Posts Tagged ‘Kathleen Seblius’

HHS and CDC Form a Breast Cancer Panel to Encourage Initiatives for Women Under 40

Monday, November 1st, 2010

New government-led panel will raise breast cancer awareness among young women.  The Department of Health and Human Services celebrated National Mammography Day by establishing an advisory committee under the auspices of the Affordable Care Act at the Centers for Disease Control and Prevention (CDC). The 15-member panel will develop initiatives to increase awareness of breast cancer among women under the age of 40.  “From prevention research, to education for health professionals, to designing and promoting awareness activities for the public, we look forward to working with the committee to educate providers, patients and young women about breast cancer prevention and treatments,” said Thomas Frieden, CDC director.

HHS Secretary Kathleen Sebelius announced the panel in a conference call with Jill Biden, who in 1993 established the Biden Breast Health Initiative, a non-profit organization that provides educational breast awareness programs in Delaware.  In 17 years, approximately 10,000 high school girls have learned about breast cancer awareness through the program.  Biden established her program in a year when four of her friends were diagnosed with breast cancer.

The Affordable Care Act includes a provision that if a woman or her family is enrolled in a health plan on or after September 23, 2010, mammograms will be required coverage for women aged 40 and above.  Additionally, the act bans insurers from imposing lifetime dollar limits on essential benefits for women.  Beginning January 1, 2011, Medicare patients will be able to have mammograms with no co-payment.  Sebelius noted that 100 American women die each day from breast cancer, though survival rates run as high as 98 percent after five years if the disease is detected early.

Healthcare Reform Will Save Billions for Medicare

Monday, August 16th, 2010

Healthcare reform will save Medicare $418 billion over the next 10 years.

The healthcare reform bill is expected to save Medicare $7.8 billion through 2011 and $418 billion over the next decade, according to a report released by the Centers for Medicare and Medicaid Services (CMS).  Kathleen Sebelius, Health and Human Services Secretary, said “Because we began making changes right away, the savings from Medicare add up fast.”

The CMS report focuses largely on the measures that will change how healthcare is delivered and paid, which are at the heart of the historic legislation passed by Congress in spring.  Some of the programs are designed to cut the number of hospital re-admissions, find new ways to reimburse hospitals and physicians, and target fraud and abuse.  The last is expected to save Medicare billions.

Sebelius believes that Medicare will lead the private sector in reforming how healthcare is delivered.  Jonathan Blum, deputy administrator of CMS, said “I think when you look at the history of hospital and provider payments, when large payers like the Medicare program place continued financial pressure, hospitals become more productive.”

According to CMS estimates, changed to the Medicare Advantage programs and the ways in which the agency will reimburse providers will save $145 billion and $205 billion over the next decade respectively.  The report also highlighted several changes that affect care delivery.  As an example, actions to improve quality and simplify care are expected to save more than $15 billion.

HealthCare.gov Debuts on a Computer Near You

Tuesday, July 20th, 2010

New HHS website a source for all things healthcare reform.  The Department of Health and Human Services (HHS) has launched a new website to help Americans better understand and explore the options open to them as healthcare reform legislation takes effect.  The website was mandated in the healthcare reform bill passed in March; in October, there will be a tool that lets people compare pricing for various insurance plans.

Insurance companies aren’t entirely happy with some of the content on the new HHS website.  The industry’s lobbyist, America’s Health Insurance Plans (AHIP) told HHS that they were not comfortable about the insurance plan information that might be detailed on the website.  One of the sore spots was the government’s request for data on how many claims are denied by healthcare plans.  According to Robert Zirkelbach, an AHIP spokesman, “Providing information about claims denials without providing proper context does not begin to tell the whole story.”  Zirkelbach said that claims are often denied because of duplicates or submitting a claim to the incorrect health plan.

HHS Secretary Kathleen Sebelius, writing on the White House blog, said “The site makes a system that thrived on complication and confusion easier to understand.  This kind of transparency helps create informed consumers, which increases competition, reduces prices and improves quality.”  The website’s two-minute video explains the law and its provisions, while a tab on the home page provides in-depth information on the law.  HealthCare.gov even has its own Twitter account.

Arnold Schwarzenegger Breaks With Republicans to Support Healthcare Reform

Thursday, May 20th, 2010

Schwarzenegger breaks with Republicans to support healthcare reform.  “The Terminator” has changed his mind.  Although he originally opposed healthcare reform as the legislation moved through Congress, California Governor Arnold Schwarzenegger now fully supports the new federal law.  In a speech at the University of California at Davis Medical Center, the governor – who cannot run for re-election because of term limits — broke rank with his fellow Republicans, many of whom have announced their intention to sue the federal government to overturn the law.

“California is not part of this fight, and I’ll tell you why,” according to Schwarzenegger.  “When you don’t have health insurance and you go to the hospital, you are forcing other people to pay for your healthcare.”  Twenty percent of California residents lack healthcare insurance, a situation that Schwarzenegger says is a crisis that requires resolution.  “The bottom line is the plan is not without flaws, but it is a good law,” he said.  To fill the void, California is launching a temporary high-risk insurance pool to cover the uninsured that will be funded by $761 million in Department of Health and Human Services money through 2014.

Schwarzenegger also vowed to enforce the law, to the point of making certain that the state’s insurers comply with bans on lifetime spending caps.  If necessary, he will call the state Legislature into a special session to make statutory changes to comply with the act’s provisions.  “We’re ready to roll up our sleeves and work with the federal government to get this done,” the governor said.

Sebelius Warns Healthcare Insurers to Stop Looking for Loopholes

Tuesday, April 6th, 2010

Healthcare insurers’ hunt for loopholes could result in the addition of a public option to reform legislation. Kathleen Sebelius, Secretary of Health and Human Services, has warned insurance companies to stop hunting for loopholes as a way to get around complying with healthcare reform.  Additionally, Sebelius intends to write regulations to assure that all insurers cover children with pre-existing conditions, even though some companies are adamant that this is not one of the new law’s requirements.

“The American people debated and discussed health insurance reform for more than a year.  Congress and the President have acted.  Now is not the time to search for non-existent loopholes that preserve a broken system,” Sebelius wrote in a letter to insurance industry lobbyist Karen Ignagni.

President Obama stressed the ban on denying children with pre-existing conditions as a focus of his argument during the reform fight.  His position is that children should be protected almost immediately after the bill becomes law – in this case, next September.  The insurance companies claim they don’t have to cover children with pre-existing conditions until 2014.

The insurers’ revolt over this presumed loophole could mean that progressive Democrats will reconsider adding a robust public option to the law.  The insurance companies’ threat to turn down sick kids makes the case to include a public option significantly more credible.