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        <title>Health Care Experts</title>
        <link>http://healthcare.nationaljournal.com/</link>
        <description></description>
        <language>en</language>
        <copyright>Copyright 2012</copyright>
        <lastBuildDate>Mon, 14 May 2012 16:34:21 GMT</lastBuildDate>
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            <title>What Can Congress Learn from the FDA User Fee Bills?</title>
            <description><![CDATA[<p>Unlike so much else in the 112th Congress, the package of legislation to authorize Food and Drug Administration user fee agreements is humming along. At a House markup last week, Rep. Henry Waxman, D-Calif., was one of many members who commended his colleagues for their ability to collaborate and compromise: "Consideration of this bill should be a model for legislative action," he said. The "UFA" legislation, as it's known, is nearly identical on the House and Senate sides, <a href="http://www.nationaljournal.com/member/daily/as-ufa-speeds-ahead-drug-tracking-rules-lag-behind-20120509?mrefid=site_search">has passed through markups with nary a complaint</a>, and looks set to pass months before the programs it reauthorizes are set to expire at the end of September.</p>

<p>In a session marked by so much partisan rancor, why are the UFA bills different? What can Congress learn from this process?<br />
</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/05/what-can-congress-learn-from-t-1.php</link>
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                <category domain="http://www.sixapart.com/ns/types#tag">FDA</category>
            
            <pubDate>Mon, 14 May 2012 16:34:21 GMT</pubDate>
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            <title>Should Americans Get Insurance From Their Employers?</title>
            <description><![CDATA[<p>What role should employer-sponsored health insurance plans play in U.S. health care?</p>

<p>House Republicans have bashed the health reform law as the beginning of the end of the employer-sponsored health insurance market, since it would be less expensive for some employers to drop their plans and pay a fine to the federal government. The House Ways and Means committee <a href="http://waysandmeans.house.gov/UploadedFiles/Fortune_100_Report_5_1_12.pdf">released a report</a> last week finding 71 of Fortune 100 companies could save $422 billion by simply paying fines for their employees, instead of the insurance plans they offer now.</p>

<p>But Republicans haven't been huge fans of employers dictating health insurance coverage for individuals in the past. Sen. John McCain, R-Ariz., proposed getting rid of the employer-sponsored health insurance tax exclusion in his failed 2008 presidential campaign, which could incentivize people to buy their own plans. Gov. Mitt Romney, the presumptive Republican presidential nominee for 2012, hasn't gone that far yet. But he does want to "equalize" the tax treatment of health insurance, giving individual buyers the same tax breaks that employees get on their employer health insurance.</p>

<p>Should people get their health insurance through their employers? What considerations should lawmakers take into account when writing policies that shape insurance coverage?</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/05/should-americans-get-insurance.php</link>
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            <pubDate>Mon, 07 May 2012 18:20:19 GMT</pubDate>
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            <title>Are ACOs Already Over?</title>
            <description><![CDATA[<p>Last week the federal government announced it had signed up 27 hospital and doctor groups to participate as accountable care organizations, one of the health reform law's great cost-saving hopes.</p>

<p>The number <a href="http://www.nationaljournal.com/member/healthcare/enrollment-low-in-medicare-bonus-program-20120410">is well under federal</a> projections from October, which predicted up to 270 groups would sign up to become Medicare accountable care organizations, or ACOs. The ACO program pays bonuses to doctor and hospital groups if they successfully coordinate care and improve health outcomes for certain Medicare patients. The groups can eventually lose money from the federal government if they don't meet those standards.</p>

<p>Does the low turnout mean ACOs are over? Or is the program just off to a slow start? Why?<br />
</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/04/are-acos-already-over.php</link>
            <guid>http://healthcare.nationaljournal.com/2012/04/are-acos-already-over.php</guid>
            
            
            <pubDate>Mon, 16 Apr 2012 18:52:16 GMT</pubDate>
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            <title>Missing Ways To Salvage Health Reform?</title>
            <description><![CDATA[<p>After tougher-than-expected questioning for the Obama administration at last week's historic Supreme Court arguments on the health reform law, figuring out how to make the law work if the court strikes down the insurance coverage requirement has become a fulltime hobby. </p>

