18 March 2020 15:37

Kamala Harris Bernie Sanders Medicare

The partnership will initially focus on supporting Medicare and Managed Medicaid programs, but will expand to support Accountable Care Act and commercial lines of business. At its core, Wipro's Medicare platforms will combine with PLEXIS' healthcare payer claims and care management platforms, to deliver state-of-the art technology backbone. This will enable Wipro to deliver Business Process as-a-Service (BPaaS) for efficient and effective management of the entire value chain including enrollment processing with Centre for Medicare and Medicaid Services (CMS) member billing, fulfillment, care management, claims processing and Encounter Data Processing to CMS. Wipro-Plexis partnership will provide Medicare and Medicaid plans, a CMS compliant, easy and affordable turnkey option, with focus on member satisfaction, improved care outcomes, data collaboration and reduced administrative costs. Mohd Haque, Sr. Vice President and Global Head of the Healthcare Business Unit, Wipro Limited, said, "With technology playing an increasing role in every aspect of global healthcare services delivery, healthcare payers recognise the need to accelerate the development of integrated, cost-effective digital solutions to ensure they remain on the competitive vanguard.

The oft-cited "single payer" model for America's medical future, Canada currently has 78 known cases of the new coronavirus disease, or COVID-19, including six passengers from the infected Grand Princess cruise ship. Among the pressing issues before lawmakers this budget season is the rising cost of health care, which, in most states, now rivals spending for public education and infrastructure. Court battles continue, meanwhile, over the legitimacy of entire programs, so state legislators must take greater responsibility in leading on health care policies that set an example for the rest of the country. Until recently, states had little flexibility to manage their health care programs, and all the incentives went against doing the right thing by patients and taxpayers. The Affordable Care Act gave states the chance to expand their Medicaid programs to healthy, childless adults and get the federal government to (temporarily) pay 100 percent of the cost of doing so.

It has the Centers for Medicaid and Medicare to approve waivers that allow states to impose new eligibility requirements on able-bodied adults who signed up for Medicaid as part of the ACA expansion. Seven states, including Michigan, took advantage of this new flexibility by passing work and community engagement requirements for capable, working-age adults without dependents. Despite the known benefits that work rules have — controlling costs, protecting critical safety nets, and providing bridges toward greater independence — courts have stepped in to suspend Medicaid-related rules in Kentucky, Arkansas and, most recently, Michigan. "While the federal defendants continue to disagree with this court's decisions in [the Arkansas cases], they acknowledge that, under those decisions, HHS's approval of [Michigan's] work and community engagement component is unlawful," wrote lawyers for the U.S. Department of Health and Human Services in a memo to Judge James Boasberg. In short, HHS is signaling that, while recognizing the approved work rules for most states are similar enough to subject them to the current U.S. Circuit Court's decision, the agency nevertheless maintains that the rules should and will continue to be defended in other levels of the judicial process.

Rather, both the circuit court and the appeals court found that the Centers for Medicaid and Medicare needed to do more to assess their effects on health insurance coverage. By failing to implement Medicaid work and community engagements requirements, states harm beneficiaries and taxpayers alike, because these rules improve access to care and save money for the state. The Trump administration and HHS plan to continue to support and defend state work rules through the legal process, which may well culminate at the Supreme Court. The U.K. is the home of the National Health Service, the most well-established (since 1948) single-payer health care system in the developed world. A large administrative system, the NHS provides all of the goodies on the progressive wish list: government-controlled universal coverage, "free care" at the point of service, global budgeting for hospitals and other medical services, and an agency (the National Institute for Clinical Effectiveness or NICE, no kidding) to permit or deny patients drugs and medical technologies on the basis of their "cost-effectiveness." The Guardian, a left-leaning U.K. newspaper, reported that in a survey of 1,600 British doctors, only eight said that the National Health Service is ready to cope with the pandemic.

Thus, The Guardian reported: "The NHS is already struggling to meet the existing need for care and so would not be able to cope with a sudden large increase in demand linked to COVID-19." However, the progressives' faith that total government control (congressional control) over health care financing and delivery should be chastened by the British and Canadian experience, where single payer is the law of both lands. All working people contribute to Medicare and Social Security throughout their entire working lives and the programs are funded through payroll taxes and the federal government.