Posts Tagged ‘medicare

08
Apr
14

Rise and Shine

President Obama embraces Vice President Biden in the Oval Office after a meeting on the budget, April 8, 2011 (Photo by Pete Souza)

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Today (All Times Eastern):

11:45 EDT: President Obama delivers remarks on equal pay, East Room

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@petesouza: Pres Obama takes the stage at Bladensburg High School

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The Week Ahead

Wednesday: The President and the First Lady will travel to Houston, TX. The President will attend a memorial service at Fort Hood. He will attend DCCC and DSCC events. More details regarding the President and First Lady’s travel to Houston will be forthcoming.

Thursday: The President and the First Lady will travel to the Lyndon Baines Johnson Library in Austin, TX. The President will deliver remarks at a Civil Rights Summit to commemorate the 50th anniversary of the signing of the Civil Rights Act. The President and the First Lady will return to Washington, DC, in the afternoon.

Friday: The President will travel to New York, NY to deliver remarks at the National Action Network’s 16th Annual Convention.

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Bryce Covert: Obama’s New Move On Gender And Pay Could Have More Impact Than The Lilly Ledbetter Act

President Obama on Tuesday is expected to sign two executive orders that will address the pay disparity between women and men. One will bar federal contractors from retaliating against employees who talk about their pay with each other. The other will require businesses to hand over data on pay, broken down by race and gender, to the Labor Department. The goal of both steps is to increase transparency, which is more important than it may sound. It’s hard to fight pay discrimination if you don’t even know what other people make. That’s exactly what happened to Lilly Ledbetter, for whom the Lilly Ledbetter Act is named. She didn’t find out she was being paid less than the men around her until 19 years after she started at Goodyear. Even then, it was thanks only to an anonymous note. While President Obama has touted the fact that his first act as president was to sign that bill, it was a very, very incremental step toward gender wage parity. The law merely gives women more time to bring suits.

The executive orders could start a new wave of progress. About half of American workers are either expressly barred or strongly discouraged from discussing pay with each other. Obama’s action won’t change that fact for everyone, but it will affect 22 percent of the workforce. And it can have ripple effects to other companies that might want to compete for federal contracts, changing standards over time.President Obama has proposed a universal preschool system that includes care for children ages zero to three and would go a long way toward helping parents afford the skyrocketing costs of child care. But many of these ideas are anathema to conservatives in Congress, because they would require government spending and/or interfering with the free market. Until that changes, executive orders like the ones Obama will issue Tuesday may be the best hope for a while.

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Meghashyam Mali: Obama Administration Reverses Planned Cuts To Medicare Advantage

The Centers for Medicare and Medicaid Services on Monday announced that it would increase payments to insurers offering Medicare Advantage plans by 0.4 percent, reversing a planned cut. The move comes after criticism from insurance groups and Democratic lawmakers who feared the fallout from trimming benefits for seniors in a difficult midterm election year.

CMS had proposed a 1.9 percent rate cut in February. But on Monday, agency officials said that changed estimates allowed for them to reverse the cut. CMS in a statement said that the rate changes would “ensure beneficiaries will continue to have access to a wide array of high quality, high value, and low cost options while making certain that plans are providing value to Medicare and taxpayers.”

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Jamelle Bouie: Jonathan Chait’s Look At Race During The Obama Era Is Missing One Thing: Black Americans

You should contrast this with Jonathan Chait’s most recent feature for New York magazine, where the story of race in the Obama administration is a story of mutual grievance between Americans on the left and right, with little interest in the lived experiences of racism from black Americans and other people of color. It’s a story, in other words, that treats race as an intellectual exercise—a low-stakes cocktail party argument between white liberals and white conservatives over their respective racial innocence.That might fit the experiences of a mostly white pundit class, but it has nothing to do with race as experienced in the “day-to-day” lives of ordinary people. When a twentysomething black New Yorker talks about race, she isn’t as concerned with the rhetoric of Republicans as she is with the patrol car that trails her teenage brother when he rides his bike to the corner store.

What’s odd about the argument is that Chait clearly shows the extent to which conservatism—even if it isn’t “racist”—works to entrench racial inequality through “colorblindness” and pointed opposition to the activist state. But rather than take that to its conclusion, he asks us to look away.Of course, it’s not accusing conservatives of “racism” to note that particular policies—say, tax cuts to defund the social safety net, or blocking the Medicaid expansion under the Affordable Care Act—have a disparate impact. That’s just reality. And it’s not tarring your opponents to note that race plays a huge part in building popular support for those policies. Chait finishes his piece with a note (a hope?) that this dynamic of grievance will become irrelevant with time: “The passing from the scene of the nation’s first black president in three years, and the near-certain election of its 45th nonblack one, will likely ease the mutual suspicion. In the long run, generational changes grind inexorably away.” Yes, the Return of the White President will cause this tension to recede, as arguments over racial innocence—“You’re racist!” “You’re a race baiter!”—fade like the elves of Middle-Earth. But that’s only the end of the story if you’re most concerned with partisan fights.

