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Senator carper d de meanwhile has been floating

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Senator Carper (D-DE) meanwhile has been floating options that would allow states to “opt in” to a federal public insurance plan or for the states to create their own public options. Under the second proposal, the federal government would provide seed funding. In the hope of gaining a “bipartisan” bill, Senator Snowe’s (R-ME) “trigger” public plan option is still being considered as well. Under this option, a public plan would be introduced if the price of insurance did not decrease.
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Finally, although not discussed often, the fact remains that the Senate HELP bill being merged with the Senate Finance bill contains a nationwide public option for the uninsured and employers with less than 50 employees. This option is somewhat weaker than the House Tri-Committee bill’s public option because its rates would not be based on Medicare and it would not require Medicare-participating physicians to participate in the new plan. All of these options provide a menu of choices for those at the negotiating table merging the two bills in the Senate (Reid, Baucus, Dodd, Emanuel, and DeParle). Estimates are that 52-54 Senators support some type of meaningful public option (more than the co-op proposal). Supporters now seemingly include Sen. Evan Bayh (D-IN), who explicitly endorsed Senator Carper’s state “opt-in” proposal, a sign that even the most conservative Senate Democrats are at least open to the issue.
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Tags: Cost of Health Care , Opt-in , Opt-out , Public Plan , Trigger Option Email This Print Share Link Posted on September 18, 2009 by Doug Hastings Health Care Delivery System Reform Provisions in the Baucus Bill In addition to the many hotly contested insurance and access-related provisions in the America's Healthy Future Act of 2009 , the Chairman's Mark from Senator Baucus on behalf of the Senate Committee on Finance, released Wednesday, there is in the bill a section that addresses in a substantive way reform of the health care delivery system with a focus on quality. Much of the underlying thinking in Title III of the bill, entitled "Improving the Quality and Efficiency of Health Care," draws from the Institute of Medicine's seminal publication in 2001 of Crossing the Quality Chasm . Especially in Subtitle A, "Transforming the Health Care Delivery System" (pages 75 to 110), one can see the impact of the IOM's definition of quality as six aims: care that is safe, effective, efficient, patient-centered, equitable and timely. As a current member of the IOM's Board on Health Care Services, I am gratified to see these ideas captured in important proposed legislation.
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In Title III, there are the following key provisions with important long-term implications for health care providers: · A hospital value-based purchasing program in Medicare that moves beyond pay-for-reporting on quality measures to paying for hospitals' actual performance on those measures; · A charge to the Secretary of HHS to establish a national quality improvement strategy, which would,
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  • Spring '08
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