences: "The ruling stabilizes insurance markets and ensures health coverage for millions of Americans. Since the enactment of health care reform, our health system has worked to adapt to the changing health care landscape, shifting away from the fee-for-service model, moving toward population health management, and streamlining services to reduce readmissions. The decision enables us to move forward in providing comprehensive, accessible care to our communities."

During a panel on "Providing a Social Safety Net," Dr. Davis pointed out that the United States, as compared to other countries, spends a disproportionate amount on its health care system, and much less on its social safety net. "What we see in health care, especially in the communities that Mount Sinai serves, is how frayed the social safety net is. Through government-funded, preventable admission programs, we have trained case managers to help manage patients at risk in the communities we serve. Our interventions have been so effective that the number of emergency visits for these high-risk patients has been dramatically reduced. But we need to reinvest in these programs to sustain them. "

Dr. Davis also said that reducing obesity and increasing physical activity is critical to improving health and reducing the cost of chronic disease in communities. "In the neighborhood we serve of East Harlem, 25 percent of kids in Head Start are obese and 40 percent are overweight. We are nearing a health catastrophe and we need to make sure we are creating enough spaces where children can play," said Dr. Davis during a panel on "Physical Literacy.” "Perhaps we can make federal education dollars contingent on physical education programs in schools."

During a conversation on the 21st Century Cures Act, which calls for the appropriation of National Institutes of Health (NIH) funding for biomedical research, Dr. Davis said he favored longer market exclusivity (patent protection) to incentivize pharmaceutical companies to invest in compounds that treat chronic diseases like Alzheimer's disease.

In a panel on "The Power and Importance of Failure in Business," Dr. Davis said that Mount Sinai is now a robust health system with a renowned medical school and seven hospital campuses. However, in early 2000, the Mount Sinai Medical Center – at the time comprising two hospitals and the medical school – was reeling after a failed merger with NYU Medical Center and the inability to adapt to the Balanced Budget Act. In 2003, Dr. Davis took on the role of Dean of the Medical School after serving as Chairman of Mount Sinai's Department of Psychiatry for 16 years. Six weeks later, he was asked to take over as CEO. "I witnessed a series of failures in management. Our financials were in a tailspin. However, I was able to put in a leadership team that was focused on data and solving problems. We also shared the same values of collaboration and transparency. We were able to turn around our financial situation."

Other Mount Sinai panelists included Brian Koll, MD, Executive Director for Infection Prevention and Control for the Mount Sinai Health System and Professor of Medicine for the Icahn School of Medicine at Mount Sinai, and Eric Nestler, MD, PhD, Nash Family Professor of Neuroscience and Director, Friedman Brain Institute, Icahn School of Medicine.

Addressing lessons learned during the recent U.S. Ebola crisis, Dr. Koll said that not enough respect was given to the virus when it first arrived in the United States. “We didn’t really understand the transmission of the disease, and were not ready for the volume of fluids and issues regarding fluid replacements in patients sick with Ebola. We learned that staffing needed to be adjusted and many more nurses than usual were needed to treat a single patient with Ebola, and had to make sure the health workers wearing personal protective gear felt comfortable and safe in the gear chosen."

Dr. Nestler spoke on a panel titled "What the Science Tells Us About Beating Addiction.""We know that addiction is a complex disorder with strong psychological and social factors, but at its core is a biological process. Over the past two decades, we have learned a great deal about that process and how drugs of abuse change the brain to cause addiction. In fact, we have been able to identify the initial targets in the brain that drugs of abuse bind to, how those drugs affect the nerve cells that express those targets and how those nerve cells change over time during the course of repeated exposure to cause behavioral abnormalities that we call drug addition," said Dr. Nestler.

About the Mount Sinai Health System
The Mount Sinai Health System is an integrated health system committed to providing distinguished care, conducting transformative research, and advancing biomedical education. Structured around seven hospital campuses and a single medical school, the Health System has an extensive ambulatory network and a range of inpatient and outpatient services—from community-based facilities to tertiary and quaternary care.

The System includes approximately 6,100 primary and specialty care physicians; 12 minority-owned free-standing ambulatory surgery centers; more than 140 ambulatory practices throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and 31 affiliated community health centers. Physicians are affiliated with the renowned Icahn School of Medicine at Mount Sinai, which is ranked among the highest in the nation in National Institutes of Health funding per investigator.

The Mount Sinai Hospital is nationally ranked as one of the top 25 hospitals in 8 specialties in the 2014-2015 “Best Hospitals” issue of U.S. News & World Report. Mount Sinai’s Kravis Children’s Hospital also is ranked in seven out of ten pediatric specialties by U.S. News & World Report. The New York Eye and Ear Infirmary of Mount Sinai is ranked nationally, while Mount Sinai Beth Israel, Mount Sinai St. Luke’s, and Mount Sinai Roosevelt are ranked regionally.

For more information, visit http://www.mountsinai.org or find Mount Sinai on Facebook, Twitter and YouTube. Reported by PRWeb 21 hours ago.

Shared Security: A New Deal for the New Century

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If Social Security, the minimum wage, unemployment insurance, and the 40-hour workweek laid the foundation for the middle class in the 20th century, what would be the equivalent for the 21st century? The odd couple of a billionaire entrepreneur and a labor leader have come up with what could be a breakthrough proposal for rebuilding the middle class.

Nick Hanauer, who made his fortune as an early Amazon investor, and David Rolf, the head of an SEIU local that has successfully organized tens of thousands of home care workers, detailed their plan for Shared Security in Democracy Journal.  The proposal aims to restore the foundation of the middle class: economic security.

Hanauer and Rolf create a fictional young worker named Zoe to personify how working people in the new economy live in constant economic insecurity. Zoe works part-time as a hotel manager and supplements her income driving for Uber, working as a gardener, and renting her apartment on Airbnb. Still, she has no benefits and struggles to pay the rent and keep her car running. She doesn't have the time or money to finish her college degree and wonders whether it would be worth the loans even if she did. When Zoe rents out her apartment, she stays with her parents, who also did not go to college. But her parents, who have had regular full-time employment over the course of their lives, look forward to a retirement made secure by a modest pension, some savings, Social Security, and Medicare.

As Hanauer and Rolf write, "Zoe's parents entered the workforce with the expectation that hard work would be rewarded with decent pay, improving prospects, and a comfortable retirement...This was the social contract of the 1950s, '60s, and '70s...But for Zoe's generation, this contract no longer exists."