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Eli Clifton: Exclusive: Shady Double-Agent’s Obamacare Sabotage: Top “Supporter” Quietly Funded Its Opposition

While proponents of the Affordable Care Act took a victory lap on the April 1 signup deadline, opposition to the state-run marketplaces continues to expand across the country through “Health Care Freedom Acts,” bills that would seek to limit state governments’ cooperation with the Affordable Care Act. But the untold story, until now, is that a key White House ally in passing the Affordable Care Act may have helped lay the groundwork for these very anti-ACA legislations being introduced across the country. Billy Tauzin, the president of the pharmaceutical lobby, couldn’t help gloating while delivering a keynote speech at his final PhRMA annual meeting before his 2010 retirement. Reflecting on the industry’s decision to support comprehensive healthcare reform, the mega-lobbyist quipped, “This PhRMA team is a Super Bowl championship team of advocacy.” That comparison might be more accurate if the NFL’s championship team had rigged the Super Bowl.

Tax records show that PhRMA initiated a series of payments to the American Legislative Exchange Council with a $379,192 contribution in 2008. Tauzin’s powerful lobby continued its payments to ALEC throughout its negotiations with the White House. Between 2008 and 2011, those contributions exceeded $1.25 million. ALEC, a conservative group serving as a clearinghouse for state-level legislation, opposed the Affordable Care Act and launched its Health Care Freedom Initiative in 2008, the same year that PhRMA initiated its support. The project promised to “expose the truth about ObamaCare and fight back — one state at a time.” It also armed state lawmakers with “14 specific recommendations to push back against Obamacare” and offered boilerplate legislation with its “Freedom of Choice in Health Care Act.”In a previously unpublished “Schedule of Contributors” tax filing, PhRMA is listed as contributing $339,000 to ALEC in 2010, making it ALEC’s second largest donor after cigarette giant Reynolds American. The filing lists Pfizer, a member of the pharmaceutical lobby, as contributing an additional $136,000 on its own.

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Think Progress: Black Women Are Breaking Barriers But Still Not Getting Compensated For It

Black women are graduating high school, attending college, participating in the labor force, and starting businesses at higher rates, but they still aren’t seeing the rewards of their hard work, according to a recent report from the Black Women’s Roundtable, the women’s initiative of the National Coalition on Black Civic Participation. Young black women have increased their high school graduation rate by 63 percent over the past 50 years, more than tripling it and “virtually eliminating the gap with Asian women (down to 2%), and significantly narrowing the gap with white women (7%),” the report notes. That gap between the rates of black women and white women has shrunk from 22 percent in 1960. After they leave high school, black women have begun to dominate college. “Though all women lead their male counterparts in college enrollment and degree attainment,” the report says, “Black women do so at higher rates than any other group of women in America.”

In 2010, they were 66 percent of all blacks who finished a Bachelor’s Degree, 71 percent with a Master’s, and 65 percent with a Doctorate. And they keep excelling after they graduate. “As they have from the beginning of their experience in America, Black women lead all women in labor force participation rates,” according to the report. Their labor force participation rate is higher than all other women, and that continues to be true even after they become mothers. They are also very entrepreneurial, starting businesses at six times the national average and representing the fastest growing segment of women-owned businesses. Black women own more than 1 million firms, employ 272,000 people other than themselves, and generate an estimated $44.9 billion in revenue. But even as they’ve been working harder on their educations and starting more businesses, black women aren’t seeing higher returns. While women working full-time, on average, make 77 percent of what men make, black women make 64 percent of what white men make.

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Michael Cohen: How Putin Is Losing In Crimea: A Reality Check

A funny thing happened on March 21: Russia lost a war and virtually no one noticed. It was precisely this agreement — and the refusal of former Ukrainian President Viktor Yanukovych to sign it — that led to the bloody demonstrations in Kiev that forced Yanukovych from power and spurred Russia’s seizure of Crimea. It’s the kind of trade that looks bad for Russia on the surface — and will only look worse in the future. Russia’s political influence in Ukraine and its dreams of creating an economic union to compete with the EU lies in tatters. Rather than push the U.S. and EU away from his western border, Putin’s actions have practically invited them in by strengthening the bonds between Kiev and the West. It is yet another reminder that Putin’s decision to seize Crimea, rather than serve as a triumphant moment, is far more likely to end up a disaster.

While Putin clearly imagines Russia to be a great power, the country is a hollow shell of its former self, with waning political and military influence and an economy that is teetering on the brink. Higher inflation, a weakening ruble, huge capital outflows and a lack of economic reforms contributed to a major slowdown in the growth rate last year — from a projected increase of 3.6 percent to a mediocre 1.3 percent clip. The Crimea crisis will only add to these economic woes.The far bigger one is that major financial institutions like Deutsche Bank are recommending that their clients keep their money out of Russia; two of the biggest ratings agencies, Standard & Poor’s and Fitch, have downgraded Russia’s investment rating from “stable” to “negative”; and even MasterCard and Visa are ending relationships with key Russian banks to avoid the snare of U.S. sanctions.

