Lobbyists the silver lining in health care storm?
As lawmakers squabble, health care groups focus on how to get ahead
Associated Press
July 25, 2009
This time, the health care industry groups see a strategic opportunity. As lawmakers squabble, the groups are focused on how to come out ahead in the end game.
It's all got to do with shifts in the economy. Even before the recession hit, employer-sponsored health coverage had been steadily shrinking, and many people couldn't afford the premiums for individual policies. Meanwhile, government programs have been expanding — and they've gotten increasingly friendly to private insurance companies. Insurers now play major roles as middlemen in Medicare, Medicaid and the children's insurance program.
And if the government requires everybody to get coverage — just what the overhaul legislation calls for — it could guarantee a steady stream of customers subsidized by taxpayers not only for insurers, but for all medical providers.
The political infighting on Capitol Hill has strengthened the hand of the health care groups, since liberals have been thwarted so far in their attempts to win speedy passage of the legislation through the House and Senate.
All eyes are now on Senate Finance Committee Chairman Max Baucus, D-Mont., who has never been friendly to the idea of a government-sponsored insurance plan. Baucus is trying to broker a bipartisan deal with a handful of Republican colleagues.
It's not clear if Baucus will succeed, but his group is looking at creating nonprofit co-ops that would lack Medicare's power to dictate payment levels and tell providers to take it or leave it. Instead, the co-ops would have to negotiate payment rates with hospitals, doctors and drug makers — just like private insurance plans do.
Obama has endorsed the notion of a strong public plan, the kind liberals want to see. But if Baucus gets a bipartisan deal, the president may have to swallow hard and embrace it — or accept defeat of his top domestic priority.
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