health care

Politics
5:54 pm
Fri November 18, 2011

Confusion reigns over what state should do with health care law

Business owners are trying to figure out how the federal Affordable Care Act might play out in Michigan and how it could affect their bottom line.

Under the law, states are required to create an online exchange where people could compare and buy health care insurance. States need to create the exchange by the end of 2012 or the federal government will do it for them.

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Politics
11:29 am
Fri November 11, 2011

Tea Party activists get fired up over Michigan health care exchange bill

user rosefirerising Flickr

The Michigan State Senate followed Governor Snyder's desire and passed a bill that, if adopted, would set up a statewide health care exchange. And the Tea Party is none too happy about the vote.

If state officials don't set up a statewide exchange by 2014, the state would have to enter a health care exchange system set up by the federal government.

The exchange, as political writer Susan Demas says, is like Travelocity for health care packages.

Demas wrote a piece on MLive about the Tea Party's reaction to the vote. She wrote that the activists warned Republicans "that there would be consequences for voting 'yes,'" and they accused Governor Snyder of trying to cozy up to the Obama administration.

Demas highlighted complaints from Scott Hagerstrom, the head of the free-market Americans for Prosperity of Michigan:

Hagerstrom called the passage of the health care exchange a "bribe" to get more federal dollars. 

"What they've done is basically declared war on the Tea Party and Tea Party activists," he declared. Joan Fabiano, a Tea Party activist from Holt who lobbied the Legislature against the health care exchange, also fired off a scathing statement against the Senate's action. 

She called it "a [sic] unnecessary set back [sic] in the freedom of Michigan citizens. . . . The hurried manner in which the bill was amended, passed through Committee and scheduled for a vote is an affront to every citizen of Michigan who was disenfranchised from having his or her vote heard. Voters will not forget this affront."

Senator Bruce Caswell (R-Hillsdale) might be on the Tea Party's list.

As Rick Pluta reported yesterday, Caswell was one of the Republicans arguing in favor of the exchange:

“I do not support putting this state in the position of having the federal government come in and basically take over regulation of health care,” said Caswell.

Politics
5:03 pm
Thu November 10, 2011

Michigan State Senate adopts health care exchanges

The state Senate has adopted a bill to create a statewide health coverage exchange where people and businesses could comparison shop for insurance.

Republicans were divided on the question, and whether a vote for it was an endorsement of the federal health reforms. 

Some Republicans argued they should take a principled stand against the federal law by refusing to enact any portion of it.

Others, such as Senator Bruce Caswell, argued the state should not risk being forced into a federal bureaucracy.

Without action, the state would be forced into a federal exchange system.

“I do not support putting this state in the position of having the federal government come in and basically take over regulation of health care,” said Caswell.

Caswell says Michigan can always shut down the exchange if the federal law is repealed or struck down.

Democrats, such as Senator Rebekah Warren, used the debate to defend the federal law.

“The solution that we have in front of us today guarantees that constituents in every one of our districts will have access to more affordable healthcare, so I urge my colleagues to please support this bipartisan compromise that’s in front of us now,” said Warren.

The measure now goes to the state House.

Republican Governor Rick Snyder says the statewide coverage exchange is a good idea with or without the federal mandate. He has asked the Legislature to send the bill to his desk before the end of the year.

Medicare Fraud
2:53 pm
Mon October 17, 2011

Medicare yanks licenses in Detroit and other cities, gives them right back

A review conducted by the Associated press found that regulators working to eliminate Medicare fraud (estimated at between $60-90 billion a year) often suspend Medicare provider licenses only to reinstate them in short order following appeals hearings.

More from the Associated Press:

The review also found government officials don't attend the hearings.

Federal prosecutors say the speedy reinstatements are a missed chance to stop taxpayer dollars from going to bogus companies that in many cases wind up under indictment. Prosecutors say some providers have collected tens of thousands of dollars even after conviction.