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Evan Perez and Steve Katsenbaum: Key Figure In M.J. Traffic Scandal, David Wildstein, Meets With Prosecutors

David Wildstein, a central figure in a political scandal that has upended the administration of New Jersey Gov. Chris Christie, met recently with federal prosecutors, two U.S. officials familiar with the matter told CNN. The U.S. attorney’s office in Newark is investigating suggestions that top Christie appointees and allies orchestrated traffic tie-ups near the George Washington Bridge in Fort Lee last September. Prosecutors are looking at whether the gridlock was politically motivated.

A state legislative committee is also investigating the matter, which involved sudden closures of access lanes to the nation’s busiest bridge over several days. Lawyers from the Justice Department’s public integrity section have joined the investigation to consult on certain legal aspects, particularly over separate allegations the Christie administration conditioned Superstorm Sandy relief money for Hoboken on the mayor’s support for a redevelopment project backed by the governor, according to one U.S. official.

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NYT: In A Test Of Wills With China, U.S. Sticks Up For Japan

On his first trip to China as the secretary of defense, Chuck Hagel is finding himself in the middle of a spat that would not be out of place in “Mean Girls,” a movie about social cliques in high school. For the first time, China will host the Western Pacific Naval Symposium, a meeting every two years of countries that border the Pacific Ocean. The W.P.N.S., as it is known in naval circles, counts among its members the United States, Australia, Chile, Canada and a number of Asian countries, including China and Japan. Often at such meetings, the host country organizes an international fleet review, at which the visiting countries can parade their ships and show off some fancy hardware. For this year’s fleet review, China, which is hosting the event in Qingdao, invited all the countries in the symposium to take part — except Japan.

So on the eve of Mr. Hagel’s trip, which includes a visit to Qingdao, Pentagon officials announced that if Japan could not take part in the review, then neither would the United States. The United States will attend the meeting, the Pentagon said, but no American ships will sail in the fleet review. Late last year, China set off a trans-Pacific uproar after it declared that an “air defense identification zone” gave it the right to identify and possibly take military action against aircraft near the uninhabited islands in the East China Sea known as the Senkaku Islands in Japan and the Diaoyu Islands in China. Japan controls and administers the islands, but China claims them. Japan refused to recognize China’s claim, and the United States has been defying China ever since by sending military planes into the zone unannounced.

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John W. Gonzalez: Allegation Against Battleground Texas Dismissed

Two special prosecutors have rejected public complaints that Battleground Texas violated election laws while registering voters in San Antonio last year. Three people had alleged that a Battleground Texas staffer violated state election law by mining voters’ personal data. The Democratic group has steadfastly denied the allegation as a fiction from conservative activist James O’Keefe III, who’s been criticized for dubious and even criminal tactics.Based on their finding, a state district court judge dismissed the case on Friday, officials confirmed Monday.

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Brendan Sasso: FCC To Break Up Big TV Stations

Overriding intense Republican opposition, the Democratic leaders of the Federal Communications Commission voted Monday to crack down on media consolidation. The new rules bar multiple broadcast TV stations in the same market from sharing a single advertising staff. Democratic FCC officials argue that major TV companies around the country are using “joint sales agreements” to undermine the agency’s media-ownership caps. The FCC bars any company from owning more than one of the top four TV stations in a market. By selling ads for multiple stations, companies have been able to dodge the FCC’s ownership cap while effectively controlling several stations, the agency officials said.

The goal of the TV ownership cap is to ensure that viewers have access to a diverse range of views in the media and that no single corporation is able to dominate the flow of information. While the TV stations serve local markets, major media companies such as Sinclair own dozens of stations around the country. “The commission has long imposed limits on concentration of ownership for use of the public’s airwaves,” FCC Chairman Tom Wheeler said. “Today, what we’re doing is closing off what is a growing end run around those rules.”

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Meredith Clark: Kansas Bill Kills Long-Held Teacher Rights

After a weekend of heated debate, the Kansas legislature passed a bill that strips teachers of the right to challenge dismissals and ensures tax breaks for corporations that fund private school scholarships. Despite huge majorities in the state House and Senate, the bills passed narrowly over the objections of hundreds of teachers and activists who packed the galleries to protest the bill. Until now, a teacher with three years of experience was guaranteed the right to receive a written reason for possible termination and the right to appeal the decision. Teachers in Kansas have had the right to due process since 1957. Without it, a teacher could be fired for being gay, or disagreeing politically with an administrator, and have no recourse.

