Category: Legislation - Part 15

More calls for resignations of “insider” from industry-heavy health board

By Katie Kerwin McCrimmon A second large consumer group representing 500,000 Coloradans joined the call Tuesday for the resignation of a health industry insider from Colorados new health exchange board. The Colorado Consumer Health Initiative called on Eric Grossman, vice president of strategy and government affairs for TriZetto, a Greenwood Village health IT company, to step down from the nine-member board. Gov. John Hickenlooper appointed Grossman to serve as on the board that will design a new online health insurance marketplace for Colorado by Jan. 1, 2014. He was supposed to be one of the non-industry appointees, but consumer groups…

Foxes guarding the henhouse? Consumer advocates cry foul over health board

By Katie Kerwin McCrimmon Gov. John Hickenlooper appointed a consultant to Colorados new health insurance exchange board who has instructed clients in the insurance industry on how to find gold in the exchanges. A strict conflict of interest policy is supposed to prevent people with direct financial interests from running the exchange board, which could funnel as many as 400,000 new Colorado clients into the states health insurance market. But, the newly appointed board includes four heads of health insurance companies, along with Eric Grossman, an executive with a privately held company called TriZetto, based in Greenwood Village. TriZetto bills…

Health exchange starts from scratch

By Katie Kerwin McCrimmon Colorados new health exchange board meets for the first time next week and must immediately get to work. This is a roll-up-your-sleeves, we-need-your-expertise kind of board, said Joan Henneberry, director of the Colorado health insurance exchange at the Colorado Health Institute. For the first three to four months, the board is going to be very busy. This board is building something from scratch. Heres what is on deck for the new board and a summary of priorities for board members who returned calls to Solutions. Among the first agenda items: Evaluating and interpreting the regulations that…

DeGette renews push for stem cell research

By Katie Kerwin McCrimmon U.S. Rep. Diana DeGette visited Craig Hospital on Wednesday to build momentum once again for bipartisan stem cell research legislation. DeGette, a Denver Democrat, and her new Republican cosponsor, U.S. Rep. Charlie Dent (R-Penn.), introduced H.R. 2376 on June 24. Twice, DeGette successfully shepherded stem cell research legislation through Congress only to have former President George W. Bush veto the measures. DeGette is hoping to win support from new Republicans in the House, then eventually send the Stem Cell Research Advancement Act to President Obama. Disease doesnt know any partisan boundaries, DeGette said, noting that her…

Insurance for sickest patients costs over $12 million in first year

By Katie Kerwin McCrimmon A new health insurance program for Coloradans with pre-existing conditions has enrolled just 800 people in its first year, but is costing much more than expected: more than $12 million so far. Under the Affordable Care Act, Colorado is due to receive $90 million for its new high-risk health pool called GettingUSCovered.Actuaries predicted that 4,000 people would participate in the program between July of last year and January 2014, when the Affordable Care Act goes into full effect and insurance companies can no longer turn down people who have suffered previous illnesses. Nationwide, high-risk health pools…

Opinion: Getting US Covered celebrates first anniversary

By Marguerite Salazar The Colorado community will celebrate the one-year anniversary of the establishment of the GettingUSCovered health plan on July 1. GettingUSCovered is a Colorado-specific program under the Affordable Care Act of 2010 that provides comprehensive health insurance for eligible uninsured Coloradans with a pre-existing condition who have gone without coverage for six months. This new health plan is designed to act as a temporary bridge to 2014 when Americans will have access to affordable health insurance choices through a competitive marketplace called an exchange. Also, in 2014, thanks to the new consumer protections in the Affordable Care Act,…

Insurance gives ‘soup man’ lifeline after stroke

By Katie Kerwin McCrimmon EVERGREEN Thunder rumbles through this mountain town, loudly heralding a summer storm that puts locals in the mood for a hot lunch. At Da Kind Soups, owners Dustin and Ariane Speck (the D & A in the restaurants name) serve steaming bowls of soup to customers who duck in out of the rain. Every day, there are 10 fresh soups that Dustin has created that morning, ranging from their best-selling tomato to spicy Cajun shrimp, mushroom rosemary, buffalo chili and special concoctions like a pumpkin bisque with chocolate shavings. On this June day, a young woman,…

Opinion: Affordable Care Act pushes limits of constitutionality

By David B. Kopel Within a few weeks, the federal courts of appeal may begin handing down their decisions in the constitutional challenges to President Obamas Patient Protection and Affordable Care Act. (PPACA). By now, almost everyone agrees that one or more of these cases is headed to the U.S. Supreme Court. When the PPACA was moving through Congress, there was a lot of bluster from proponents of the law, who insisted that there were absolutely no potential constitutional problems. Most famously, House Speaker Nancy Pelosi scoffed Are you serious? to a journalists question about the laws constitutionality. As it…

Opinion: Both sides argue individual mandate 
in U.S. Court of Appeals

By Bob Semro The future of national health care reform under the Affordable Care Act may hinge on a single provision in the new law. The individual mandate, or the minimum essential coverage provision, requires most uninsured Americans to purchase health coverage or pay a tax penalty. The big question is whether the individual mandate is constitutional. Twenty-six state attorneys general (25 Republicans, including Colorados John Suthers, and one Democrat) have joined the state of Florida in challenging the mandate. That case, State of Florida vs. U.S. Department of Health and Human Services, represents the most significant test of the…

Opinion: Affordable Care Act’s individual mandate at heart of legal challenges

By Bob Semro The individual mandate is a fundamental part of last years national health care reform law. Under the Affordable Care Act in 2014, Americans who do not have health insurance will be required, or mandated, to purchase coverage or pay a tax penalty. Exemptions will be granted for financial hardship, religious reasons or if the price of the lowest-cost plan exceeds 8 percent of annual income. After the act was signed into law by President Obama, the individual mandate was challenged in a number of federal courts. In perhaps the most important case, 26 state attorneys general (including…