Officials revoked the licenses of 3,702 medical equipment companies in fraud hot spots in South Florida, Los Angeles, Baton Rouge, La., Houston, Brooklyn, N.Y., and Detroit between 2006 and 2009. About 37 percent were reinstated.

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Politics
5:39 pm
Tue September 27, 2011

Legislature expected to send abortion bills to Governor this week

A state Senate panel has approved a measure designed to make it more difficult for a pregnant minor to have an abortion. The proposal would prevent young women from so-called “judge-shopping” if one court denies her request to have an abortion without parental consent.

Mary Pollock is with the National Organization for Women. She says the proposal works against pregnant teens who don’t want to have a baby.

"Some teens fear that if their parents are told of their pregnancy, they will take actions to prevent the procedure and force them to complete the pregnancy," says Pollock.

Pollock says some teens will hurt themselves as they try to end pregnancies on their own.

The Legislature is also expected to send a ban on a controversial later-term abortion procedure to Governor Rick Snyder for his approval.

Commentary
1:15 pm
Thu September 15, 2011

The Governor’s Health Care Message

When I read the governor’s health care message, I had the oddly uneasy feeling I had seen this all before. Then I realized that I had. Half a century ago, when I was a little boy. Make that, a fat little boy. President-elect John F. Kennedy declared that physical fitness was the business of the government.

He wrote an essay in Sports Illustrated called “The Soft American,”  established a White House Committee on Health and Fitness, and challenged his staff to take a fifty-mile hike. Some did, although his famously rotund press secretary, Pierre Salinger, declined, saying “I may be plucky, but I’m not stupid.”

The President was especially concerned about child obesity. A song was written, called Chicken Fat, and we little baby-boomers had to exercise to it. Most of the nation enthusiastically greeted the physical fitness program. But the President didn’t seek to change any laws, And then he was killed and lifestyles changed.

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Politics
5:08 pm
Wed September 14, 2011

Legislative leaders react to Snyder's health care speech

Governor Rick Snyder’s health care agenda is receiving a cool reception from Republicans in the Legislature.

One of Snyder’s proposals is to require doctors to report to the state the body mass indexes of children they treat. The move would track a growing problem of childhood obesity.

House Speaker Jase Bolger says he is not interested in tracking that kind of personal information.

"I have very strong concerns about that. Again, we need to encourage personal responsibility, I among many, and maybe first among many, who need to lose weight. So I’m willing to try to lead by example," said Bolger. "But the government recording that information causes me great concern and discomfort."

Bolger also says he has no plans to take up the governor's proposal to require insurance companies to offer health care coverage for treatment of children with autism.

Health
4:53 pm
Wed September 14, 2011

Snyder calls health care in Michigan "a broken system"

Gov. Rick Snyder wants people to adopt healthier lifestyles  

Snyder says people need to take more responsibility for their own health if Michigan is going to reverse some dismal trends and save money on health care. That was part of a health care message he delivered at a Grand Rapids clinic.

Snyder says too many Michiganders smoke, are overweight, and don’t exercise.

Michigan ranks 10th in the country in people who are overweight or obese. Nearly two in 10 people still smoke.

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Politics
5:33 pm
Tue September 13, 2011

Snyder to focus on wellness, prevention in healthcare message

Bad eating habits can be hard to break, but the choices we make individually can end up costing society as a whole.
user ewan traveler Flickr

Governor Rick Snyder will ask Michiganders to quit smoking, lose weight and eat better in a health care message tomorrow that’s expected to focus on wellness and disease prevention.

The speech is expected to focus as much on identifying the problems as outlining solutions that won’t cost taxpayers a lot of money.

The Governor is expected to acknowledge there is not a whole lot government can do to make people live healthier lives.

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Politics
4:38 pm
Thu September 8, 2011

Senator pushes for licensing of in-home health agencies

A state lawmaker has called for licensing of in-home health care workers to help combat fraud. He says recent fraudulent billings from some agencies cost the Medicare program $28 million.