The new 21st century social contract they propose is based on giving Zoe's generation middle class security, which they emphasize is the engine of our economy.  Hanauer and Rolf write, "the middle class is the source of all growth and prosperity in a modern, technological economy and economic security is the essential feature of what it means to be included in the middle class."

Just as FDR's New Deal was founded on raising labor standards and providing social insurance, Hanauer and Rolf's plan is based on Shared Security Standards and a Shared Security Account. The two combine to modernize basic labor standards and to extend existing and new social insurance to all workers, including part-time employees and those who employers consider independent contractors.

The new labor standards would include: a livable wage (a higher minimum wage) and guarantees of overtime pay; pay equity; fair scheduling of work; and the right to use paid sick time, family leave, and vacations, which would be financed from each employee's Shared Security Account.

The breakthrough innovation in the proposal is establishing a Shared Security Account for every worker. Each employer would pay the share of benefits earned by each worker into those workers' accounts based on a 40-hour week. In other words, an employer would pay all the benefits for a full-time employee while paying half the benefits for someone who works for that employer 20 hours a week.

Each employer would pay its share of existing benefits required by the federal government or states, including Social Security, Medicare, an employer contribution toward health care, unemployment insurance, workers' compensation, and disability. In addition, the employer would be required to pay for new benefits, including paid sick days, family leave and vacation, and a contribution to a 401(k)-type retirement account.

The authors rightly celebrate the positive impact of their proposal for American workers. It would turn the trend toward contingent, part-time, temporary, and shared work from a recipe for continuous financial insecurity to a foundation for middle-class security.

What they don't explore is how their Shared Security system would significantly slow down the work trends that their proposal addresses. Looking again at Zoe, the hotel management company keeps her at 29 hours a week to avoid paying benefits. But when that financial advantage is taken away, or reduced significantly if the company voluntarily offers a higher benefit level to full-time employees, the company would be much more likely to employ Zoe full-time. In doing so, the company would gain the advantages that come with a full-time employee: less need for training, lower turnover, a better work attitude, and company loyalty.

As The New York Times reported last month, we are already seeing some startup tech companies, which Hanauer and Rolf say use the contingent model to support innovation, realizing that it makes better business sense to hire full-time employees. For both low-wage employers and startups, Shared Security will lead firms to use the contingent work model more when it makes sense for delivering a better product and less as a way to cut labor costs.

All of which reinforces the authors' potent economic and political analysis, which is that assuring that every job is a good job is not only fair, it is the driver of economic growth. Raising wages, providing time to care for yourself and your family, and having affordable health insurance and retirement security is not just about being fair, and it's not just about rewarding workers for their contributions to a business. It's the exact opposite of conservative economic theory. At its root, it recognizes that people with the security of a good, middle-class job drive our economy forward. 

Cross-posted from Next New Deal

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 20 hours ago.

Health Insurance Mergers Falling Into Place

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Reported by 24/7 Wall St. 20 hours ago.

Local health care analytics firm raises $4M

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A Philadelphia health care analytics firm, which has developed a tool consumers can use to compare health insurance plans, raised $4 million in a private stock sale. Picwell, founded by a group of University of Pennsylvania professors specializing in health-care and behavioral economics, disclosed the equity financing in a document filed with the Securities and Exchange Commission. Jay Silverstein, CEO of Picwell, said the financing was led by MassMutual Ventures in Boston. “We are going to… Reported by bizjournals 18 hours ago.

Seattle Public Schools Offering Birth Control To Girls As Young As 11

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Seattle Public Schools Offering Birth Control To Girls As Young As 11 A Washington public school is under fire after they began offering intrauterine contraceptive devices (IUD) to students as young as 11-years-old. This initiative does not require the parent’s permission to implement the device.

Chief Sealth High School in Seattle, Washington began implementing a statewide policy that allows public schools to give birth control to girls from sixth grade on up. The high school is one of 13 schools in the area that have taken on the policy.

Washington state law says that any minors at the middle and high schools are allowed to attain birth control without their parent’s consent. The birth control includes IUD’s, which are inserted into the uterus.

The initiative is known as “Take Charge” and was put in place with the intent to encourage girls and young women without access to health insurance to get access to a “full array of covered family planning services.”

According to a spokesperson, “a student who does not want their parents to know they are seeking insured under their parents’ plan, the insurance would not be billed.”

They also said, “We encourage all ‘Take Charge’ providers to offer long-acting reversible contraceptives (LARC) in their clinics.”

They added, “A young person does not need parental consent to obtain a LARC or any other contraceptive method.”

According to Seattle school health educator Katie Acker, the “Take Charge” initiative has had a positive impact on area schools. She says that the students are now able to be more proactive about their sexual health and contraception.

“Because we’re at the school, which is so wonderful, we have access to the students and they have access to us, pretty much any time,” she said.

According to the American College of Obstetricians and Gynecologists, LARCs as well as IUDs are the most effective way to prevent teen pregnancy. 

Source: The Daily Mail, BreitBart

Photo Credit: The Daily Mail Reported by Opposing Views 18 hours ago.

Steady as She Goes: Lessons for the Clean Power Plan From the Supreme Court's Mercury and Healthcare Decisions

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Everyone with a stake in President Obama's Clean Power Plan waited anxiously last month for the Supreme Court's decisions in the mercury and healthcare cases, Michigan v. EPA and King v. Burwell. What would those cases tell us about prospects for EPA's carbon pollution standards?

The two decisions, taken together, tell us that the Clean Power Plan's prospects are, in fact, pretty good. Here are three reasons why:

*1. The mercury setback is temporary and won't interfere with the Clean Power Plan.*

Considering the immediate press coverage of the Michigan case, one could be forgiven for thinking the Supreme Court had "thrown out,""struck down," or "blocked" the mercury and air toxics standard (MATS) and put EPA's forthcoming carbon pollution standards into grave doubt. Republican congressional leaders claimed vindication, and coal companies' basement-level stock prices ticked upwards.

But the Michigan decision is quite narrow, and the MATS rule can be easily fixed. To be sure, on remand EPA will have to make a new threshold determination of whether it is "appropriate" to regulate mercury from power plants, this time considering compliance costs as well as health benefits. But the Supreme Court did not vacate or otherwise suspend the standards. They remain in effect. And though EPA did not rely on it in its original decision, the agency has already conducted a thorough cost-benefit analysis (to meet OMB regulatory review requirements) that shows health benefits of $37 billion to $90 billion per year -- many times the $9.6 billion in estimated costs.

