lobbying_activities: 1953914
Data license: Public Domain (U.S. Government data) · Data source: Federal Register API & Regulations.gov API
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| 1953914 | 6490999a-eefd-4210-9edb-dd8905f4166e | Q1 | MARSHFIELD CLINIC HEALTH SYSTEM | 57830 | MARSHFIELD CLINIC HEALTH SYSTEM | 2017 | first_quarter | INS | Stabilize the Healthcare Market We asked the federal government to stabilize the health insurance marketplace by reforming burdensome regulations that raise consumer costs. This effort should include restoring regulatory oversight to the states for insurance market rules, rates, network adequacy, and plan design. It should also include the removal of fees, taxes and micro-management of benefits and administrative requirements that result in higher costs for consumers and an inability of health plans and employers to provide health coverage that best meets the needs of individuals. Flexibility in benefits offered: Today, due to federal regulation, health insurers are mandated to cover a set of essential health benefits with little flexibility in altering coverage. This approach leaves minimal opportunity to design benefit plans that meet the needs of particular populations (i.e. the very young or near Medicare populations). A more flexible, state-based approach to regulating the benefits that can be offered in health insurance products is preferable. key policy positions of the Marshfield Clinic Health System for future replacement efforts of health care reform. These positions reflect the unique nature of Marshfield Clinic Health System as an integrated delivery system made up of providers, hospitals and a health insurer serving a largely rural population. Our mission to create healthy communities through accessible, affordable, compassionate health care is reflected in each of the pillars outlined below. Near term stability of the individual market: In the short term, it is imperative that the individual market remain a stable, viable option for people to get and maintain coverage. Through Security Health Plan, Marshfield Clinic Health System has seen many people who previously did not have coverage secure coverage, sometimes for the first time. Ensuring that this market is stable through 2018 will give enrollees and health insurers time to enact new reforms aimed at making care more affordable in the long term. Maintaining coverage for the near poverty population: Replacement plans should consider the low income population under 250 percent of the Federal Poverty Line. Half of Security Health Plans membership purchasing a plan on the individual market falls into this category. Stability and continuity of coverage for this population is critical to the health of rural Wisconsin. Reduction in uncollected medical debt: Hand in hand with coverage of the near poverty population is the reduction in uncollected medical debt care providers have experienced. This reduction has allowed integrated delivery systems, like Marshfield Clinic Health System, to keep overall commercial rates down. If uncollected medical debt were to again increase due to an increase in the uninsured rate, the commercial market pricing (i.e. employer group market) will bear the brunt of price increases. Flexibility in coverage of care that saves long term costs: Marshfield Clinic Health System has been a leader in providing care in alternative settings that saves cost, maintains quality and improves patient experience. Programs such as our comfort and recovery suites save our patients considerably more than the cost of the same procedure done in an inpatient setting. Marshfield Clinic Health System would advocate for the opportunity to use these programs for any patient, but due to regulatory barriers cannot (e.g. Medicaid beneficiaries). Flexibility in benefits offered: Today, due to Federal regulation, health insurers are mandated to cover a set of essential health benefits with little flexibility in altering coverage. This approach leaves minimal opportunity to design benefit plans that meet the needs of particular populations (i.e. the very young or near Medicare populations). A more flexible, state-based approach to regulating the benefits that can be offered in health insurance product is preferable. Regionalized high risk pools: Wisconsin has significant experience with high risk pools, like the Health Insurance Risk Sharing Pool. If risk pools are enacted in a thoughtful manner, they can reduce the cost to consumers across the commercially insured population. Marshfield Clinic Health System would advocate for the establishment of high risk pools managed by the private market and infused with federal dollars. Integrated care delivery systems are uniquely positioned to manage the risk of these high care need populations. | Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,Veterans Affairs, Dept of (VA) | 100000 | 0 | 0 | 2017-04-17T11:26:27.917000-04:00 |