<p>Several options have been floated-- like auto-enrolling people in health insurance plans or restricting enrollment to certain times of the year--but so far no formal strategy has emerged.</p>

<p>Are there any ways to salvage the health care law that have been missed? What programs do you see surviving if the Supreme Court decides the insurance requirement is unconstitutional?<br />
</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/04/miss-ways-to-salvage-health-re.php</link>
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            <pubDate>Mon, 02 Apr 2012 18:01:09 GMT</pubDate>
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            <title>Two Years of Health Reform: What Would You Change?</title>
            <description><![CDATA[<p>Friday marks the second anniversary of the health reform law. Just three days later, what Republicans like to deride as "Obamacare" will face the biggest challenge it has ever seen: oral arguments at the Supreme Court on whether the law is constitutional. Democrats are spending the week telling voters just how they've benefited from the law, and what they'd lose if it is overturned. Republicans are keeping on their message that the law is an unprecedented government intrusion into Americans' health care. In the meantime, states are scrambling to get insurance exchanges up and running while every facet of the health industry--from insurance companies to doctors to hospitals--are making significant changes to their businesses to adhere to the law's new rules.</p>

<p>If you were implementing the law, what would you have done differently? What would you keep the same? In the battle for public opinion, who is winning: Democrats or Republicans?<br />
</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/03/two-years-of-obamacare-who-is.php</link>
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            <pubDate>Mon, 19 Mar 2012 12:00:00 GMT</pubDate>
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            <title>Has Rep. Ryan Changed Medicare and Medicaid Dialogue?</title>
            <description><![CDATA[<p>House Budget Committee Chairman Paul Ryan is getting ready to release his second budget blueprint, and he isn't expected to pull any punches on Medicare.</p>

<p>Ryan told <em>National Journal's</em> Nancy Cook <a href="http://www.nationaljournal.com/member/magazine/ryan-deficit-reduction-trumps-everything-else--20120308">that the budget plan is more important</a> than Republicans winning the White House in November.</p>

<p>"The moral obligation to do something about the debt crisis trumps everything," Ryan said.</p>

<p>For health policy that means one thing: Medicare and Medicaid are once again in for a significant overhaul from Ryan, despite the upcoming presidential election and political challenges of tweaking popular health programs. Medicare and Medicaid make up a huge chunk of the deficit, especially in the long run.</p>

<p>Has Ryan succeeded in changing the dialogue of Washington policymakers when it comes to Medicare and Medicaid? Is a Medicare voucher system or block grants for Medicaid becoming an inevitable solution to the country's fiscal woes?</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/03/has-rep-ryan-changed-medicare.php</link>
            <guid>http://healthcare.nationaljournal.com/2012/03/has-rep-ryan-changed-medicare.php</guid>
            
            
            <pubDate>Mon, 12 Mar 2012 15:30:29 GMT</pubDate>
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            <title>Does Congress Need IPAB?</title>
            <description><![CDATA[<p>Two House committees meet this week to mark up a bill repealing the Independent Payment Advisory Board, an executive-branch board with control over Medicare prices that even Democrats don't like. A bill from Rep. <strong>Phil Roe</strong>, R-Tenn., to repeal IPAB has 19 Democratic cosponsors.</p>

<p>The 15-member IPAB garners ire on Capitol Hill because it can cut Medicare payment rates to doctors and hospitals without congressional approval. To override the board, Congress must pass its own equivalent cut with a supermajority.<br />
 <br />
Congress doesn't have a great track record when it comes to Medicare prices. One easy example: the sustainable growth rate that controls Medicare physician payments. Democrats and Republicans want to get rid of it, but can't agree how to do it. Should the executive branch get to control Medicare pricing? The executive branch controls the money supply through the Federal Reserve - is IPAB really that different?</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/03/does-congress-need-ipab.php</link>
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            <pubDate>Mon, 05 Mar 2012 15:47:06 GMT</pubDate>
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            <title>What Will Exchanges Look Like?</title>
            <description><![CDATA[<p>HHS is due out with its rules for insurance exchanges any time now. But states and private enterprises aren't necessarily waiting for the details.</p>