Those health benefits include up to 11,000 lives saved and hundreds of thousands of illnesses avoided each year due to reductions in fine particles, sulfur dioxide, and oxides of nitrogen wrought by the same control measures that curb mercury and the other toxic air pollutants. Industry litigants argued vociferously that EPA should not be allowed to consider those "co-benefits," but Justice Scalia's majority opinion -- perhaps showing the influence of Justice Kennedy -- pointedly leaves EPA broad leeway to decide how to consider costs and benefits on remand: "It will be up to the Agency to decide (as always, within the limits of reasonable interpretation) how to account for cost."

(Industry's plea to ignore the fine-particle, SO[2] and NO[x] co-benefits from mercury controls seems particularly hypocritical. They have always argued that EPA must consider the mercury-reduction co-benefits from other SO[2] and NO[x] controls when deciding whether to set mercury standards.)

Because EPA already has analysis in hand showing huge benefits over costs, the agency should have little trouble quickly fixing the MATS rule -- well within President Obama's term.

So it's no surprise that by Tuesday, coal stocks had already given up their Monday gains.

Michigan's implications for the future are even more limited by the fact that the provision at issue -- the "appropriate and necessary" clause in section 112 of the Clean Air Act -- applies only to the MATS decision. It does not apply to any other hazardous air pollutant standards under section 112, or to carbon pollution standards under section 111. (Because it's a completely "one-off" provision, it's hard to understand why the Court bothered to take the case.)

In any case, there's never been any doubt that EPA must consider costs when setting carbon pollution standards under section 111, and EPA has done so from the start of its regulatory process. The agency published an extensive analysis last year showing that the proposed carbon standards will have huge health and climate protection benefits many times their cost -- benefits of $55 billion to $93 billion per year in 2030 compared with costs of $7.3 billion to $8.8 billion. This is a benefit-cost proposition even more favorable than for the MATS standard. The final carbon standards will undoubtedly include an updated analysis -- one that will surely meet the broad parameters for reasonable assessment of costs that the Supreme Court in Michigan.

*2. The MATS rule was an ordinary Chevron case.*

The most important thing to glean from the Michigan decision concerns a legal question: What standard of review would the Court apply to determine whether EPA had acted within its legal authority?

For more than 30 years, the courts have followed a two-part test established in Chevron v. NRDC -- a case that I argued (and lost!) at the Supreme Court. If a statute is unambiguous, courts will enforce its clear meaning. But if a statute is ambiguous (i.e., if it has two or more reasonable interpretations), courts must defer to the one chosen by the agency charged with the law's implementation. When executive branch agencies confront implementation questions that statutory terms don't clearly resolve, Chevron deference allows the agency, rather than the courts, to "fill the gap left open by Congress" by choosing among the reasonable interpretations. As Justice Ginsburg wrote in EPA v. EME Homer City Generation, a key case decided just last year, Chevron deference allows expert agencies vital leeway to make policy choices necessary to resolve "thorny" implementation problems in statutes Congress has charged them to administer.

King v. Burwell, handed down the week before the MATS decision, raised a question mark, however. The big news from Burwell, as everyone knows, is that the Court upheld the availability of insurance subsidies under the Affordable Care Act to Americans who purchase health insurance on both state and federal exchanges. But the pathway to that decision raised new questions about Chevron deference.

Chief Justice Roberts ruled that a key clause of the healthcare law was ambiguous, but he refused to apply Chevron. Instead of determining if the agency's interpretation was reasonable and then deferring, the Court took on the task of resolving the ambiguity itself.

The premise of Chevron, Roberts wrote, is that a statutory ambiguity constitutes "an implicit delegation from Congress to the agency to fill in the statutory gaps. ... In extraordinary cases, however, there may be reason to hesitate before concluding that Congress has intended such an implicit delegation." (These are quotations from an earlier case, FDA v. Brown & Williamson, holding that the Food and Drug Act did not give the FDA leeway to control tobacco nicotine.) Roberts found the Obamacare subsidies to be one of those "extraordinary" cases, mainly because of the magnitude of the economic stakes: The subsidies "involv[e] billions of dollars in spending each year and affect ... the price of health insurance for millions of people" and were one of the "key reforms," without which insurance markets would likely fail altogether. Roberts also found deference inappropriate because the healthcare subsidy regulation was issued by the IRS, an agency without healthcare expertise, not by Health and Human Services. Because of these "extraordinary" factors, the Court itself decided the meaning of the ambiguous clause at issue in the case, without deference to the executive branch.

While most people quite reasonably focused on Burwell's momentous consequences for Obamacare, the decision left a giant question hanging in the air: Would the Court decide the then-still-pending MATS case under the new Burwell test for "extraordinary" cases, or under the traditional Chevron test for "ordinary" cases?

Answers to questions this big rarely come so quickly. But last Monday we learned that Michigan v. EPA was just an ordinary Chevron case. To be sure, Justice Scalia found the Clean Air Act clause at issue in that case to be ambiguous and EPA's interpretation to be unreasonable. But his opinion for the majority stayed squarely in the Chevron frame. As explained above, the Court ordered EPA to redo its determination of whether mercury standards are "appropriate," this time considering costs. But in perfect harmony with Chevron, the opinion made clear that EPA, as the expert agency charged with carrying out the Clean Air Act, has a lot of leeway on how to consider costs. As already noted, Scalia wrote, "It will be up to the Agency to decide (as always, within the limits of reasonable interpretation) how to account for cost."

Despite the MATS rule's $9.6-billion-per-year price tag, Scalia found no reason to move it to the "extraordinary" category. Only Justice Thomas argued, in a concurring opinion, for limiting Chevron deference, and he got no takers.

That MATS is an ordinary Chevron case has very important implications for the Clean Power Plan. Its foes regularly claim that the Clean Power Plan means the ruin of the American economy and the end of life as we know it. But as the figures quoted above show, the estimated cost of the proposed plan is less than the cost of the MATS rule, and its adoption poses no economic risk even close to the demise of health insurance markets threatened in Burwell. That makes it very likely that courts reviewing the Clean Power Plan will accord EPA Chevron deference, just as the Supreme Court did in Michigan, and will not take over the interpretive lead, as Chief Justice Roberts did in Burwell.

As the Michigan decision shows, EPA can still lose under Chevron. But if EPA presents a clear and persuasive argument for its statutory interpretations in the final Clean Power Plan rule, the agency will prevail.

