Booman Tribune

McClellan Resigns As Head of CMS: Reactions: SECOND UPDATE

by Street Kid
Tue Sep 5th, 2006 at 10:05:08 PM EST

Forbes:
Eight months after one of the administrations biggest fiascos--Medicare D(isaster), was implemented, Mark McClellan resigned as head of CMS.

Charles Grassley:

"Dr. McClellan has worked to fix the problems.  I hope his departure doesn't cause delays in getting Part D snags fixed for beneficiaries and that he'll correct all known problems before he leaves."

Reminder:  the leglislation for the Medicare Modernization Act was signed in 2003.

continued

And remember this?
Robert Hayes, president of the Medicare Rights Center, states that he had a discussion with Mark McClellan, (Administrator of the federal Centers for Medicare and Medicaid Services) EARLY LAST YEAR:

"I was sitting in McClellan's office and I said, 'Look, even if you get this transition 99 percent right for the people losing Medicaid coverage, you're still going to have 64,000 people without drug coverage come Jan. 1.' And [McClellan] said 'No, we have everything under control.' "

McClellan will leave in about five weeks and would like to work for a think tank where and write about improving health care in the United States.

And Grassley thinks Medicare D could be fixed in five weeks??  

McClellan also stated,"Texas might be a nice place to visit for a little while."
Coincidentally, his mother, Carole Keeton Strayhorn, is the Texas comptroller and is running for governor as an independent.  

Rep. Pete Stark, D-Calif., was surprised that McClellan:  

"spent so long trying to bail water from the Bush administration's sinking ship [as} the drug benefit provides limited savings, unexpected price increases and poor customer service."

"Had he waited much longer, he would have found few employers willing to hire an ex-Bush administration official."

Sums it up best!

UPDATE:Christopher Conover, assistant research professor of public policy with the Duke Center for Health Policy:

"Disappointingly, McClellan's leaving is a signal that the Bush administration is not going to do anything substantive on health care reform." "Health care reform really can't take place without tax reform, and I was hopeful when Henry Paulson was appointed treasury secretary that two parallel efforts could begin," Conover said. "The odds were still long, but McClellan's departure drives the odds to about zero. They'll be treading water on health reform until the end of the administration."

Conover also wrote, "The war on terror has totally diverted the administration's attention from anything domestic."

UPDATE 2:Boston Globe

A Democrat-led House could mire the new leader in ``hearing after hearing," predicted Drew Altman , president of the Henry J. Kaiser Family Foundation , which tracks health policy issues. The nonprofit group's surveys have found mixed emotions about Part D. ``It probably will be hard to fill the job with an outsider of great standing if the Democrats take control of the House, because it is not going to be a really fun job," Altman said.

McClellan denied that the timing of his resignation was tied to politics. ``I don't believe in that level of cynicism," he said, adding that he has testified at scores of congressional oversight hearings and predicted the next CMS administrator would too, ``no matter who is in control of Congress."

In fact, Senator Charles E. Grassley , Republican of Iowa , will hold a closed-door Senate Finance Committee hearing tomorrow for members to ask McClellan about a glitch that led to Part D beneficiaries being charged too much or too little for premiums and, for 230,000 beneficiaries, wrongly being refunded premiums.

More re: wrong refunds in orange



Display:
xposted epm, mlw, orange

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Tue Sep 5th, 2006 at 10:11:21 PM EST
Plan D is - thank goodness - working ok for Mom.  She has the Humana plan that's $65 a month but with no deductable and no "donut hole".  It's about $20 more a year than the cheapest plan, but it precludes having to explain to her why her meds cost $X this month, $Y for the next few months and then back to $X..  Fortunately, two of her most expensive meds ($60 copays) are going generic this year and one has already dropped to $7 from the $60.  The anti-viral she needed last week for a wicked case of shingles was $30 instead of a little over $200.  BUT... It's still a lot more out of pocket than it was when her doctor was providing her with samples which he hasn't been able to do since Plan D went into effect.  

Fortunately, Mom doesn't have to choose between paying for her prescriptions and eating as many do, but she's still feeling the pinch.  The only way I can see Plan D working is if the government gets the right (and the will) to negotiate prices with Big-Pharm the way that the Veteran's Administration does.  

One way or the other, this darkness has to give....

by Denim Blue on Wed Sep 6th, 2006 at 02:47:26 AM EST
Mom's lucky.  

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Wed Sep 6th, 2006 at 03:41:09 AM EST
[ Parent ]
I know!  Plan D is still spells Disaster for the vast majority of seniors who were herded into it willy-nilly.. I have a 93 year old friend whose son researched and found her a plan that was supposed to cover her medications - surprise, the formulary changed after she signed up.  The non-calcium version of her arthritis med is covered, but her doctor won't change the prescription so she's stuck paying premiums and paying for the prescription out of pocket.  That's bait & switch and should be illegal..

One way or the other, this darkness has to give....
by Denim Blue on Wed Sep 6th, 2006 at 02:22:20 PM EST
[ Parent ]
Per Medicare Rights Center:
As you know, for the first time, in 2007 the Part B premium will be based on income.

I have a reporter from the Knight Ridder newspaper who would like to interview people who are going to be faced with higher premiums.

Is Mom or the 93 year old friend interested?

The Medicare Rights Center does not support this change because Medicare is for all Americans age 65+ or with disabilities regardless of their income.

Means testing Medicare can be a very slippery slope.

It may mean that more affluent people go elsewhere for health care coverage, leaving the poorer and sicker people in Medicare.

terrialiceatgmaildotcom and I'll foward it to MRC  (Medicare Rights Center)

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Wed Sep 6th, 2006 at 02:38:52 PM EST
[ Parent ]
Two points regarding Humana part D plan with no donut hole:

  1.  Humana is seemingly taking great financial risks here, so don't get used to this version!

  2.  They are supposedly trying to limit supplies of certain expensive drugs, such as enzymes, that they will allow filled, so be careful!
by NG on Wed Sep 6th, 2006 at 05:14:42 PM EST
[ Parent ]
Remember reading something about the Humana plans, can't recall what it was right now.

Anyone else think that I'm going to start digging again?

Sheesh!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Wed Sep 6th, 2006 at 09:03:53 PM EST
[ Parent ]
Again this is just another nail in the coffin of the bush administration that shows how incompetent they all are.  They are really that stupid.  Remarkable, isn't it?!  I want to say, good riddance

Boy, do we have a lot on our plates when we win back the gov.!  It really is gonna be a long and tedious job to get this all straightened out after all the mess they have done to and for us int he 8 years they were in....plus remember they have been in control of the congress since 1994.  This is all that American can stand...Thanks for all that you have done for our learning process of issues such as this.  hugs

by BrendaStewart (stormyweather1@hotmail.com) on Wed Sep 6th, 2006 at 08:38:03 AM EST
Check out second update!  And a comment upthread, if you know someone who fits the bill, send me an email.  Thanks!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Wed Sep 6th, 2006 at 04:14:26 PM EST
[ Parent ]
He resigned to help his bro Scotty in his mama's failing campaign here in Texas. The last poll she had her at 8%. Its is like this, how can you say you are independent when your kiddies are working for the "man".
by XicanoPwr (chicanopwr at gmail.com) on Wed Sep 6th, 2006 at 10:19:03 PM EST


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