Heath Insurance Reform Lobbying Intensifies

The health care and insurance industries lobby the Obama administration to shape the rules and regulations that will govern the creation and operation of the forthcoming health insurance exchanges.
The federal Department of Health and Human Services has received thousands of comments on the preliminary rules it issued earlier this year on the new insurance markets and exchanges established under the Patient Protection and Affordable Care Act, also known as Obamacare. As the 2014 deadline for institution of the state-based exchanges looms, just about any industry involved in the nation's health care system is trying to get its voice heard on how the new reforms should ultimately be implemented.[1]

The exchanges will be "online hubs for individuals and businesses to compare and purchase health insurance plans.
The health insurance exchanges are intended to be state-run "online hubs for individuals and businesses to compare and purchase health insurance plans."[2] However, if an individual state does not establish an exchange compliant with the Affordable Care Act by 2014, the federal government will create and operate that state's exchange instead.

While the Affordable Care Act provided some basic guidelines for the exchanges, much remains unknown, including some of the fundamentals such as the minimum health insurance coverage and benefits that exchange health plans will be required to provide.
America’s Health Insurance Plans, which lobbies for the insurance industry, has pushed the Obama administration to leave much of the regulation to the states, which have traditionally overseen insurance market functions.[3]
But it is not just hospitals and insurance companies that are lobbying to have their voices heard. Many industries could potentially be impacted by the new health system, including the pharmacy industry.
[Pharmacy chain CVS Caremark] has petitioned the Obama administration for rules that would allow its employees, such as pharmacists and nurse practitioners, [to] help consumers navigate the exchange and purchase health insurance.[4]
State insurance commissioners will play a significant part in the creation and operation of the exchanges.
The National Association of Insurance Commissioners is paying close attention to regulatory developments associated with the Affordable Care Act, as well. State insurance commissioners will play a significant part in the creation and operation of the exchanges, and thus, they have a vested interest in the federal rules and regulations coming out of the Obama administration.[5]



2 comments:

  1. The Obamacare seems to have promising guidelines. The question is if they can administer like how they're raving about it.

    ReplyDelete