<p>What interesting solutions do you see coming from the states, from the private sector and, yes, even from the federal government? Are there any missed opportunities out there? What will these exchanges look like five years from now? Will states be ready to run exchanges by this time next year?</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/02/what-will-exchanges-look-like.php</link>
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                <category domain="http://www.sixapart.com/ns/types#tag">insurance exchanges</category>
            
            <pubDate>Mon, 27 Feb 2012 15:17:49 GMT</pubDate>
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            <title>Was The Budget a Good Balance?</title>
            <description><![CDATA[<p>President Obama's budget proposal Monday was tough on the health care sector, which enjoyed none of the big-bucks proposals he offered in energy and infrastructure. The president repeated calls for some seniors for some seniors to pay more into Medicare, proposed deep cuts at the Centers for Disease Control and Prevention, and would trim expenses at the Substance Abuse and Mental Health Services Administration. But he also proposed some new health care money--for primary care doctors, for Alzheimer's research, for administration at the Centers for Medicare and Medicaid Services, and for improved food and drug inspections in China.</p>

<p>Did the president's approach strike the right balance?<br />
</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/02/was-the-budget-a-good-balance.php</link>
            <guid>http://healthcare.nationaljournal.com/2012/02/was-the-budget-a-good-balance.php</guid>
            
            
            <pubDate>Wed, 15 Feb 2012 20:03:01 GMT</pubDate>
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            <title>What Would Republican Replacement Look Like?</title>
            <description><![CDATA[<p>Much of the talk from Republican lawmakers on health care reform has focused on efforts to repeal the 2010 health care reform law. But this year, they are talking about what could replace it if they accomplished that goal. Last week Rep. Joe Pitts, the chairman of the health subcommittee of the Energy and Commerce Committee, described a package of policy initiatives that he hoped his committee would tackle later this year.</p>

<p>The planks of the package included medical liability reform, rules to make health insurance purchases possible across state lines, and efforts to ensure that employees could take their insurance with them if they left a job. </p>

<p>Would such policies be a good replacement for the current health care reform package? Would they expand access to health insurance? Would they bring down costs?<br />
</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/01/what-would-republican-replacem.php</link>
            <guid>http://healthcare.nationaljournal.com/2012/01/what-would-republican-replacem.php</guid>
            
            
                <category domain="http://www.sixapart.com/ns/types#tag">health care reform</category>
            
            <pubDate>Mon, 30 Jan 2012 19:12:21 GMT</pubDate>
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            <title>Supreme Court or the 2012 Election: Which is Tougher for the ACA?</title>
            <description><![CDATA[<p>In order to survive 2012, the health care law will have to overcome two major hurdles: a Supreme Court hearing on its constitutionality, and an election that could tilt Congress, the White House or both in favor of repeal.  </p>

<p>Which pathway do you think will be more likely to bring down the legislation: the Supreme Court's June decision, or the November election?   </p>

<p>Or despite these challenges, do you think the health reform law will survive to see 2013?</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/01/supreme-court-or-the-2012-elec.php</link>
            <guid>http://healthcare.nationaljournal.com/2012/01/supreme-court-or-the-2012-elec.php</guid>
            
            
                <category domain="http://www.sixapart.com/ns/types#tag">health care reform</category>
            
                <category domain="http://www.sixapart.com/ns/types#tag">supreme court</category>
            
            <pubDate>Mon, 23 Jan 2012 13:00:00 GMT</pubDate>
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            <title>Should President Obama Address Health Care in State of the Union?</title>
            <description><![CDATA[<p>Believe it or not, we are just one week away from President Obama's fourth State of the Union address, scheduled for January 24. We want to know what you want to hear from the president when it comes to health policy. </p>

<p>Do you think the president should defend his landmark health reform law, especially in front of the Supreme Court justices who are set to rule on its constitutionality this year?</p>

<p>Should the president offer up ways to save money in Medicare and Medicaid, like raising eligibility age for Medicare or changing how the federal government matches state Medicaid contributions?</p>

<p>Should President Obama address Republican efforts to convert Medicare into a program that gives seniors a subsidy to purchase private health insurance?</p>