State Senator Mark Jansen (R-Grand Rapids) says some fraudulent in-home agencies came to Michigan because other states require the groups to be licensed, and Michigan does not.

"Some of those folks have been chased out of their states because they've been caught or they know people are paying attention, and they're coming to states that don't have licensure."

Jansen says fraudulent in-home care agencies prey on the most vulnerable people in Michigan.

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Politics
1:04 pm
Tue September 6, 2011

Michigan governor ready to launch fall agenda

Governor Rick Snyder talking to the Michigan Farm Bureau.
Lindsey Smith Michigan Radio

LANSING, Mich. (AP) - Gov. Rick Snyder is ready to launch a new series of fall initiatives, including measures to improve Michigan residents' health, fix crumbling roads and sewer systems and train
more people for available jobs.

He could unveil his health and wellness initiatives as early as next week. The Republican governor plans to lay out a roads plan in October and a way to better tap Michigan workers' talents in
November.

Snyder has been focused on "reinventing" Michigan since he took office in January, and doesn't plan to slow down anytime soon.

But he could be distracted this fall by a flurry of bills being pushed by fellow Republicans, such as making Michigan a right-to-work state and outlawing a late-term abortion procedure that's already illegal through a federal law.

Insurance
3:32 pm
Wed August 31, 2011

10 reactions to our story on eliminating no-fault auto insurance

The Michigan legislature will debate about changes to the state's no-fault insurance laws. Commentators shared their thoughts about the potential changes.
user H.L.I.T. Flickr

We received a lot of reaction from people about our story on the potential consequences of eliminating the mandatory personal injury protection (PIP) part of Michigan's no-fault auto insurance.

This seemingly bureaucratic story about potential changes to Michigan's insurance laws has a lot of devastating human stories behind it.

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health care
5:14 pm
Tue August 23, 2011

Doctors, hospitals and schools promote low-cost health care plans

Billboards that look like this will begin to pop up in Michigan. The grops are also buying TV and radio ads.
Lindsey Smith Michigan Radio

An alliance of medical and educational associations is working to get more children signed up for free or low-cost health insurance programs.

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Politics
4:41 pm
Fri August 19, 2011

Schuette plans review of Blue Cross Medicaid deal

Blue Cross Blue Shield building on Lafayette in Detroit.
Wikipedia

LANSING, Mich. (AP) - Michigan Attorney General Bill Schuette says his office is reviewing Blue Cross Blue Shield of Michigan's plans for a joint venture involving a Medicaid coverage company.

The Detroit-based Blue Cross and Philadelphia-based Independence Blue Cross are purchasing AmeriHealth Mercy, which has Medicaid managed-care contracts in states including Pennsylvania, Indiana, and South Carolina.

Schuette said Friday he wants the Michigan-based Blue Cross to provide his office with documentation related to the transaction.

Blue Cross officials said they welcome the inquiry and will work with him to clarify questions about the transaction.

The joint venture could provide an opportunity for Blues insurers nationwide to expand into Medicaid coverage just as states are seeking ways to save money in the program and the ranks of Medicaid enrollees is poised to grow.

Science/Medicine
4:13 pm
Tue August 2, 2011

University of Michigan nurses voice frustration over contracts

Katie Oppenheim is the President of the University of Michigan Professional Nurse Council (UMPNC). She was one speaker at the press conference August 2 in the Michigan Union.
Amelia Carpenter Michigan Radio Newsroom

University of Michigan nurses say the quality of patient care will suffer if they can’t reach an agreement in contract talks with management. Some nurses say they will leave their jobs. The two sides are debating financial issues including pay increases, health insurance and benefits in contract talks that resume today (Wednesday). The union representatives have added to an existing complaint with the Michigan Employment Relations Commission charging management with bad faith bargaining and making one-sided changes to some nurses’ working conditions. The union says the university made an assignment change without consulting them first.