*3. The Burwell Court didn't buy a "plain meaning" challenge that would have knocked the sense out of the Affordable Care Act as a whole.*

In King v. Burwell, opponents tried to bring down Obamacare with a "literal" reading of a single clause. They lost because the Court decided that that reading went against the obvious intentions of the healthcare law considered as a whole. The failure of the Burwell challenge is good news for the Clean Power Plan.

The Affordable Care Act gives states the option to establish health insurance exchanges, and it provides insurance subsidies to qualified lower-income people. If a state declines to set up an exchange, the Act directs Health and Human Services to establish a federal exchange to serve that state's citizens. The challengers in Burwell sought to exploit a drafting glitch -- a clause providing subsidies through exchanges "established by the state" -- to block subsidies to citizens in states served by federal exchanges. Reading the Act as a whole, the Supreme Court found clear evidence that the availability of insurance subsidies was crucial to achieving the law's insurance reform objectives. The Court rejected the challengers' supposed "plain meaning" because denying subsidies to insurance purchasers on federal exchanges would have pushed insurance markets into the "death spiral" that Congress intended to avoid.

Clean Power Plan foes claim to have found a "plain meaning" argument of their own. They claim that the Clean Air Act bars EPA from regulating any air pollutant under section 111(d) if the source of that pollution is already "regulated under section 112" -- even for a wholly different pollutant. Thus, they assert that Congress intended to bar curbs on power plants' carbon pollution under section 111(d) because EPA has already regulated their mercury pollution under section 112. (Never mind that the same parties in Michigan are also trying to void the MATS rule.)

For host of reasons, the supposed "plain meaning" argument advanced against the Clean Power Plan is even less plausible than the one put forward in Burwell. As we've shown here and here, Congress actually adopted two versions of the Clean Air Act clause in question -- one from the Senate, and one from the House -- and neither version (let alone both) shows that Congress intended to bar EPA from regulating one dangerous power plant pollutant (carbon dioxide) because the agency has previously regulated another (mercury). To the contrary, the Senate version of the clause is crystal-clear that both pollutants must be curbed, while the House version read in context plainly bars regulating a source's emissions of a pollutant under section 111(d) only if its emissions of the same pollutant are already curbed under section 112. Power plants' carbon emissions are not regulated under section 112, so there's no barrier to regulating them under section 111(d).

In any case, it does not help Clean Power Plan's foes that the Burwell Court refused to mechanically put a single clause's supposed plain meaning above the entire statutory context. Rather, the Court looked to the purpose of the provisions, and the consequences of buying the challengers' argument. "A fair reading of legislation," the Court wrote, "demands a fair understanding of the legislative plan."

Here, the Clean Power Plan challengers' argument would open a gap in the Clean Air Act's legislative plan directly at odds with Congress' intentions. Congress intended that EPA have the legal tools needed to curb all kinds of dangerous air pollution. Congress adopted section 111(d) precisely to avoid any gap in EPA's authority to curb dangerous air pollutants from the nation's industrial sources.

* * *
So what have we learned from the Supreme Court decisions in Michigan and Burwell? Look for the MATS rule to get fixed quickly. And look for the Clean Power Plan to stay on course.

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Wonkblog: More competition is supposed to help consumers. That might not be true with health insurance.

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You may have heard the news over the weekend of a mega-merger between two of the country's biggest health insurance companies, Aetna and Humana. The $37 billion deal is just one of a series that are expected to reshape the health insurance landscape, after the Supreme Court decision last month made it clear that health care reform was here to stay. Reported by Washington Post 14 hours ago.

Obama's Mother Lacked Health Insurance

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President Barack Obama's Supreme Court victory in June saved his health care plan for the needy but also had a deep and rarely noted personal meaning: Obama's own mother, Ann Dunham Sutoro, suffered and died from cancer while unable to pay her medical and other bills.

It seems that quietly, Obama had sent a message to his mother in heaven saying: "Mom. No one will have to suffer and die as you did, unable to pay for basic medical care.

Sutoro, then remarried to an Indonesian man, was working as an anthropologist on literacy and micro-credit programs for the U.S. foreign aid agency USAID in Indonesia. But she held a contractor's job, which offered no benefits such as medical insurance.

So when she began to feel bad, the local Indonesian public health system offered treatment that was far below the U.S. standard. Her illness, according to her friend Kay Ikranagara, interviewed by phone in Jakarta in 2009 when I worked for USAID in Washington, soon spread and was untreatable.

Sutoro moved back to Hawaii in 1994 where Obama had been living with her parents. But she had no way to pay the extensive medical bills as doctors tried and failed to save her life.

His mother would certainly have benefitted from the Affordable Care Act (ACA) - pejoratively dubbed Obamacare by Republican opponents of the bill.

My mother Dr. Miriam Barber had also been disgusted by the pay-to-play medical system in New York City, when she set up her pediatrician's practice in our apartment after we moved to the U.S. from England in 1948.

"I can't stand to take money from the parents - they have no money and they reach into their pockets for a crumpled five dollar bill. I don't want to take their money," she said to me.

She also said she wanted to send patients for an x-ray or blood tests and couldn't do it because it meant sending the family with a sick baby on the bus or subway to a lab where they have to pay more of the money they don't have.

A few years later my mom joined the first HMO in the country - the New York Health Insurance Plan or HIP - and joined their pediatric clinic at Montefiore Hospital. By showing their membership card, families - mainly from police, fire and teachers unions-- could get everything done in the same building - pediatrics, radiology, blood work, specialists--at no cost.

That system enabled my mother to give top treatment to people regardless of their wealth. It did not however help millions of Americans who lacked any medical insurance-- until Obama's health care plan was passed by Congress and subsequently got a fresh bill of health from the Court.

Until the advent of ACA, Sutoro's fate was the fate of many Americans. Those with money or with jobs that provide benefits could get treatment covered. So can those with no money who are entitled to Medicaid.

Those in between like Obama's mother are left to suffer, often destroying all the elements of middle class life such as their home, car, credit and possessions to pay for medicine.

Only yesterday I heard from a friend caught in the same bind: he contracted Hepatitis C decades ago and now needs new medication that costs $1,000 per day for three months - about $100,000 for the cure. This is far beyond his means unless he sells his small farmhouse and the few acres of land around it.

So the tragedy of Obama's mother is symbolic of millions of ordinary Americans facing pain and suffering - unable to take their sick or even dying children to a doctor; or to have their infected tooth treated.