The bill also provides $126 million to address disparities in public school funding. The Kansas supreme court ruled in March that the state’s current funding system is unconstitutional. The court had ordered the legislature to craft a solution before July 1. Some Republican lawmakers sought policy changes like the end of due process in exchange for supporting the funding measure. Republican Governor Sam Brownback has not said whether he will sign the bill. Kansas’ teachers are among the lowest paid in the United States, with the state coming in 42nd in teacher pay. Educators fear that eliminating due process rights for teachers will make it even harder to retain talented teachers. “How do we get great teachers to come to Kansas when they’re already getting paid so little, and now they have no due process?” Aaron Estabrook, a school board member in the city of Manhattan asked msnbc. “How can we recruit them when they won’t be protected?”

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On This Day

Sen. Barack Obama before a Senate Foreign Relations Committee hearing on the situation in Iraq, Capitol Hill, April 8, 2008

Sen. Barack Obama at a Senate Foreign Relations Committee hearing on the situation in Iraq, Capitol Hill, April 8, 2008

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President Obama offers a fist-bump to senior staff member Pete Rouse, during a meeting with senior advisors in the Oval Office, April 8, 2009 (Photo by Pete Souza)

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President Obama admires a tapestry at Prague Castle in Prague, Czech Republic, April 8, 2010 (Photo by Pete Souza)

President Obama, Russian President Dmitry Medvedev, left, and Czech Republic President Vaclav Klaus, share a toast during a luncheon at Prague Castle, Czech Republic, April 8, 2010 (Photo by Pete Souza)

President Obama talks with Secretary of State Rodham Clinton following the expanded delegation bilateral meeting with President Medvedev of Russia at Prague Castle in Prague, Czech Republic, April 8, 2010 (Photo by Pete Souza)

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President Obama talks with Vice President Biden in the Oval Office in between meetings to discuss the ongoing budget negotiations, April 8, 2011 (Photo by Pete Souza)

President Obama is reflected in a mirror in the Outer Oval Office as talks with Chief of Staff Bill Daley, left, and Vice President Biden in the doorway of the Oval Office, April 8, 2011 (Photo by Pete Souza)

President Obama meets with staff in the Roosevelt Room of the White House to discuss the ongoing negotiations on a budget funding bill, April 8, 2011. Pictured, from left, are: National Economic Council Director Gene Sperling; Bruce Reed, Chief of Staff to the Vice President; Phil Schiliro, Assistant to the President and Special Advisor; and Nancy-Ann DeParle, Deputy Chief of Staff for Policy (Photo by Pete Souza)

President Obama talks on the phone with House Speaker John Boehner in the Oval Office, April 8, 2011 (Photo by Pete Souza)

President Obama gestures while meeting with staff in the Roosevelt Room of the White House to discuss the ongoing negotiations on a budget funding bill, April 8, 2011 (Photo by Pete Souza)

President Obama delivers a statement in the Blue Room of the White House after Democrats and Republicans reached a short-term budget deal to prevent a government shutdown, April 8, 2011 (Photo by Pete Souza)

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06
Apr
14

Rise and Shine

President Obama talks to Coach Mike Krzyzewski, who led Duke to win the NCAA Men’s Division One Basketball Championship, in the Oval Office, April 6, 2010 (Photo by Pete Souza)

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The Week Ahead

Today: The President has no public events scheduled.

Monday: The President will travel to Prince George’s County, MD to host an event on the economy. Following this event, he will meet with the Commander-in-Chief and Executive Director of the Veterans of Foreign Wars.

Tuesday: The President  will host an event on the economy at the White House.

Wednesday: The President and the First Lady will travel to Houston, TX. The President will attend DCCC and DSCC events. More details regarding the President and First Lady’s travel to Houston will be forthcoming.

Thursday: The President and the First Lady will travel to the Lyndon Baines Johnson Library in Austin, TX. The President will deliver remarks at a Civil Rights Summit to commemorate the 50th anniversary of the signing of the Civil Rights Act. The President and the First Lady will return to Washington, DC, in the afternoon.

Friday: The President will travel to New York, NY to deliver remarks at the National Action Network’s 16th Annual Convention.

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KEYE Tv: President Obama To Attend Memorial At Ft. Hood

A White House aide says President Barack Obama plans to attend a memorial service Wednesday at Fort Hood — the site of last week’s shooting rampage. A Fort Hood spokesman confirms there will be a remembrance ceremony that day, and presidential adviser Dan Pfeiffer tells CBS’ “Face the Nation” that Obama will be there. Investigators say that an Army truck driver, Ivan Lopez, had an argument before opening fire at the Texas post last Wednesday, killing three soldiers and wounding 16 others before taking his own life.

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White House: Statement By The President On Elections In Afghanistan

On behalf of the American people, I congratulate the millions of Afghans who enthusiastically participated in today’s historic elections, which promise to usher in the first democratic transfer of power in Afghanistan’s history and which represent another important milestone in Afghans taking full responsibility for their country as the United States and our partners draw down our forces.

