podesta_email_21396.txt

podesta-emails 1,366 words email

P17 V16 D3 P19 V11

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Perfect. Green light from me. Chris/Jake - Please take final glance and then Shapiro can get into the book. Thanks, Ann On Tue, Nov 24, 2015 at 10:15 AM, Michael Shapiro < [email protected]> wrote: > Hey 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 > -- Ann O'Leary Senior Policy Advisor Hillary for America Cell: 510-717-5518