Friday, February 26, 2010

Health Care Summit Leads to Reconciliation

White House Healthcare Summit Said To Set Stage For Democrats-Only Bill.

Coverage of yesterday's White House summit on healthcare reform (including the lead stories on all three networks) tends to highlight partisan sniping and broad policy disagreements. Ultimately, most analysts agree that yesterday's failure to reach a bipartisan deal sets the stage for Democrats to enact their bill through the tactic known as "reconciliation."

The AP's Ron Fournier (2/26), for example, says that "from its conception, Thursday's healthcare 'summit' was destined to be little more than a stage where Democrats and Republicans would recite their lines and further their political agendas." Thus Obama's was "to cast the Republicans as obstructionists," because he "hopes to ram his proposal past a GOP filibuster." And by "that narrow and cynical scale, the summit was a success."

Along similar lines, on the CBS Evening News (2/25, story 3, 1:00, Couric), reporter Chip Reid was asked whether Obama accomplished "what he needed to do" at the summit. Reid said, "He really did. ... What he really wanted to do was convince the American people...and, wavering Democrats in Congress, that the Republicans are the party of no," and that "he now has no choice but to move ahead with Democrats alone."

Thursday, February 25, 2010

From our good friend, Jesse Slome, Exec Director of the Am. Assn for LTCI:

My crystal ball is still cloudy in terms of how long term care (LTC) will be impacted by the final provisions of the great health care debate. Chances are it will remain an issue left for another day.

But long term care cannot be ignored for long. The nation’s next great health care debate will focus attention on Medicare and Medicaid. LTC is such a large and growing component of these taxpayer-funded plans that you can’t discuss saving these programs without dealing with LTC.

The proposed CLASS Act (which gained favorable support from many influential organizations) probably gives a good sense of what’s likely to be the basis of proposed LTC plans. Unless the economy comes roaring back and Washington is again flush with taxpayer dollars, the best legislators will be able to accomplish is an underfunded, initially voluntary plan. In simple terms, get a plan in place, but kick the can down the road a bit further in terms of financial solvency.

Is this good or bad for long term care insurance? The answer - yes!

Some good outcomes
Such a significant change provides the industry with an opportunity to “retool” policies. As an example, level premiums really no longer serve the intended purpose (making products attractive for elderly buyers). In fact, they make insurance costly for younger buyers. LTCI supplement policies
(like Medicare Supplement) could gain traction. Finally, some producers are chomping at the bit waiting to compete head-to-head with a poorly financed, minimal-benefit government plan.

Some bad outcomes
Hearing about a new government LTC plan, consumers start to believe they have LTC “covered.” The 15-second media soundbites reinforce this impression. There is less consumer interest, smaller insurers exit the marketplace and the private market rapidly collapses. Stay tuned.