podesta_email_19640.txt

podesta-emails 1,298 words email

P17 V16 D3 V11 P19

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all - Here's a revised draft, folding in Chris' latest bullet. Folks should look again before we plan on sending, Best, Mike S. On Tue, Nov 24, 2015 at 1:04 PM, Michael Shapiro < [email protected]> wrote: > Yep - 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 > -- Michael Shapiro Hillary for America Policy 860-306-5849