The tragic treatment of Sutoro in her final months is compounded by the selfless life she lived serving U.S. aid programs and helping the world's poortest peoples.

She spent more than 20 years in Indoneisa working on projects for USAID, The Ford Foundation, the World Bank and other orgnizations.

"Like me, Ann was a child of the '60s who ended up in Indonesia, ready to take up challenges," said Ikranagara from Jakarta in a telephone interview with me when I was editor of the USAID newsletter FrontLines.

Sutoro was "an earthy person and an anthropologist--at home in the villages. She had a wide variety of friends beside the ex-pats," Ikranagara told me.

IN 2009, Obama told the National Prayer Breakfast that his mother" was the kindest, most spiritual person I've ever known. She was the one who taught me as a child to love, and to understand, and to do unto others as I would want done," he said.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 14 hours ago.

Coming Health Insurer Mergers Will Costs Consumers -- and Jobs

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The number of health insurers competing for your business almost certainly will decrease in coming months as the big for-profit firms merge or acquire each other. The companies insist that the results will enable them to operate more efficiently through the elimination of redundancies. But don't expect your premiums to go down when the dust settles. In fact, if the past is prologue, premiums will go up.

The biggest beneficiaries will be the shareholders and a handful of top executives; they'll make tens of millions of dollars on the day the transactions become final. Among the losers--in addition to the people enrolled in the insurers' health plans--will be many of the employees of the acquired companies, and taxpayers in the cities that come out on the short end of the stick when the combined companies decide where the corporate headquarters will be.

Every one of the big five--Aetna, Anthem, Cigna, Humana and UnitedHealthcare--either is in play, is rumored to be in play or has gone public with its intentions. Published reports late last week indicated that Aetna had agreed to buy Humana for $34.1 billion in cash and stock. Anthem Inc., the largest by membership, has offered even more, $47 billion, to buy Cigna. If approved, it would be the biggest deal in industry history. UnitedHealthcare would like to have Aetna and could still make a bid for it.

We've seen this movie before, and the ending can be predicted with some certainty. In almost every case, the rich get richer and the poor get poorer.

One of my jobs at Cigna was to help manage communications when the company bought another insurer, as it did in 1997, acquiring Healthsource, based in Hooksett, N.H., for $1.45 billion. Among the winners in that transaction: Healthsource's CEO, Norman Payson. As part of the deal, Payson got a $100,000 a month--yes, a month--as a consultant with Cigna, in addition to $94.2 million for tendering the stock he owned in Healthsource.

Over the next several months, almost all of Healthsource's employees were laid off. And Hooksett lost a boatload of high-paying jobs when all the administrative functions of the combined company were eventually moved to Cigna's offices in Philadelphia and Bloomfield, Conn., a Hartford suburb.

Other deals in the years before and after the Healthsource acquisition had the same result. In 1995, many Metropolitan Life and Travelers employees in New York and Connecticut and elsewhere were given pink slips when those companies sold their health insurance operations to UnitedHealthcare for $1.6 billion. The next year, Hartford-based Aetna completed an $8.8-billion merger with Philadelphia-based U.S. Healthcare. Then in 1999, Aetna bought Prudential's health care operations for $1.6 billion. In every case, the executives and shareholders of the acquired companies made out like bandits. Thousands of rank-and-file employees, meanwhile, found themselves unemployed. In just the Aetna-Prudential deal, as many as 2,000 jobs were axed.

In the current round of consolidations, the two men likely to gain the most if their companies get bought are Cigna CEO David Cordani and Humana CEO Bruce D. Broussard, both of whom hold hundreds of thousands of shares of their respective companies' stock. Other big winners: the big institutional investors that own most of the companies' shares. At Cigna, 87.5 percent of its shares are own by institutional investors like the Vanguard Group and State Street Corporation. At Louisville, Ky.-based Humana, the ownership is even more concentrated. Almost 95 percent of Humana's shares are owned by Capital World Investors, JPMorgan Chase and several other huge investors. Those investment firms stand to reap hundreds of millions of dollars if the deals are approved by regulators.

But if I were a regular nine-to-fiver at either Cigna or Humana, I'd be spending a lot of time on LinkedIn. And if I were mayor of Bloomfield (where Cigna is now based) or Louisville, I'd be plenty worried about the loss of both headquarters bragging rights and hundreds of millions of dollars in taxes.

As for health plan premiums, researchers who've looked at previous mergers and acquisitions found that they typically went up, even as the "redundancies" (jobs) were eliminated. As Hartford Courant reporter Dan Harr reported last week, a 2012 analysis of the Aetna-Prudential deal, published in the American Economic Review, found that that merger actually raised premiums by an average of 7 percent by 2006.

Not only that, but millions of Aetna's newly acquired health plan enrollees were soon scrambling to find another insurer because Aetna considered them "unprofitable." The company said it "shed" 8 million of its 21 million health plan enrollees as part of its strategy to return to profitability after all its M&A activities.

Let's hope that regulators examine that historical record--especially what has happened to regular folks--when they consider whether to approve or reject the deals that will likely be announced in the coming weeks.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 14 hours ago.

State Medicaid Programs and the Changing Dynamics of Pharmacy Benefits Management

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When President Obama signed the Affordable Care Act (ACA) in 2010, millions of Americans received prescription drug coverage as part of their new health insurance. While this expanded coverage provided new access to prescription drugs for many Americans, it brought with it additional pharmacy requirements for both states and the federal government. Fast-forward to five years later and those ACA requirements are putting a heavy strain on state Medicaid programs as they work to manage pharmacy benefits for an increasingly diverse beneficiary population and an increasingly expensive array of drugs.

To ensure the prescription drug needs of the newly insured are met, Medicaid Pharmacy Benefits Managers (PBMs) fill an important role between patients and the health care system, supporting everything from negotiating drug prices to processing claims. With enrollment in Medicaid and the Children's Health Insurance Program (CHIP) growing by 19 percent since 2013 -- now covering over 70 million people -- PBMs have a vast amount of new information and data to track. This influx of Medicaid and CHIP recipients, along with the rising costs of prescription drugs, means that state Medicaid programs need to evolve to address the changing landscape. They need technology solutions and business processes that help their PBM program's efficiency and accuracy, all while keeping costs down and ensuring consumers' ability to access needed medications.

