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Powerful hospital trade associations are opposing President Obama's plan for an independent commission to determine how much Medicare pays doctors and hospitals. But certain "model" hospital systems - such as CHRISTUS Health - are breaking ranks and supporting the idea.
Excerpts from President Obama's news conference, held on July 22, 2009.
This week, progress was made in developing the framework for the $33 billion health information technology initiative created by the stimulus bill. Dr. David Blumenthal, who heads the Office of the National Coordinator, is a key figure in the process. But he still faces one of the most difficult challenges -- convincing doctors that it is in their interest to participate.
A leader of the Blue Dog Coalition of conservative House Democrats said today that he and six others in the group will vote together to block health care legislation in committee unless changes are made to slow the rate of growth of federal health care spending and to ensure that rural hospitals are adequately reimbursed for treating new patients under the legislation.
President Obama and leading Democrats have stressed that people who like their employer-sponsored insurance would be able to keep it, under a health care overhaul. But they haven't emphasized the flip side: That people who don't like their coverage might have to keep it.
In a follow-up to an earlier story about the difficulty of finding health insurance for a rural small businessman, an insurance broker helps Larry Harbour of Broken Bow, Neb., find affordable coverage.
While advocates say insurance exchanges would stimulate price competition and give consumers new choices, there's also a risk these programs could undermine the employer-based health insurance system. Here are nine questions and answers about exchanges and their role in health reform.
Insurance exchanges are a critical part of proposed health system overhaul legislation. They could transform how insurance is sold. But experts warn that without the right structure and rules, exchanges could undermine the employer-based insurance system.
To encourage people to buy long-term care insurance, more states are starting programs that allow people to keep some assets if they exhaust insurance benefits and need to go on Medicaid. Without such an arrangement, they would have to "spend down" assets to qualify for Medicaid. But, experts warn, the policies need strong inflation protections.
Alzheimer's is thought of as a disease of the elderly, but hundreds of thousands of cases are in men and women under 65. Because the disease makes it difficult to work, these people often lose their jobs - and their health insurance.
The idea of insurance co-ops is gaining ground as an alternative to a government-run plan.
The over-65 crowd, with its outsized political clout, will have a big say in the fate of any health overhaul. And that helps explain a recent agreement on drug discounts involving the pharmaceutical industry, the White House and Congress.
Memphis, Tenn., is one of a growing number of areas with a successful high-tech health information exchange, which proponents say saves lives and money. But the system now faces a crucial test: what happens when the initial funding runs out?
When people in Floyd County, Va., visit Dr. Susan Osborne, they can pay for their medicals exam with vegetables, lessons, carpentry services as well as cash. Bartering is a way of life in the rural area, Dr. Osborne says: "It just gives people another avenue to have health care."
With many people strapped for cash, barter "exchanges" for health care is providing a temporary safety net of sorts for some workers who have lost their jobs and health coverage. And in some cases, people who have inadequate insurance are using barter to get critical services, such as dental and vision benefits.
Some CEOs of America's largest health care providers called Friday for an end to fee-for-service payments under Medicare and incentives to create administrative efficiencies to lower costs to help pay for America's try at health care reform.
President Obama is promising fiscal conservatives in Congress that health reform won't be financed by deficit spending. He needs the support of moderate and conservative Democrats who are wary of a vast expansion of government-underwritten health care. Strict new budget rules may help persuade skeptics that a health care system overhaul is affordable.
Surgeon and author Atul Gawande's recent article in The New Yorker is generating intense discussion about the cost of medicine and exerting a powerful influence over the health reform debate.
Officials said Tuesday that the time is now to tackle ethnic, economic and gender disparities in health care as they ready a major overhaul of the nation's health care system.
Taxing employee health benefits might fund a health care overhaul, but could sink its political chances.
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