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www.americansunitedforchange.org
<http://www.americansunitedforchange.org/>
FOR IMMEDIATE RELEASE CONTACT: Jeremy Funk,
202-470-5878
DATE: September 23, 2009
Lauren Weiner, 202-470-5870
SHOCKER: Congressional Republicans Rush to the Defense of Humana Inc.
After the Insurance Giant Scares Seniors With Grossly Misleading Mailer
Warning of Medicare Benefit Cuts, Higher Costs Under Health Insurance
Reform Proposals
Senate Republicans Offering A Series of Amendments Today Protecting the
Wasteful and Unnecessary Subsidies the Insurance Industry Reaps by
Offering the So-Called 'Medicare Advantage' Program"
Americans United for Change: "More than 31 million seniors and people
with disabilities enrolled in regular Medicare are paying higher
premiums thanks to Medicare Advantage. It's time to rein in this big
insurance boondoggle that is robbing Edna to pay CEO's Like Ed Hanway."
<http://www.youtube.com/watch?v=ULKJiRv-Lnk>
Washington D.C. - Americans United for Change was not at all surprised
to see Congressional Republicans rush to the defense
<http://online.wsj.com/article/BT-CO-20090922-712557.html> of health
insurance giant Humana yesterday after the Centers for Medicare and
Medicaid Services launched an investigation
<http://online.wsj.com/article/SB125349705522626821.html> into whether
the company violated marketing rules by sending letters to seniors
<http://www.huffingtonpost.com/dawn-teo/humana-mailer-targets-eld_b_2894
21.html> in a number of states that includes these false and grossly
misleading statements:
"Leading health reform proposals being considered in Washington, D.C.,
this summer include billions in Medicare Advantage funding cuts, as well
as spending reductions to original Medicare and Medicaid...[I]f the
proposed funding cut levels become law, millions of seniors and disabled
individuals could lose many of the important benefits and services that
make Medicare Advantage health plans so valuable... these cuts could
mean higher costs and benefit reductions."
As the AARP has noted
<http://aarp.convio.net/site/PageNavigator/Myths_vs_Facts> , "None of
the health care reform proposals being considered by Congress would cut
Medicare benefits or increase your out-of-pocket costs for Medicare
services."
Objections from Congressional Republicans over the CMMS treatment of
Humana yesterday tees up a series of Republican amendments being offered
today to the Senate Finance Committee's health insurance proposal that
will seek to undermine or eliminate proposed cuts to the 'so-called'
Medicare Advantage program - a wasteful and unnecessary program birthed
under the previous administration, where billions of dollars in
government subsidies are funneled to insurance providers who offer the
program with a highly questionable "advantage" over traditional Medicare
and a far steeper price tag. See: Med Page Today, "Private Medicare
Costs More Than Traditional Plans Without Quality Improvement," November
26, 2008: http://www.medpagetoday.com/PublicHealthPolicy/Medicare/11936
Tom McMahon, Acting Executive Director, Americans United for Change:
"After taking nearly $100,000
<http://www.opensecrets.org/politicians/contrib.php?cycle=Career&cid=N00
003389&type=I> from Humana Inc., it's no surprise Republican Senate
Minority Mitch McConnell is going to the mat for insurance giant after
they possibly violated rules by spreading misinformation intended to
scare seniors about health insurance reform. But can McConnell and
Congressional Republicans at least be honest about what is going here?
1) No Democratic proposal before Congress will cut Medicare benefits or
higher costs for seniors. In fact
<http://speaker.house.gov/newsroom/factcheck?id=0091> , quite the
opposite. Just ask the AARP.
"2) The misleading language Humana is peddling has everything to do with
their bottom line and nothing to do with what's best for seniors. It is
an unscrupulous effort to protect the hugely wasteful and completely
unnecessary subsidies Humana rakes in by offering the so-called
'Medicare Advantage' - a Bush-era program that costs taxpayers 14% more
to provide virtually the same services as traditional Medicare but
without improving quality for seniors. But the real kick in the shins is
that these overpayments also drive up premiums for beneficiaries in
traditional Medicare by $86 per year for a couple. In fact, more than
31 million seniors and people with disabilities enrolled in regular
Medicare are forced to pay higher premiums each month to subsidize these
wasteful overpayments to the insurance industry. Medicare Advantage is
robbing Edna to pay CEO's Like Ed Hanway of Insurance Giant Cigna
millions of dollars in compensation"
<http://www.youtube.com/watch?v=ULKJiRv-Lnk>
"3) In an desperate effort to justify the Medicare Advantage to
Congress, Humana is trumpeting the sweeteners the program provides to
some of its enrollees like a free dental checkup. The fact is ALL
Medicare beneficiaries subsidize these sweeteners in the Medicare
Advantage plans, even though only the people enrolled in those plans
receive them. A free dental checkup is a fine thing, but not when it
comes at the expense of 31 million other Americans. In addition, the
Kaiser Family Foundation found many private fee-for-service plans have
higher cost-sharing requirements than traditional Medicare. MedPAC and
the Medicare Rights Center have found that some Medicare Advantage
beneficiaries end up paying more for specialty services like
chemotherapy, for home health or for hospital care. MedPAC issued a
report two years ago that found that half of revenues from
"overpayments" goes to profits, marketing and administrative costs --
not additional benefits. Bottom line: ending $157 billion in Medicare
Advantage overpayments over the next ten years would substantially
strengthen Medicare and reduce costs for all its beneficiaries," added
McMahon.
According to the Economic Policy Institute
<http://www.epi.org/publications/entry/pm142/> , "In a nut shell,
Medicare Advantage plans are private plans funded through Medicare to
provide similar benefits, but at a 14% higher cost on average, according
to the Medicare Payment Advisory Commission (MedPAC), an independent
Congressional agency. Eliminating these overpayments would free up $157
billion over 10 years, a substantial down payment on health care
reform."
EPI further notes that: "The [insurance] industry uses the overpayments
to offer sweeteners like free dental check-ups or reduced premiums that
entice seniors to enroll in the plans and justify their existence to
Congress. As MedPAC Chairman Glenn Hackbarth recently testified, the
enhanced benefits provided to Medicare Advantage enrollees are
"overwhelmingly...not financed out of plan efficiency, but rather by the
Medicare program and other beneficiaries." These overpayments, which
come at the expense of other Medicare enrollees and the long-term health
of the program, go toward profits and higher administrative costs,
including the cost of marketing the plans to seniors."
And as Center on Budget and Policy Priorities
<http://www.cbpp.org/cms/index.cfm?fa=view&id=2917> noted in their
recent report, Ending Medicare Advantage Overpayments Would Strengthen
Medicare: "The overpayments, which have totaled nearly $44 billion
between 2004 and 2008, average more than $1,100 for each beneficiary
enrolled in a private plan. By increasing Medicare costs, these
overpayments also drive up premiums for beneficiaries in traditional
Medicare by $86 per year for a couple, according to the chief actuary at
the Centers for Medicare and Medicaid Services. More than 31 million
seniors and people with disabilities enrolled in regular Medicare are
forced to pay higher premiums each month to subsidize these excess
payments. The overpayments also "contribute to the worsening long-range
financial sustainability of the Medicare program," as Glenn Hackbarth,
MedPAC's chairman, has warned Congress. They advance the date when the
Medicare Hospital Insurance Trust Fund will become insolvent by 17
months."
-30-
________________________________________
Jeremy J. Funk
Communications Director, Americans United for Change
Office: 202.470.5878
Cell: 605.366.3654
[email protected]
www.AmericansUnitedforChange.org
<http://www.americansunitedforchange.org/>
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