Medicare Report: Obamacare Bad for Seniors - HUMAN
EVENTS<http://www.humanevents.com/article.php?id=36680>

http://www.humanevents.com/article.php?id=36680

Medicare Report: Obamacare Bad for Seniors
Connie Hair, Human Events.com

The Obama administration’s Centers for Medicare & Medicaid Services (CMS)
has issued a new
report<http://republicans.waysandmeans.house.gov/UploadedFiles/OACT_Memorandum_on_Financial_Impact_of_PPACA_as_Enacted.pdf>with
dire news for America’s seniors. Obamacare’s smoke and mirrors
budgeting gimmickry has real world consequences that will cause more than
seven million seniors to lose their current Medicare coverage and could
force as many as 15% of hospitals, skilled nursing facilities, and home
health agencies out of participation in the Medicare system altogether.

On page 9 of the report, Richard Foster, CMS Chief Actuary, warns that the
payment rates for Medicare Part A providers such as hospitals, skilled
nursing homes and home health agencies, are linked to increased,
“unrealistic” economy-wide productivity standards that will be difficult if
not impossible to achieve -- likely reducing payments below overhead costs.

>From the report:

*It is important to note that the estimated savings shown in this memorandum
for one category of Medicare provisions may be unrealistic.  The PPACA
introduced permanent annual productivity adjustments to price updates for
most providers (such as hospitals, skilled nursing facilities, and home
health agencies), using a 10-year moving average of economy-wide, non-farm
productivity gains.  While such payment update reductions will create a
strong incentive for providers to maximize efficiency, it is doubtful that
many will be able to improve their own productivity to the degree achieved
by the economy at large.  *

*Over time, a sustained reduction in payment updates, based on productivity
expectations that are difficult to attain, would cause Medicare payment
rates to grow more slowly than, and in a way that was unrelated to, the
providers' costs of furnishing services to beneficiaries.  Thus, providers
for whom Medicare constitutes a substantive portion of their business could
find it difficult to remain profitable and, absent legislative intervention,
might end their participation in the program (possibly jeopardizing access
to care for beneficiaries).  Simulations by the Office of the Actuary
suggest that roughly 15 percent of the Part A providers would become
unprofitable within the 10-year projection period as a result of the
productivity adjustments.*

Page 9 of the report also reveals that funds from the new 3.8% Medicare tax
(“unearned income Medicare contribution”) are not paid into the Medicare
trust funds:

*The Reconciliation Act amendments introduced a new 3.8 percent "unearned
income Medicare contribution" on income from interest, dividends, annuities,
and other non-earnings sources for individual taxpayers with incomes above
$200,000 and couples filing joint returns with incomes above $250,000.
Despite the title of this tax, this provision is unrelated to Medicare; in
particular, the revenues generated by the tax on unearned income are not
allocated to the Medicare trust funds.*

The Democrats’ primary stated purpose for the passage of Obamacare was to
reduce costs.  The report also estimates a $311 billion rise in health care
costs over the next 10 years.

“This Obama Administration report confirms that Washington Democrats’
government takeover of health care fails to deliver the one thing the
American people wanted out of reform: lower costs,” House Republican Leader
John Boehner (R-Ohio) said of the new CMS report.  “According to his own
administration’s analysis, the health care law the President signed one
month ago today would violate his pledge to ‘bend the cost curve’ and force
millions of seniors off their current Medicare coverage.”

“This is in addition to what we already know about how this new law is
squeezing employers with job-killing tax hikes and leaving middle-class
families to brace for higher premiums,” Boehner added.  “Washington
Democrats refused to wait for this critical analysis to be completed before
forcing their job-killing health care bill through Congress, and now we know
why.”

Republican Study Committee Chairman Tom Price, M.D. (R-Ga.) points out that
Obamacare’s $311 billion increase in national health care expenditures will
be much higher in the likely event that Congress would intervene on the
Medicare cuts -- and Medicaid patients will suffer more limited access to
medical care.

“The real increase in spending is almost certain to be even higher than the
reported balance of $311 billion because the new health care law relies on
unlikely future cuts to Medicare,” Price stated. “The news on Medicaid is no
better. The administration chose to put more than half of all newly insured
individuals under their plan into Medicaid. Unfortunately, this report
confirms that the influx of new Medicaid enrollees will have serious trouble
gaining access to care because the program does not cover the costs
associated with its patients.”

“The only way to make quality health care both more affordable and more
accessible is to put patients in charge,” Price said.  “When Washington
controls things that should rightly be handled by patients and their
families, you get bureaucratic decisions that ignore cost signals and the
individual needs of individual patients. One size does not fit all in health
care. This report is yet another indication that ObamaCare must be repealed
and replaced with true patient-centered health care reforms.”

Rep. Dave Camp (R-Mich.), top Republican on the House Ways and Means
Committee, also weighed in on the gravity of this new report.

“This report confirms Americans' worst fears about the health care law: it
will increase health spending, increase federal control over our health care
system, cut benefits for millions of seniors and jeopardize access to care
for seniors and the disabled,” Camp said.  “This is a bad law and, according
to this analysis, seniors have the most to be concerned about when it comes
to the future of their health care.  I don’t think the Democrats’ health
care bill would have passed if Congress and the American people had this
analysis before the vote.”

**

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