2nd UPDATE:Health Grps Offer Plan For $2 Trillion Cost Savings -Source
May 10 2009 - 8:30PM
Dow Jones News
Health-care trade organizations have formed a plan to reduce
projected increases in health costs by $2 trillion over 10 years
and will meet Monday with President Barack Obama to present the
plan.
Health industry groups have pledged to reduce the rate of cost
increases for treating patients by 1.5% each year, eventually
resulting in the $2 trillion in savings, according to the White
House. Participants in the plan are a diverse array of groups
including the American Medical Association, the American Hospital
Association, America's Health Insurance Plans and the Service
Employees International Union.
Getting control of escalating health-care costs is a centerpiece
of Obama's proposal to overhaul the nation's health-care system and
expand health coverage to those currently uninsured. The vast
savings envisioned by the industry groups, if realized, would
represent a major step toward achieving that goal.
In excepts of remarks Obama will give Monday, he said the
groups' convergence marks "an unprecedented commitment."
"We cannot continue down the same dangerous road we've been
traveling for so many years, with costs that are out of control,
because reform is not a luxury that can be postponed, but a
necessity that cannot wait," the prepared remarks said.
Administration officials spoke favorably of the plan Sunday,
with one official saying the cost control plan "would virtually
eliminate the nation's long-term fiscal gap," which is caused
largely by the growth of the politically popular Medicare
program.
According to the officials, the average family of four would
save $2,500 in the fifth year after the cost reductions begin. In
the first year of the plan, the same family would see roughly $500
in projected savings over what they would have paid in health
costs.
By 2019, the officials said that plan would cause health
spending as a percentage of gross domestic product to decrease by
3%. The growth of U.S. health spending has outpaced gross domestic
product by leaps and bounds in recent years, increasing by 6.7% in
2006 and 6.1% in 2007.
The cost of providing health insurance coverage to all Americans
is estimated to be at least $1.2 trillion over 10 years - a hefty
sum, but one that the cost-savings plan would help to
counter-balance by restraining the growth of Medicare and
Medicaid.
Officials didn't elaborate on all the specific changes that
health care providers and insurers would make to lower costs, but
said that better coordination of patients' care and the use of
"bundled payments" - which ties together payments for all services
related to a patient's illness - would be central to the plan.
Officials said that they hope that health-care overhaul
legislation would initiate the changes through Medicare and
Medicaid, which would compel private insurance carriers to adopt
the changes.
"Many of the steps that they need to take would be dependent on
getting health-care reform done," an administration official said.
"In many cases, providers and others are financially penalized by
providing more efficient care under current law."
Additionally, one official said that insurance companies are
"looking at a lot of administrative simplification," such as
adopting shared forms for filing claims and a shared explanation of
benefits.
Officials said that the plan submitted by the groups was "very
similar" in concept to what AHIP President Karen Ignagni presented
at a health reform summit in March. Members of the AHIP trade group
include Aetna Inc. (AET), Humana Inc. (HUM), Cigna Corp. (CI) and
UnitedHealth Group (UNH).
The first person to approach one of the officials about the plan
was SEIU health-care head Dennis Rivera, according to the
official.
Obama is set to meet with health-care stakeholder groups at
11:30 a.m. EDT.
-By Patrick Yoest, Dow Jones Newswires; 202-862-3554;
patrick.yoest@dowjones.com