Jeff Breslin is President of the Michigan Nurses Association. He says one of the key issues in hospitals is retaining staff.

"You get the expertise – you have nurses that can walk into a situation , assess it and know what needs to be done at the drop of a hat where new nurses – they will get to that point but they need the skill, they need the experience and they need the expertise from the people who have been there to pass that on to them," Breslin said.

The university health system said in a release they do not agree patient care will be affected with the new contract.

- Amelia Carpenter - Michigan Radio Newsroom

Politics
6:01 pm
Wed July 13, 2011

Michigan getting ready for federal health care law

The federal health care law is being phased in. States are getting ready to fulfill their obligations under the law.
Andrian Clark Flickr

The state Senate has opened hearings on how Michigan will handle its responsibilities under the new federal health care law. If Michigan does nothing, the state will be placed in the federal system when the law is fully enacted in 2014.

Republican leaders expressed hope that federal courts will ultimately strike down the health care law. But Senate Insurance Committee Chair Joe Hune says Michigan needs to be ready.

"This is all because of Obamacare, which is a downright travesty that that was passed through at the federal level, but we’re in a position if we do nothing that we’ll have the federal government breathing down our neck to put something in place that we definitely do not like," said Hune. 

Senate committees were told by consumer groups, social services advocates and businesses that Michigan would be better off designing its own system than joining the federal plan or a multi-state consortium.

Legislative hearings on the state’s role in federal health care reforms could last a year.

Science/Medicine
11:27 am
Thu July 7, 2011

Washtenaw County preparing for a jump in health care demand with new federal law

Is a health care emergency coming in 2014?
(photo by Steve Carmody/Michigan Radio)

The federal health care law is scheduled to take effect in 2014.  Health care leaders in Washtenaw County say they are not ready. 

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Health Care
3:54 pm
Fri June 24, 2011

Governor Snyder to talk health care reform in September

Governor Snyder says health care reform should focus on underlying costs, not insurance
Governor Rick Snyder

Governor Snyder has stayed pretty quiet on the subject of federal health care reforms. He is the nation’s only Republican governor who has not specifically called for repealing the law.

But he said this week that the new rules don’t pay enough attention to wellness and prevention. The governor told a group of small business owners that he will propose a health care reform plan for Michigan later this year that will focus on containing costs by encouraging people to get healthier.

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Medicine
3:22 pm
Mon June 20, 2011

Michigan not ready for Affordable Health Care Act

Emergency rooms are a costly alternative to a primary care physician.
Mark Coggins Flickr

A new survey found the state of Michigan is not ready to implement the health care overhaul passed by Congress. The Affordable Health Care Act is supposed to go into effect in 2014.

Marianne Udow-Phillips  is the Director of the Center for Healthcare Research and Transformation. She says more people will be eligible for Medicaid under the new health care act and this might overwhelm an already strained health care system:

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Politics
8:00 am
Thu June 16, 2011

Snyder declines to sign GOP letter on Medicaid reform, Obamacare

Governor Rick Snyder is the only Republican governor in the country to decline to sign a letter outlining their goals for healthcare.

The letter included a call to reverse the new federal health care reforms.

The letter was sent by the Republican Governors Association and signed by every member of the group except for Governor Snyder. The letter calls on Congress to give states more control over the Medicaid program, which provides health coverage for low-income families. But it also says reversing federal health care reforms is the top priority of Republican governors.

Governor Snyder has been circumspect on where he stands on the health care reforms.

“My role is not to be a large advocate on the national scale. My role is to be governor of Michigan," said Snyder. "We’re focused on Michigan issues.”

Governor Snyder says the state will move ahead with plans to enact the federal reforms unless they are struck down by a court.

The governor sent his own letter to congressional leaders, pointing out that Michigan has not cut Medicaid services to low-income families despite a budget crisis.

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