We commend the Afghan people, security forces, and elections officials on the turnout for today’s vote –- which is in keeping with the spirited and positive debate among candidates and their supporters in the run-up to the election.

These elections are critical to securing Afghanistan’s democratic future, as well as continued international support, and we look to the Afghan electoral bodies to carry out their duties in the coming weeks to adjudicate the results –- knowing that the most critical voices on the outcome are those of Afghans themselves.

Today, we also pay tribute to the many Americans –- military and civilian –- who have sacrificed so much to support the Afghan people as they take responsibility for their own future.

The United States continues to support a sovereign, stable, unified, and democratic Afghanistan, and we look forward to continuing our partnership with the new government chosen by the Afghan people on the basis of mutual respect and mutual accountability.

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Jim Kuhnhenn: Obama To Sign Executive Order With Equal Pay Rules For Federal Contractors

Lacking congressional backing to raise wages or end gender pay disparities, President Barack Obama is imposing his policies directly on federal contractors, following a long-established tradition of presidents exerting their powers on a fraction of the economy directly under their control. This week, the president will sign an executive order that would prohibit federal contractors from retaliating against employees who discuss their pay with each other. The prohibition on the wage “gag rules” is similar to language in a Senate bill aimed at closing a pay gap between men and women. That legislation is scheduled for a vote this week, though it is not likely to pass.

In addition, Obama on Tuesday will direct the Labor Department to adopt regulations requiring federal contractors to provide compensation data based on sex and race. The president will sign the executive order and the presidential memo during an event at the White House where he will be joined Lilly Ledbetter, whose name appears on a pay discrimination law Obama signed in 2009.Separately, on Monday, Obama will also announce the 24 schools that will share in more than $100 million in grants to redesign their schools to better prepare high school students for college or for careers. The awards are part of an executive order Obama signed last year. Money for the program comes from fees that companies pay for visas to hire foreign workers for specialized jobs.

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Michael Hiltzik: A Look At How Many Obamacare Enrollees Were Uninsured: 5.4 Million

As we observed earlier this week, one of the obsessions of opponents of the Affordable Care Act is the question of how many enrollees in Obamacare health plans already had insurance. The goal is to knock down the latest enrollment numbers by suggesting that most of the 7.1 million people enrolled through the individual insurance exchanges just moved from one insurance plan to another in a waste of time and effort. The real figure probably won’t be known for weeks, even months. But researchers at the Urban Institute’s Health Policy Center have weighed in with their own estimate. They’re figuring that the ACA has reduced the number of uninsured Americans by 5.4 million from the first quarter of 2013 through early March this year.

Their estimate is based on data from their March 2014 Health Reform Marketing Survey, which consists of public polling. Their finding is that the uninsurance rate for adults ages 18–64 was 15.2% for the nation in early March, a decline of 2.7 percentage points since September 2013, just before open enrollment on the exchanges began Oct. 1. “This represents a gain in coverage for about 5.4 million adults,” they write. Although the Urban Institute figures aren’t keyed to the enrollment figures, it’s worth observing that if all those newly insureds were among those who signed up on the individual exchanges, that would mean that of the 7.1 million enrollees, 77% were previously uninsured.

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AP: Judge Dismisses Lawsuit Over Drone Strikes

A federal judge on Friday dismissed a lawsuit against Obama administration officials for the 2011 drone-strike killings of three U.S. citizens in Yemen, including an al-Qaida cleric. Permitting a lawsuit against individual officials “under the circumstances of this case would impermissibly draw the court into ‘the heart of executive and military planning and deliberation,’” said Collyer. She said the suit would require the court to examine national security policy and the military chain of command as well as operational combat decisions regarding the designation of targets and how best to counter threats to the United States. “Defendants must be trusted and expected to act in accordance with the U.S. Constitution when they intentionally target a U.S. citizen abroad at the direction of the president and with the concurrence of Congress,” said Collyer. “They cannot be held personally responsible in monetary damages for conducting war.” The lawsuit sought unspecified damages.

Anwar al-Awlaki’s classification as a key leader raises fundamental questions regarding the conduct of armed conflict, Collyer’s 41-page opinion stated. The Constitution commits decision-making in this area to the president, as commander in chief, and to Congress, the judge said. U.S.-born al-Qaida leader al-Awlaki and Samir Khan, an al-Qaida propagandist, were killed in a drone strike in September 2011. Al-Awlaki’s 16-year-old son, Abdulrahman, was killed the following month.  Anwar al-Awlaki had been linked to the planning and execution of several attacks targeting U.S. and Western interests, including a 2009 attempt on Christmas Day on a Detroit-bound airliner and a 2010 plot against cargo planes. “The fact is that Anwar al-Awlaki was an active and exceedingly dangerous enemy of the United States, irrespective of his distance, location, and citizenship,” said Collyer. “As evidenced by his participation in the Christmas Day attack, Anwar al-Awlaki was able to persuade, direct, and wage war against the United States from his location in Yemen, without being present on an official battlefield or in a hot war zone.” She said that the U.S. government moved against al-Awlaki as authorized by the defendants and she said the officials acted in accordance with the Authorization for Use of Military Force, which was enacted by Congress after the attacks of Sept. 11, 2001.

