Re: Follow-up to Question re UnitedHealthcare and Implications

podesta-emails 1,239 words email

P17 V16 D3 P19 V11

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- will send shortly On Tue, Nov 24, 2015 at 12:18 PM, Ann O'Leary <[email protected]> wrote: > Thanks! Shapiro - Please send final around once you clean it up. Thanks! > > > Ann O’Leary > Sent from my iPhone > (510) 717-5518 (cell) > > On Nov 24, 2015, at 9:05 AM, Chris Jennings <[email protected]> wrote: > > If you guys decide to put another bullet on this, you may want to broaden > to say something like (excuse the BB): > > GROWING CONCERN THAT POLITICAL RESPONSE TO PROBLEMS MAY BE TO MICROMANAGE > HEALTH PLAN TOOLS TO CONSTRAIN PREMIUMS: Insurers are worried that current > and future federal and state policy will limit their ability to utilize > cost sharing incentives and formularies to limit excessive use of high cost > medical interventions/prescriptions that may be inappropriate or > unnecessary relative to alternative less costly treatments. They fear that > popular but expensive mandates to handcuff them will increase premiums and > drive away healthier enrollees that help keep costs/premiums down. How's > that? > > > Sent from my BlackBerry 10 smartphone on the Verizon Wireless 4G LTE network. > *From: *Jake Sullivan > *Sent: *Tuesday, November 24, 2015 11:18 AM > *To: *John Podesta > *Cc: *Chris Jennings; Ann O'Leary; Michael Shapiro > *Subject: *Re: Follow-up to Question re UnitedHealthcare and Implications > > A good point and - if I recall right - a question she got in the debate. > > > > On Nov 24, 2015, at 10:55 AM, John Podesta <[email protected]> wrote: > > Largely in agreement here, and don't want to get too wonky, but should we > note that capping drug costs, while a needed improvement, puts pressure on > the insurers which could exacerbate these trends unless accompanied > by simultaneous commitment to put pressure on drug companies to keep prices > in check. > > On Tuesday, November 24, 2015, Chris Jennings <[email protected]> wrote: > >> Thanks Ann for reviewing and editing. I totally agree with you on the >> need to hold back any of the preliminary new policy ideas. I threw the >> list in mostly in case you guys required a placeholder set of ideas to >> illustrate that work is underway. Having said, much better to defer until >> package that builds on what she has already done/is doing is complete and >> signed off through our process. Other than one other thing, I like the >> rest of the edits. The one thing: I think when the legitimate problems >> underscoring the current law are deferred to end, the memo seems to flow >> less logically. Moreover, I would like to acknowledge the bad news up >> front so she isn’t thinking we are burying the problems. Principals >> sometimes don’t trust the messenger who appears to be pooh poohing the >> challenge. If ok with you guys, I would like to get that stuff out of the >> way and restore that ordering. As I reviewed memo, I found places to >> tighten and shorten. Again, I think it helps with the flow and the >> digesting of the info. Other than that, good to go. Thanks. >> >> Chris >> >> Chris Jennings >> President >> Jennings Policy Strategies, Inc. >> Suite 500 >> 1301 Pennsylvania Avenue, N.W. >> Washington, D.C. 20004 >> >> (202) 879 9344 work >> (202) 879-9340 fax >> >> From: Jake Sullivan <[email protected]> >> Date: Tuesday, November 24, 2015 at 4:40 AM >> To: Ann O'Leary <[email protected]> >> Cc: Chris Jennings <[email protected]>, John Podesta < >> [email protected]>, Mike Shapiro <[email protected]> >> Subject: Re: Follow-up to Question re UnitedHealthcare and Implications >> >> Thanks Ann - Chris, let us know you're thoughts and then we'll get it in >> to her today. >> >> >> >> On Nov 24, 2015, at 12:21 AM, Ann O'Leary <[email protected]> >> wrote: >> >> Chris - Thanks so much for talking tonight and spearheading the effort to >> develop a broader set of policies aimed at strengthening the ACA, as well >> as policies that will drive down costs, foster innovation and reform our >> delivery of health care. >> >> I do think the memo that you wrote on the United Healthcare situation is >> very good and should go to HRC. I have edited and reordered it to: (1) >> have her focus on the arguments about why not to panic too much about >> United Health Care at the beginning of the memo; and (2) left the >> background on why ACA needs to be strengthened to the end; and (3) I >> deleted your list of improvements at the end as I'd prefer for us to work >> on giving her a package together rather than a few ideas now. >> >> If this works for you and Jake, Shapiro can clean it up and get it into >> HRC's briefing book. >> >> Thanks again, >> Ann >> >> >> On Mon, Nov 23, 2015 at 6:52 AM, Jake Sullivan < >> [email protected]> wrote: >> >>> Thanks Chris. As we discussed Friday, we need to drive forward on >>> multiple tracks simultaneously, including improving the ACA, enhancing >>> value in the health care system, and fostering new innovations. We >>> will work with you to develop a work plan. >>> >>> >>> >>> > On Nov 23, 2015, at 9:13 AM, Chris Jennings <[email protected]> >>> wrote: >>> > >>> > John: Following up on your call last night, I tried to quickly pull >>> together the attached semi-comprehensive, but hopefully easy to read >>> backgrounder on the UnitedHealthcare situation and the broader >>> dynamics/implications/questions that are raised around it. I present the >>> conflicting issues around plan positioning, enrollment and risk selection. >>> I think you will find it to be consistent with our conversation. You will >>> note that besides raising the issues, I make a recommendation about HRC >>> being a bit more aggressive about the need to strengthen the ACA over >>> time. I also raise a few very preliminary new policy outlines that may >>> spur further conversations with Ann, Jake and the rest of the team. Hope >>> helpful for you all. >>> > >>> > Chris >>> > >>> > Chris Jennings >>> > President >>> > Jennings Policy Strategies, Inc. >>> > Suite 500 >>> > 1301 Pennsylvania Avenue, N.W. >>> > Washington, D.C. 20004 >>> > >>> > (202) 879 9344 work >>> > (202) 879-9340 fax >>> > <HRC Campaign Memo re United-ACA status.11.23.15.docx> >>> >> >> >> >> -- >> Ann O'Leary >> Senior Policy Advisor >> Hillary for America >> Cell: 510-717-5518 >> >> <HRC Campaign Memo re United-ACA status.11.23.15 - AOL.docx> >> >> -- Michael Shapiro Hillary for America Policy 860-306-5849