*New Challenges for States*
As of March 2015, 29 states have chosen to expand their Medicaid programs under the ACA. This includes new income eligibility levels for adults to qualify for health insurance coverage. This change now enables states to cover more citizens under their Medicaid program, including their prescription drug needs, but is also one of the factors driving the need for PBMs to evolve.

"With Medicaid growth comes new demographics," said J.P. Crouse, Vice President at MAXIMUS, in a recent webinar on the topic. "Take, for example, childless adults, which are new to Medicaid under the ACA. These populations have brought with them a number of specific cases that Medicaid has had in the past, but traditionally not in large numbers, [such as] notable public health issues around hepatitis C, HIV/AIDS and tuberculosis. Some states have had as much as 80 percent of their infectious disease case load transfer to the Medicaid program literally overnight as part of Medicaid expansion."

Under the managed care health system, the rising cost of drugs used to treat disease like hepatitis C and HIV/AIDS puts an unsustainable strain on insurance companies, which in turn have increased their capitated rates for states. Data shows that drug costs spiked 13 percent in 2014, making it the largest increase since 2003. With the need for costly drugs for disease treatment and a rapidly growing coverage population, the need for a new vision for PBM programs is greater than ever.

*The High Cost of Prescription Drug Abuse*
Another costly issue that touches Medicaid programs is prescription drug abuse. While some Medicaid programs are addressing the issue through utilization, fraud management and participation in Prescription Drug Monitoring Programs (PDMPs), others still need better tools that provide full visibility into how prescription drugs are being tracked, approved and dispensed.

"Drug overdose attributable to both prescription drugs and illegal drugs is now the leading cause of accidental death in some states, having surpassed motor vehicle accidents. Now, to me, that is just a staggering statistic and Medicaid programs are now having to deal with this issue," stated Crouse. "While many Medicaid programs are beginning to address it and develop a more sophisticated approach to how they combat this issue, we have a lot of work ahead of us."

According to the Centers for Disease Control, in order for states to ensure patients receive and use medication properly and don't abuse prescriptions, they must:
· Look to increase their use of PDMPs -- to track all prescription painkillers by state -- in order to better monitor the prescribing and dispensing of frequently abused controlled substances· Consider ways to assess Medicaid, workers' compensation programs and state-run health insurance plans to detect and address inappropriate prescribing of painkillers· Leverage program data to identify potential abuse cases
Unfortunately, a majority of the legacy pharmaceutical solutions currently used by states to manage prescription drug coverage are antiquated, and as a result are unable to adapt to the fundamental shifts in how drug benefits need to be managed under the ACA.

*The Future of State Medicaid PBM Programs*
In order to address the fundamental shifts in how drug benefits must now be operated under Medicaid managed care health plans and the ACA, states must seek solutions that help fully automate the entire prescription drug lifecycle and integrate it across multiple information systems. This creates an opportunity to introduce multi-program management capabilities that enable Medicaid agencies to input separate rules for each of their coverage programs, such as Medicaid, CHIP and long-term care. Such solutions can enable states to vary their Prior Authorization (PA) rules, adjudication rules and Drug Utilization Review (DUR) rules across programs so that the use of disparate systems becomes obsolete. Further, these solutions create the ability to access medical histories, diagnosis data and other important information that provides quicker and more advanced decision making for both claims authorization and PA processes.

The future version of state Medicaid PBMs must adapt to rapid growth and massive changes in rules, regulations and processes. By implementing streamlined tools and integrated approaches to drug management, states can work to not only reduce costs for their Medicaid programs, but also monitor potential drug abuse and contribute to the improved health of their citizens.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 14 hours ago.

Obamacare Sticker Shock Arrives: Insurance Premiums To Soar 20-40%

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Two months ago, we outlined why the CPI-boosting Affordable Care Act is on the verge of bankrupting that all important driver of the US economic growth engine — the American consumer.

Put simply, inflation in medical care services costs hadn’t yet reared its ugly head because many insurers were as yet unable to gauge the full base-effect impact of Obamacare on their P&L. That, we said, was about to change: *“After finally digesting the true cost of Obamacare, any recent insurance prime hikes will seem like a walk in the park compared to what is coming.*

 

Sure enough, insurers have now taken a close look at exactly how much socialized medicine is costing them.

Not surprisingly, the picture isn’t pretty.

In some cases, forecasters grossly underestimated the number of claims they would likely receive, and indeed, even a PhD economist can tell you that when the amount going out for claims is greater than the amount coming in via premiums, there’s a problem with the model and because staunching the outflow is effectively now forbidden, something has to give on the receivables side of the equation which means dramatically higher premiums.

NY Times has the story:



*Health insurance companies around the country are seeking rate increases of 20 percent to 40 percent or more, saying their new customers under the Affordable Care Act turned out to be sicker than expected.* Federal officials say they are determined to see that the requests are scaled back.

 

Blue Cross and Blue Shield plans — market leaders in many states — are seeking rate increases that average 23 percent in Illinois, 25 percent in North Carolina, 31 percent in Oklahoma, 36 percent in Tennessee and 54 percent in Minnesota, according to documents posted online by the federal government and state insurance commissioners and interviews with insurance executives.

 

 

The Oregon insurance commissioner, Laura N. Cali, has just approved 2016 rate increases for companies that cover more than 220,000 people. Moda Health Plan, which has the largest enrollment in the state, received a 25 percent increase, and the second-largest plan, LifeWise, received a 33 percent increase.

 

*Jesse Ellis O’Brien, a health advocate at the Oregon State Public Interest Research Group, said: “Rate increases will be bigger in 2016 than they have been for years and years and will have a profound effect on consumers here. *Some may start wondering if insurance is affordable or if it’s worth the money.”

 

The rate requests, from some of the more popular health plans, suggest that insurance markets are still adjusting to shock waves set off by the Affordable Care Act.

 

Blue Cross and Blue Shield of New Mexico has requested rate increases averaging 51 percent for its 33,000 members. The proposal elicited tart online comments from consumers.

“This rate increase is ridiculous,” one subscriber wrote on the website of the New Mexico insurance superintendent.

 

*In their submissions to federal and state regulators, insurers cite several reasons for big rate increases. These include the needs of consumers, some of whom were previously uninsured; the high cost of specialty drugs; and a policy adopted by the Obama administration in late 2013 that allowed some people to keep insurance that did not meet new federal standards.*

 

“Our enrollees generated 24 percent more claims than we thought they would when we set our 2014 rates,” said Nathan T. Johns, the chief financial officer of Arches Health Plan, which covers about one-fourth of the people who bought insurance through the federal exchange in Utah. *As a result, the company said, it collected premiums of $39.7 million and had claims of $56.3 million in 2014. It has requested rate increases averaging 45 percent for 2016.*

 

The rate requests are the first to reflect a full year of experience with the new insurance exchanges and federal standards that require insurers to accept all applicants, without charging higher prices because of a person’s illness or disability.