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Bruce Japsen: Medicare Seniors Like ObamaCare’s Team Approach

As the U.S. health care system moves away from fee-for-service medicine to more accountable care that uses a teamof health professionals, seniors covered by Medicare say they are okay with these new models that include nurses, social workers and other allied health professionals in the front lines of their treatment, according to a new analysis. Increasingly, the Medicare health insurance program for the elderly as part of the Affordable Care Act is moving to a system that rewards doctors and hospitals for working together to improve care. A new national survey of adults 65 and older from the John A. Hartford Foundation about “team care and the medical home” shows 27 percent say they get this kind of care right now, they like it and it has improved their health.

The openness to new models debunks theories by some in health care who think patients only want to see a doctor for all their health care needs. The bulk of the sample, or 73 percent say they want such care and 61 percent say they believe it would improve their health. Medicare, too, is moving aggressively toward more accountable models with success achieving savings. In the first year of the Medicare Shared Savings Program, almost half of the ACOs that started operations in 2012 had lower medical expenses than projected, exceeding their quality benchmarks, according to the Centers for Medicare & Medicaid Services. There were 29 ACOs that generated shared savings of more than $125 million.

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Bloomberg: Private U.S. Payrolls Top Pre-Recession Peak

Private employers in the world’s largest economy reached an important milestone in March: they have made up all the jobs lost as a result of the recession, and then some. The CHART OF THE DAY shows payrolls excluding government agencies climbed to 116.1 million, surpassing the prior peak of 116 million in January 2008. Winning industries include mining and logging, education and health care, and professional services. Manufacturing and construction have lagged behind.

“Private-sector employment has popped its head out of the hole, and finally replaced the headcount lost due to the recession,” said Ward McCarthy, chief financial economist at Jefferies LLC in New York. “The labor market is the heartbeat of the economy, so when it finally gets to the point where it’s growing again, good things happen.” The recovery in private payrolls signals better times ahead for Americans still looking for work and lays the ground for a gradual pickup in wages and consumer spending, according to McCarthy. Steady progress also will probably prompt Federal Reserve policy makers to continue trimming stimulus while keeping interest rates low.

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Cynthia Tucker: Irrational Hatred Of Obamacare Is Hard To Fathom

My friend Isatou has just received an invoice from Kaiser Permanente, testament to her new coverage through the Affordable Care Act — usually called “Obamacare.” She’s thrilled to finally have health insurance so she can get regular checkups, including dental care. A reasonably healthy middle-aged woman, she knows she needs routine mammograms and screenings for maladies such as hypertension. But before Obamacare, she struggled to pay for those things. She once had to resort to the emergency room, which left her with a bill for nearly $20,000. (She settled the bill for far less, but it still left her deeply in debt.) She is one of more than 7 million people who have signed up for health insurance through the ACA, stark evidence of the overwhelming market demand.

Now, young adults can stay on their parents’ health insurance policies until they are 26 years old — a boon in an economy where many young folks are struggling to find decent jobs. Now, patients with previously diagnosed illnesses (“pre-existing conditions,” in insurance lingo) can’t be denied coverage. Now, the chronically ill don’t have to worry about hitting a lifetime cap that would deny them essential procedures or pharmaceuticals. Now, working folks who don’t get insurance through their employers can purchase affordable policies. The GOP’s relentless opposition has been puzzling. Republicans have resorted to extreme measures to try to derail Obamacare, including an implicit threat to prevent the National Football League from participating in a marketing campaign to encourage people to sign up.It’s strange. Could it be that Republicans are simply furious that millions of Americans like Isatou finally have health insurance?

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Bloomberg: Cement Deals Lay Foundation For Building Boom

For signs that construction is on the mend, look no further than the cement industry. Money being spent to acquire suppliers of building materials worldwide is surging to the highest level since at least May 2008, according to data compiled by Bloomberg. After $22 billion of deals in the past 12 months, Holcim Ltd. (HOLN) and Lafarge SA (LG) — the world’s two biggest cement makers with a combined market value of more than $50 billion — are in advanced merger talks. “What we’re seeing is a recognition by these companies that the bottom is in and that the recovery is happening,” Todd Vencil, a Richmond, Virginia-based analyst at Sterne Agee Group Inc., said in a phone interview.

