Agreement to drop public option pushes health bill ‘way down road’
NEW YORK To paraphrase a quote often attributed — but probably incorrectly — to 19th century German Chancellor Otto von Bismarck, if you like either laws or sausages, it’s best not to watch them being made.
That maxim could certainly apply to the seemingly endless bickering over the details of the health-reform debate in Congress. But in an era of constant Internet news feeds, blogging and instantaneous, on-the-spot reporting and analysis, it’s virtually impossible to avoid the spectacle.
Since the spring, the give-and-take over health reform and the public rancor it’s generated have dominated the airwaves and print media. And, given the almost unanimous opposition of House and Senate Republicans and the apprehension of some centrist Democrats regarding issues like the so-called public health-plan option and public funding for abortion, the odds against passage of any health reform legislation this year have seemed at times almost insurmountable.
But those odds went up dramatically on the evening of Dec. 8. A breakthrough on negotiations over the Patient Protection and Affordable Care Act came when Democratic leaders in the Senate indicated their willingness to compromise on the issue that posed perhaps the biggest single impediment to passage — the public option. Senate Majority Leader Harry Reid said the tentative agreement to drop plans for a government-managed health plan pushed the bill’s chances “way down the road.”
The Democrats could still end up with half a loaf, since the agreement includes a plan to create a network of nonprofit health plans — administered by the Office of Personnel Management — for Americans who lose their employer-sponsored health plans and others who find it difficult to get insurance through other means. What’s more, the bill, if reconciled in its current form with health reform legislation already passed by the House and signed into law, could boost the rolls of the insured through another means besides those already laid out in previous health reform proposals. To wit: The agreement hammered out Tuesday night includes a proposal to lower the age for Medicare eligibility to 55.
Tricare expands vaccination coverage to pharmacies, clinics
FALLS CHURCH, Va. The Department of Defense on Thursday issued an interim final rule through the Federal Register designating pharmacies as providers for H1N1, seasonal flu and pneumonia vaccinations under its Tricare program. The policy change, effective immediately and expected to be fully implemented later this month, brings the program in line with other insurers that have covered pharmacist-administered vaccinations.
“NCPA strongly supports the Pentagon’s decision to cover the provision of these critical vaccines at community pharmacies,” stated Bruce Roberts, EVP and CEO of the National Community Pharmacists Association. “The 9.5 million Tricare-eligible patients gain a convenient new vaccination option,” he said. “[And] taxpayers and plan administrators will save money when vaccines are administered at pharmacies instead of costlier doctors’ offices or hospitals.”
The National Association of Chain Drug Stores also commended the decision, stating that pharmacies “[are] uniquely positioned to offer such services for patients as vaccinations.”
“With the flu season upon us, it is important to help patients stay as healthy as possible. And for Tricare patients, this ruling provides them the ability to access their neighborhood pharmacy to receive these vaccinations,” said NACDS president and CEO Steve Anderson.
Tricare also is seeking comments on additional vaccines that should be covered through community pharmacies.
Tricare also recently added local convenient care clinics as network providers, meaning Tricare covered can also visit their local Take Care Health or MinuteClinic for influenza vaccines, the military payor announced last month.
Along with getting their flu shots at local military treatment facilities and from their primary care manager, nonactive duty Tricare Prime beneficiaries in the North and South regions can now receive flu vaccinations at local convenient care clinics. Tricare Standard or Extra beneficiaries who are not Medicare-eligible can also take advantage of the convenient care clinics, now that Tricare has waived cost shares for immunizations received from network providers.
“Convenient care clinics may be the perfect option for busy families to take advantage of this important preventive care,” Tricare stated in a press release.
In the North Region, Health Net has contracted with convenient care clinics at all MinuteClinics in CVS pharmacies; Take Care Clinics in Walgreens; and Little Clinics in Kroger food stores. In the South Region, Humana Military has limited service clinics at MinuteClinics in CVS pharmacies.
HHS discusses initiatives prompted by President Obama’s Memorandum on Transparency and Open Government
WASHINGTON The Department of Health and Human Services on Wednesday described how the agency is following through on President Barack Obama’s three principles for promoting a transparent and open government — transparency, participation and collaboration — citing the YouTube PSA contest for promoting the H1N1 vaccine as one example. Other examples included information streaming of HHS biomedical research innovation and IdeaLab, an Web-based peer-to-peer program that serves as a clearinghouse for collaborative networking for employees of the Centers for Disease Control and Prevention.
“These examples illustrate our commitment to the President’s vision of promoting accountability, collaboration and public engagement,” stated HHS Secretary Kathleen Sebelius. “By working together in a transparent manner, we have developed programs that are making real contributions to creating and adopting impactful solutions that protect and improve people’s health.”
The “YouTube Know What to Do About the Flu and Prevention PSA Contest” reached populations most vulnerable to the H1N1 flu virus — young teens and adults — to take proactive actions such as washing your hands and getting a flu shot. The PSA contest provided a venue to encourage families and students to get involved and reached a large audience with a creative outlet and humor, on a serious subject. More than 250 videos were submitted for review and the winning PSA was featured on national television.
“Our PSA Contest tapped the creativity and energy that thrives on YouTube,” stated acting assistant secretary for public affairs Jenny Backus. “We engaged people and they in turn engaged each other. Our important messages about how to prevent the flu reached a new audience of people at increased risk from the H1N1 virus.”
These initiatives are in direct response to the Memorandum on Transparency and Open Government the President issued on Jan. 21.