Proposed health care plans and what they mean to you
There are currently some 45 million uninsured citizens in the US. President Obama has made changing the health system a central part of his agenda, arguing significant reform is needed for the nation's long-term economic growth and the government's long-term fiscal health. His first proposed budget includes a $600 billion tax increase to pay for expanded coverage. Congress is drafting a health care reform plan that could have a significant effect on the business community. The portion that all components are concerned with is whether to create a new public insurance plan to compete with private plans.
Below are some of the different plans being considered:
- A new FULL-SCALE PUBLIC PLAN that would piggy-back on the rate-setting powers of Medicare. Any doctors who participate in Medicare would have to participate in this plan and would have to accept the same Medicare payment rates. It is believed that such a plan could operate with lower costs thus allowing more affordable premiums (compared to private coverage). On the other hand, it is believed too stringent reimbursements could drive some financially stressed hospitals into bankruptcy. Others are concerned that a government subsidized public insurance plan might entice many citizens/employers away from private insurance to save money. Proponents want to discourage employers from doing this and encourage competitive private plans that deliver better services at lower costs.
- HALF-SCALE PUBLIC PLAN which would require any public plan to hold the same reserves as private plans and sustain itself from premium income without drawing on the federal treasury. It would probably pay providers higher rates than Medicare but lower rates that most private plans. Again it counts on lower administrative cost to reduce premiums.
- STATE-BASED PLANS such as the new Cover Florida with an option for the federal government to step in after 5 years if the state is not meeting performance standards. Cover Florida (aimed at those who've lost their jobs or work as independent contractors - e.g. area Realtors - and don't have access to group coverage) allows recipients to choose between catastrophic and preventive coverage. The more a customer pays, the more benefits are included. It is offered via private companies.
- PRIVATE NON-PROFIT COOPERATIVES - run for the benefit of their members to compete with profit making insurance plans. The presumed advantage is that cooperatives might be able to charge lower premiums because of their non-profit status. Having existed at the local/regional level for decades, some have gone belly up, and others still provide high quality care at reasonable prices. Some believe that cooperatives would be unlikely to deliver as much savings as a large public plan.
For more information about these plans, or other issues affecting your business, contact Jim Cameron, Government Relations at (386) 255-0981, ext. 226.
Labels: Government Relations, Health Care

FYI - Legislation passed during the reecnt session (HB521) lends more support to property owners who challenge a county property appraiser's assessment of their property value. The new law refines the "presumption of correctness" for property appraisers when their assessments are challenged, thus giving the impacted property owners equality in the process. Previously, they held the burden to prove the assessor was wrong.