“Companies are feeling confident enough about that to have the buyers and sellers able to come together now.” In the U.S., construction spending increased 8.7 percent in the 12 months ended in February and 9.4 percent in the period ended in January, the fastest since 2006, data from the Census Bureau compiled by Bloomberg show. U.S. cement consumption will rise 8.1 percent this year to 86 million metric tons and will continue to increase through 2018, according to estimates from the Portland Cement Association.

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Tara McGuiness: While Marketplace Enrollment Ended, Medicaid Enrollment Continues

The Affordable Care Act (ACA) has already provided coverage to millions of Americans. More than 7.1 million Americans signed up for coverage through the Marketplaces, 3 million additional young adults were covered under their parents’ insurance and millions more will have access through Medicaid. A new report shows that more people are gaining coverage through Medicaid and the Children’s Health Insurance Program (CHIP) as a result of the health law. The analysis, produced by the Health and Human Services Department shows enrollment in Medicaid and CHIP in February was at least 3 million people higher than it was, on average, between July and September. That does not include March, which saw an enormous spike in Marketplace enrollment and traffic to HealthCare.gov.

While this is great progress, states where governors or legislatures refuse to implement the Medicaid expansion provisions of the law will leave 5.7 million Americans uninsured. States that have expanded Medicaid, such as Kentucky and New York, have seen particularly dramatic declines in their uninsured populations. Just take Kentucky, according to the Louisville Courier-Journal, Kentucky has seen a 40 percent drop in its rate of uninsured since October 1.While open enrollment for the Marketplaces closed on March 31st, Medicaid coverage enrollment continues year round. That means we are going to continue, working with partners, to sign people up for Medicaid. We have made improvements to our systems and we are ramping up the tactics and tools that are working to reach uninsured Americans. We have learned that Medicaid expansion had a positive impact in getting people covered, as enrollment growth in states that expanded Medicaid was over 5 times higher than in other states (8.3 percent versus 1.6 percent).

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AlJazeera America: Medicaid Boosted By 3 Million, Bringing ‘Obamacare’ Sign-Ups To 10 Million

Three million lower-income Americans have enrolled in the Medicaid program so far during the rollout of U.S. President Barack Obama’s healthcare reform law. That brings to more than 10 million the number of people who have signed up for both public and private health coverage since the Oct. 1 launch of the Affordable Care Act, known as Obamacare. This week, the White House announced there were 7.1 million sign-ups as of March 31 for private health plans through new electronic insurance marketplaces now operating in all 50 states.

The current data includes people who qualify for Medicaid programs that have existed for decades, but it does seem as if the health care law is the reason behind many of the new enrollees: Medicaid enrollment has been brisker in states that are expanding the program – with a rate 8.3 percent higher than before Oct. 1. States that have not expanded Medicaid have seen enrollment rise by only 1.6 percent.

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Joe Conason: On Our Highest Court, A Former Lobbyist Guts Campaign Finance Reform

It was Kennedy who wrote the majority opinion in Citizens United, which dismissed the notion that corruption will arise from unlimited political campaign contributions because they will all be disclosed. “Citizens can see whether elected officials are ‘in the pocket’ of so-called moneyed interests …and disclosure permits citizens and shareholders to react to the speech of corporate entities in a proper way,” he wrote. “This transparency enables the electorate to make informed decisions and give proper weight to different speakers and messages.” But if any Supreme Court justice knows how ridiculous that sounds, it must be Kennedy – whose own background as a corporate lobbyist and son of a lobbyist has been forgotten in nearly three decades since his Senate confirmation in 1987. His father, Anthony “Bud” Kennedy, was a backslapping, hard-drinking partner in a powerful lobbying law firm run by one Arthur “Artie” Samish, “the “secret boss of California” who finally went to prison on tax charges in the mid-1950s, while young Tony was studying to enter law school.

Samish liked to brag that he had amassed more power than anyone else in the state, including the governor, that he could buy any legislator with “a baked potato, a bottle, or a broad,” and that he was able to “unelect” any lawmaker who didn’t vote his way. The major clients of Samish and Kennedy were racing, entertainment, and liquor interests, notably including Schenley Industries, then run by J. Edgar Hoover’s mobbed-up pal Lewis Rosenstiel. When Bud Kennedy died suddenly in 1963, young Tony was only two years out of law school. But he went into the family business and inherited his late father’s clientele. While Kennedy always insisted that lobbying was only a “sideline” in his law practice, his billings were substantial – the equivalent of hundreds of thousands or more in today’s dollars. In 1974, he pushed through a bill for Capitol Records that saved the company (and cost the state) millions in sales taxes. How did he do it? The same way that special interests work their will today – by doling out huge wads of cash to lawmakers on behalf of his clients.

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Washington Post: Facing Obamacare Deadline, More Young People Signed Up In March

Five state-based health insurance marketplaces and the District of Columbia’s exchange have so far provided an age breakdown of people who signed up for coverage through March 31, the official end of open enrollment. Compared against numbers reported by the Department of Health and Human Services in January and February, young adults in March signed up at higher rates.These numbers don’t tell the whole story of youth enrollment, though. HHS hasn’t reported March demographic data for the 36 states where it’s operating the marketplaces. Nine other state-based exchanges also haven’t yet provided an age breakdown for March enrollment.

