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Home Front: Politix
GOP Report Charges AARP Getting "Kickbacks" In Dem Health Care Bills
2009-09-24
By Philip Klein
One of the subplots to the health care debate I've been following is the cozy relationship between AARP and the Obama administration, as the group has thrown its full-throated support behind the Democrats' health care push even though their membership comes from the age group most opposed to Democratic health care proposals. Today, House Republicans have issued a report providing evidence that AARP is in a position to recieve tens of millions of dollars in "kickbacks" if Democratic health care legislation becomes law.

President Obama and Democrats have proposed saving money to pay for health care legislation, in part, by cutting $162 billion in payments to Medicare Advantage, which allows Medicare recipients to choose privately-administered coverage. If these changes go through, millions of seniors who have chosen Medicare Advantage would lose their current coverage, forcing them into government-administered plans with less generous benefits. As a result, many of them would have to purchase policies to supplement traditional Medicare. Enter AARP.

In 2008, AARP generated $652.7 million in revenue by selling products like Medigap supplemental Medicare insurance, accounting for over 60 percent of the group's revenue, according to an analysis of its financial statements cited in the report released by the House Republican Conference.

If the House Democrats health care bill becomes law, the report argues, it would be a boon to AARP, because while Medicare Advantage plans will be required to pay out 85 percent of the money collected in premiums to claims made by policy holders, the requirement would only be 65 percent for the kind of Medigap policies sold by AARP.

"In other words, under the Democrat bill, seniors could pay as much as 20 cents more out of every premium dollar to fund 'kickbacks' to AARP-sponsored Medigap plans than Medicare Advantage plans," the GOP report charges.
Posted by:Fred

#1  American Medical Association, another "Kickback"?????

AMA's Secret Pact with HCFA (Feds)

It's complicated but in essence the Feds give the AMA the rresponsibilty for setting the procedure coding scheme (CPT-4) and the franchise to sell the coding books. This represents a sizable chunk of the AMA's income.

Note: The AMA represents less than 20% of the nations Physicians.

2. HCFA shall: (a) publicly endorse the use of CPT-4 based HCPCS for the purpose set forth in paragraph 1; (b) where permitted by HCFA's statutory authority and budgetary constraints, require the use of CPT-4 based HCPCS in programs administered by HCFA by its agents and other entities participating in those programs; and (c) encourage the voluntary use of CPT-4 based HCPCS by others.(10)

There it is: the AMA imposes its onerous coding regulations on physicians in the name of HCFA.

Virtually every crime has a motive, and the motive here money. Lots of it. The AMA declares on its Web site that the AMA "generates approximately two-thirds of its annual $200 million operating budget from non-dues sources."(11) Of that $133 million in non-dues revenue, the AMA's publication revenue, including sales of those expensive CPT code books, is its most prominent source.(12) The victims of these endlessly complicated revisions to codings are physicians rendering private medical care. Each year physicians pay substantial costs and expend precious hours trying to keep up with the rules imposed by the AMA's CPT money-making machine. The time and money lost by physicians due to the AMA could be far better spent in the service of patients.
Posted by: GolfBravoUSMC   2009-09-24 11:11  

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