There you go. Precisely as we said, the ACA and of course the ballooning cost of new drugs proxied by Janet Yellen's "stretched" biotech sector mean manidtorily insured Americans will now be charged more. Much more.

But do not despair because where there's an Obama there's always "hope". And on that note, we'll leave you with the following, from the President:



If insurance regulators “do their job, my expectation is that [rates hikes] will come in significantly lower than what’s being requested.”

Reported by Zero Hedge 13 hours ago.

Does the Affordable Care Act Guarantee Health Care as a Right?

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by John Geyman, M.D.
http://www.johngeymanmd.org

In his recent celebratory remarks after the Supreme Court (SCOTUS) upheld the legality of subsidies/tax credits under the Affordable Care Act (ACA), President Obama had this to say: "Five years ago, after nearly a century of talk, decades of trying, a year of bipartisan debate--we finally declared that in America, health care is not a privilege for a few, but a right for all." (1)

It would be good if this were true, but it is not. Health care as a right has been debated over many years, but is still not in place for all Americans as this country remains an outlier among advanced industrial countries around the world. Instead, despite the ACA, we continue to have a patchwork of ever-changing programs assuring access to health care for some people some of the time.

Let's look at what we do have in this respect. In the 1960s, Congress established a broad right to health care under statutory law by enacting Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) for the elderly, disabled, people living in poverty, and children. In the 1980s it passed the Emergency Medical Treatment and Active Labor Act (EMTALA) requiring all Medicare-funded hospitals with emergency departments to provide appropriate emergency and labor care. More recently, Congress passed the Mental Health Parity and Addiction Equity Act (MHPAEA) in 2013, which assures a right to equal access to care for patients with medical and mental health problems. SCOTUS has established a right to health care for prisoners and has protected some limited rights for women's reproductive care (2), but has never interpreted the Constitution as guaranteeing a right to health care for all Americans. In fact, the words "health,""health care,""medical care," and "medicine" do not appear in the Constitution. (3)
It is disingenuous to claim that health care is a right in the U. S. when we consider these inconvenient facts:
· 35 million uninsured, plus another similar number underinsured.· The first question asked of us in seeking care is "what is your insurance?"· 21 states have opted out of Medicaid expansion under the ACA.· Medicaid eligibility and coverage varies widely from one state to· another, in many cases falling far short of necessary care.· As the costs of insurance and health care continue to rise and shift· more to patients, a growing part of the population cannot afford either and forgo seeking care.· More than 40 million Americans now have an account in collection for medical debt. (4)
This situation stands in sharp contrast to elsewhere in advanced societies. Health care has been recognized as a right since 1948 when the General Assembly of the United Nations adopted a Universal Declaration of Human Rights including access to health care. (5) The right to health care was also later adopted by the World Health Organization (WHO) in its Declaration on the Rights of Patients. (6) As a result, most of Western Europe, Scandinavia, the United Kingdom, Canada, Taiwan, and many other countries have one or another form of national health insurance assuring access to care for their populations. Here we spend twice as much and still have no universal access to health care.

Can we ever see this country coming around to universal access to health care based on medical need, not ability to pay? The record shows that we never can, or will, as long as we permit corporate stakeholders in our medical-industrial complex to call the shots, and as long as they succeed in perpetuating our exploitive for-profit system. There is a fix--single-payer national health insurance, as embodied in H. R. 676, Expanded and Improved Medicare for All.

To read John Geyman's new book on Obamacare:
How Obamacare is Unsustainable: Why we need a single-payer solution for all Americans.

*References: *
1. Obama, President Barack. Read Obama's full remarks on Supreme Court Ruling. U. S. News.

2. Curfman, G. King v. Burwell and a right to health care. Health Affairs Blog, June 26, 2015.

3. Ruger, JP, Ruger TW, Annas, GJ. The elusive right to health care under U. S. law. New Engl J Med, June 25, 2015.

4. Hillebrand, G. Consumer advisory: 7 ways to keep medical debt in check. Consumer Financial Protection Bureau, December 11, 2014.

5. Adopted by the General Assembly on December 10, 1948. Printed in: von Munch, I, Buske, A. (eds). International Law: Essential Treaties and Other Relevant Documents, 1985: 435ff.

6. Carmi, A. On patients' rights. Med Law 10 (1): 77-82, 1991.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 11 hours ago.

Top health plans seek steep rate hikes for 2016

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WASHINGTON -- Health insurance companies around the country are seeking rate increases of 20 to 40 percent or more, saying their new customers under the Affordable Care Act turned out to be sicker than expected. Federal officials say they are determined to see that the requests are scaled back. Reported by TwinCities.com 8 hours ago.

Connexion Point, a tech enabled healthcare services company, is holding on-site job fair July 8th and 9th to fill 400 positions at its new Memphis location

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Connexion Point is holding an onsite job fair to hire 400 people for its new site in Memphis. The job fair will be held at 1769 Paragon Place, Suite 100, this upcoming Wednesday, July 8, and Thursday, July 9, from 9:00 am – 5:00 pm.

MEMPHIS, Tennessee (PRWEB) July 07, 2015

Connexion Point is holding an onsite job fair to hire 400 people for its new site in Memphis. The job fair will be held at 1769 Paragon Place, Suite 100, this upcoming Wednesday, July 8, and Thursday, July 9, from 9:00 a.m. – 5:00 p.m.

During the two day onsite job fair, Connexion Point will be recruiting new applicants as well as holding onsite interviews. Interested parties are encouraged to attend the job fair or go to cxpjobs.com to fill out an application.

Connexion Point is hiring licensed health insurance agents, unlicensed agents, supervisors, managerial staff, general support staff, and tech support staff. Connexion Point also offers an outstanding program to help employees, who are interested, obtain their Health Insurance License.

Construction on the site started two weeks ago, and the first training classes are scheduled to begin the first week of August.

“Things are happening fast in Memphis – our crews are constructing as we speak,” says Robert McMichael, President and CEO. “Our recruiting team just landed today, boots-on-the-ground, to prepare for the hiring fair starting Wednesday. Training classes are slated for the beginning of August, and we anticipate Connexion Point Memphis to be up and open for business before the end of the month.”