People who struggled to sign up before March 31 can still enroll before April 15 through HealthCare.gov, the federal enrollment portal. HHS said it doesn’t have a reliable estimate of how many are still trying to enroll. State-run exchanges have also allowed some deadline leeway. The numbers also don’t account for young adults who enrolled in coverage outside the exchanges. The online Web broker eHealthInsurance, which sells off-exchange plans nationwide, recently reported that 45 percent of its shoppers since Jan. 1 are between 18 and 34 years old. Insurers must consider exchange customers and non-exchange customers as part of the same risk pool if they’re selling in both markets.

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Jonathan Cohn: Obamacare Is Helping People Via Medicaid – Except In States Where Officials Are Fighting It

Some new Obamacare information: As of the end of February, the number of Americans on Medicaid and the Children’s Health Insurance Program (CHIP) was 3 million higher than it was at the beginning of the Affordable Care Act’s open enrollment period. It’s one more sign that the health care law is reducing the number of Americans without insurance significantly—although it doesn’t tell us by how much or whether, at year’s end, the reduction will live up to original projections. It’s also one more window into our growing geopolitical divide—between the part of America where officials are trying aggressively to help poor people get health insurance, and the part where officials are not. taking advantage of flexibility following the 2012 Supreme Court ruling on Obamacare, a large swath of mostly conservative states have opted not to expand eligibility.

As a result, millions of low-income Americans living in these states remain with no viable source of comprehensive coverage. The story is different in states that have expanded Medicaid. That explains the new figures, which the Department of Health and Human Services released on Friday morning. In states expanding Medicaid, enrollment in the two programs rose by more than 8 percent. In states that haven’t expanded Medicaid, enrollment rose by just 1.8 percent. Presumably a lot of these people were already eligible for Medicaid but either didn’t know it or hadn’t decided to do it before they heard about Obamacare. Wonks call this the “woodworking” effect.

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 On This Day:

Sen. Barack Obama, D-IL, talks on his cell phone outside of the Senate chamber during a cloture vote on the immigration reform bill on April 6, 2006, on Capitol Hill in Washington

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President Obama speaks with National Security Advisor Gen. James Jones following a reception with Turkish President Abdullah Gul and heads of state attending the Alliance of Civilizations Dinner April 6, 2009, at Dolmabahce Palace in Istanbul, Turkey (Photo by Pete Souza)

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The Mount Ennon Baptist Church Children’s Chorus, from Clinton, Md., perform at an Easter Prayer Breakfast with Christian leaders in the East Room of the White House, April 6, 2010 (Photo by Pete Souza)

President Obama walks to an outdoor meeting with, from left, Valerie Jarrett, senior advisor, Dan Pfeiffer, communications director, Jim Messina, deputy chief of staff, and Bob Bauer, counsel to the President, in the Rose Garden of the White House, April 6, 2010 (Photo by Pete Souza)

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President Obama and Vice President Biden meet with staff in the Oval Office following a late night meeting with House Speaker John Boehner and Senate Majority Leader Harry Reid on the budget, April 6, 2011. Pictured, from left, are: Office of Management and Budget Director Jack Lew; Rob Nabors, Assistant to the President for Legislative Affairs; Senior Advisor David Plouffe; and Director of Communications Dan Pfeiffer (Photo by Pete Souza)

First Lady Michelle Obama and Dr. Jill Biden, bottom right, meet with Members on Congress to discuss the Joining Forces military families initiative in the Map Room of the White House, April 6, 2011 (Photo by Lawrence Jackson)

Filmmaker Spike Lee uses his iPad to photograph President Obama as he greets guests at the National Action Network’s Keepers of the Dream awards gala in New York, N.Y., April 6, 2011 (Photo by Pete Souza)

First Lady Michelle Obama and Dr. Jill Biden greet participants during a roundtable meeting with military spouses, veterans, and volunteers to discuss the Joining Forces military families initiative in the Eisenhower Executive Office Building, April 6, 2011 (Photo by Chuck Kennedy)

First Lady Michelle Obama and Dr. Jill Biden talk to AFPS reporter Elaine Sanchez about “Joining Forces,” the new White House initiative to raise awareness about the challenges facing military families, in the Map Room at the White House, April 6, 2011

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President Obama and First Lady Michelle Obama host a Passover Seder Dinner for family, staff and friends, in the Old Family Dining Room of the White House, April 6, 2012 (Photo by Pete Souza)

President Obama and First Lady Michelle Obama host a Passover Seder Dinner for family, staff and friends, in the Old Family Dining Room of the White House, April 6, 2012 (Photo by Pete Souza)

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29
Oct
12

Morning!

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