<p>Or do you think the president should steer clear of health policy altogether?</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/01/should-president-obama-adress.php</link>
            <guid>http://healthcare.nationaljournal.com/2012/01/should-president-obama-adress.php</guid>
            
            
                <category domain="http://www.sixapart.com/ns/types#tag">Medicaid</category>
            
                <category domain="http://www.sixapart.com/ns/types#tag">Medicare</category>
            
                <category domain="http://www.sixapart.com/ns/types#tag">state of the union</category>
            
                <category domain="http://www.sixapart.com/ns/types#tag">Supreme Court</category>
            
            <pubDate>Tue, 17 Jan 2012 13:00:00 GMT</pubDate>
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            <title>Sizing Up the Obama Administration&apos;s Defense of the Health Reform Law</title>
            <description><![CDATA[<p>The Obama Administration kicked off the Supreme Court case on health care reform Friday with its brief defending the 2010 law's most controversial feature -- its requirement that individuals buy health insurance. The government offered several legal arguments in support of the provision, contending that it is a valid exercise under Congress's powers to regulate interstate commerce and to collect taxes. The legal analysis was no surprise--the government has been making similar arguments for nearly two years in the lower courts, with mixed results.</p>

<p>Will these arguments be persuasive to the justices? Will the Supreme Court uphold the health reform law?</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2012/01/sizing-up-the-obama-administra.php</link>
            <guid>http://healthcare.nationaljournal.com/2012/01/sizing-up-the-obama-administra.php</guid>
            
            
                <category domain="http://www.sixapart.com/ns/types#tag">health care reform</category>
            
                <category domain="http://www.sixapart.com/ns/types#tag">supreme court</category>
            
            <pubDate>Mon, 09 Jan 2012 14:51:52 GMT</pubDate>
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            <title>What&apos;s Your New Year&apos;s Resolution for Policy Makers?</title>
            <description><![CDATA[<p>It's been a busy end of the health care year--with the "doc fix" endgame, the departure of CMS director Dr. Don Berwick, the debut of Pioneer ACOs, rules for essential health benefits, calls to privatize Medicare, and controversial decisions about contraceptive coverage, among many other matters. There's plenty on the horizon too. If you ran the show at the Department of Health and Human Services, what would be your number one priority for the coming year? What should Secretary Kathleen Sebelius set down as her New Year's resolution?<br />
</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2011/12/whats-your-new-years-resolutio.php</link>
            <guid>http://healthcare.nationaljournal.com/2011/12/whats-your-new-years-resolutio.php</guid>
            
            
            <pubDate>Mon, 19 Dec 2011 22:01:43 GMT</pubDate>
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            <title>Should Sebelius have stopped Plan B?</title>
            <description><![CDATA[<p>It's been a long road for the emergency contraceptive pill called Plan B. Its maker, the generic manufacturer Teva, has been trying to get the drug available over-the-counter for buyers of all ages for years. It was stopped by the FDA under the Bush administration, in a decision that prompted resignations and a federal court case.</p>

<p>The Obama administration FDA considered a similar application and was poised to make an opposite decision. A scientific panel and the FDA's commissioner had determined that the drug would be safe for women and girls of all ages to purchase and use without a doctor's prescription. But last week, Sebelius <a href="http://www.hhs.gov/news/press/2011pres/12/20111207a.pdf">overruled</a> the agency's final decision, arguing that there was not adequate research showing that the youngest girls who might need it - girls as young as 11 -- would be able to read and understand the medication labels. As a result, Plan B will remain prescription-only for girls under 17, and those 17 and older will have to show ID to a pharmacist to buy it. Several commentators have described the move as the first time an HHS secretary has overruled the FDA in this way.</p>

<p>Sebelius denied the judgement was politically motivated, but critics have said it was. Was the secretary right to intervene?<br />
</p>]]></description>
            <link>http://healthcare.nationaljournal.com/2011/12/should-sebelius-have-stopped-p.php</link>
            <guid>http://healthcare.nationaljournal.com/2011/12/should-sebelius-have-stopped-p.php</guid>
            
            
            <pubDate>Mon, 12 Dec 2011 21:47:33 GMT</pubDate>
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