Connexion Point is an award-winning, tech-enabled health care services company specializing in customized contact center services. Named to the Inc 500’s list of fastest growing companies in the United States, their clients include some of the largest health insurance companies in the nation.

Competitive advantages Connexion Point brings to the contact center space include unparalleled technological agility, access to in-depth analytics, measurable reporting, industry leading data, and an exceptional client and solution focus. Connexion Point is headquartered in Salt Lake City, Utah with multiple centers in Utah, Texas, and Tennessee. Reported by PRWeb 4 hours ago.

Better Business Bureau Endorses Employee Benefits Consulting Firm

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– The Better Business Bureau (BBB) of New Jersey has endorsed the high business standards and ethics on an employee benefits consultancy, Brown & Brown Benefits Advisors, including the right to display the esteemed BBB Seal in conducting its online business.

Lambertville, NJ (PRWEB) July 07, 2015

The Better Business Bureau (BBB) of New Jersey has endorsed the high business standards and ethics on an employee benefits consultancy, including the right to display the esteemed BBB Seal in conducting its online business. That distinction of integrity, transparency and responsiveness in business practices was awarded on June 25, 2015, to Brown & Brown Benefit Advisors, which has New Jersey office locations in Lambertville, Moorestown, Shrewsbury and Livingston.

“Not every business is eligible for BBB accreditation,” reports the New Jersey bureau of the Council of Better Business Bureaus (CBBB), which strives to foster honest and responsive relations between businesses and consumers in the United States and Canada. “Businesses must meet, commit to and maintain the BBB Code of Business Practices in order to be eligible for and maintain BBB accreditation.”

“Receiving the BBB accreditation is a significant achievement, and we’ll wear it as a badge of honor,” said Peter Abitanto, Senior Vice President, Sales and Marketing at Brown & Brown, which partners with clients to develop and manage “a sustainable employee benefits program.” These benefits include group health insurance, dental plans, disability, as well as human resources and technology solutions and guidance in regulatory and compliance issues.

The ultimate goal of the Better Business Bureau in recognizing businesses that achieve and maintain these high standards is to sustain “an ethical marketplace where buyers and sellers trust each other.” That includes “encouraging and supporting best practices by engaging with and educating consumers and businesses.”

Aside from recognizing role models in the business community, the BBB also recognizes unethical or substandard business practices by making them known and addressing their remedies.

In order for a business like Brown & Brown to receive this valued BBB accreditation, it must fill out a detailed application. This launches a review of the application, research of the business and its principals to verify information submitted and, when necessary, requesting proof of information. Evaluation comes after review and verification, which means that it will determine whether the applicant lives up to the standards of BBB Accreditation.

Those standards, as spelled out by the BBB, require that the applicant has:·     Built trust by exhibiting and maintaining a positive track record in the marketplace;
·     Advertised honestly by adhering to established standards;
·     Shown transparency through clear disclosure of policies and openly identifying the type of business, its location and ownership that might impact a consumer’s decision to buy;
·      Honored promises by abiding by written and verbal agreements;
·     Been responsive to customers by addressing disputes in good faith in a swift and professional manner;
·     Exemplified integrity in all business dealings, including commitments that have been made, and
·     Safeguarded privacy by protecting data from fraud and mishandling, collecting only information required in conducting the business at hand. Reported by PRWeb 4 hours ago.

Meditech Founder Howie Bartz Announces Launch of Healthcare Assist Foundation

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Non-Profit Foundation to Serve Patients, Medical Providers, and Hospital Administrators

Washington, DC (PRWEB) July 07, 2015

Howie Bartz, President and Founder of Meditech, announced the creation of the Healthcare Assist Foundation, a non-profit 501(c)(3) charitable organization with the mission of providing quality health insurance to those with financial and medical needs. For hospitals, administrators and medical providers, Healthcare Assist provides a turn-key solution to help cover costs of the uninsured.

Healthcare Assist addresses the obstacles preventing people from obtaining quality healthcare. These obstacles include lack of financial resources and lack of education about government subsidies and assistance. Healthcare Assist helps address these obstacles by simplifying the process of obtaining quality health insurance for individuals, educating people about government subsidies, coordinating government subsidy programs, and offering financial assistance to help cover high cost premiums.

Despite the passage of the Affordable Care Act, there are still millions of Americans without health insurance. "The Affordable Care Act was a positive step in providing health insurance, but in reality there are still millions of Americans without health insurance," said Howie Bartz. "We have a system where many people suffer from serious medical conditions without adequate coverage. If Healthcare Assist can step in and make a real difference for those who are in need then this is a win-win for everyone." Bartz added, "The process for obtaining health insurance is still fraught with challenges and is difficult for many to obtain and afford. Our goal with Healthcare Assist is do all we can to streamline the process, educate the public, coordinate government subsidies, and offer financial assistance to help cover high cost premiums."

To learn more about Healthcare Assist, please visit: http://www.healthcareassist.org

About Meditech and Howie Bartz

Meditech is a nationally recognized provider of medical devices and ancillary physician programs founded by Howie Bartz in 2007. Mr. Bartz began his career as a Physical Therapist with a specialty in spinal orthopedics. Through his clinical experience, he saw a need for physical therapy treatments that would be more effective for home use such as TENS, muscle stimulation and traction. Mr. Bartz found that these products worked in perfect conjunction in the field of interventional pain management as conservative treatment options for spinal diseases.

Howie Bartz founded Meditech with the vision of providing quality medical products packaged with superior clinical support. The business model created is unique in that it creates a turn-key program for physician practices that not only benefits the care of patients, but can be a significant source of revenue generation for the practice. Meditech also offers a number of ancillary programs for physicians to its line of products and services, which include: Compound Pharmaceuticals, Genetic (DNA) testing, Urinalysis, Physical Therapy and Medical Billing. Reported by PRWeb 2 hours ago.

DialAmerica Orlando hiring licensed health insurance agents

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DialAmerica Orlando currently is hiring 40 licensed health insurance agents, with plans to hire 120 over the next few months to support growing client demand in the health care industry. Permanent and seasonal positions will be filled over the next several weeks, and paid training classes begin in early September, the company said. Marc Fisher, director of contact center operations for DialAmerica, said agents will be trained to handle inbound and outbound calls from plan members, renew member… Reported by bizjournals 54 minutes ago.
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