Posts Tagged ‘obamacares

29
Sep
14

McAllen, Texas Saved $20M On Healthcare?! Thanks ObamaCare

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NYT: A Health Care Success Story

IT may have been the most influential magazine article of the past decade. In June of 2009, the doctor and writer Atul Gawande published a piece in The New Yorker called “The Cost Conundrum,” which examined why the small border city of McAllen, Tex., was the most expensive place for health care in the United States. The article became mandatory reading in the White House. President Obama convened an Oval Office meeting to discuss its key finding that the high cost of health care in the country was directly tied to a system that rewarded the overuse of care. Five years later, the situation has changed. Where McAllen once illustrated the problem of American health care, the city is now showing us how the problem can be solved, largely because of the Affordable Care Act that Mr. Obama signed into law in 2010.

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The problem was that doctors in McAllen were responding to reimbursement incentives in the American health care system that rewarded activity rather than value. The more procedures and visits a doctor billed, the more he got paid. The Affordable Care Act was designed to change that. One of its provisions created the Medicare Shared Savings Program, which rewards doctors for keeping their patients healthy. Participation in the program requires primary care doctors to create networks, called accountable care organizations, or A.C.O.s, to better coordinate patient care. These networks are reimbursed for delivering high-quality care below a baseline of historical Medicare costs. In 2012, doctors in McAllen formed the Rio Grande Valley Accountable Care Organization Health Providers, and signed up for this experiment. The early results are in, and they are stunning: From April 2012 to the end of 2013, the Rio Grande Valley A.C.O. saved more than $20 million from its Medicare baseline. These changes didn’t just save money; they also improved patients’ health. From 2012 to 2013, the number of patients achieving control of their diabetes rose 11.8 percentage points. The number receiving vaccinations rose 12.2 percentage points.

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27
Sep
14

President Obama And George Clooney: Men Of Character

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Donna

Good Morning TOD

Chips/NW in honor of Mr. Clooney’s wedding today (sigh) I think a thread honoring this beautiful, handsome, charming, intelligent, big time President Obama supporter would be appropriate….

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As you wish, Donna. :)

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NY Mag

George Clooney has never been shy about sharing his thoughts on politics and current events. So yesterday, when we ran into him at a Peggy Siegal lunch for his new space flick Gravity, we asked the liberal-leaning actor for his thoughts about the ongoing government shutdown. He had many — on John Boehner’s grand strategy, on the “idiots” who think we don’t need government, and on Ted Cruz’s reading of Green Eggs and Ham. “People keep talking about how this has to be a great negotiation, but there isn’t any negotiating a law.

We negotiate on all these other topics, but this was put into law, and [Obama] was reelected on it. It was reaffirmed, it was passed through the Supreme Court — it’s a law. You don’t like it? Win an election. That’s how it works. That’s how the country works. But you don’t get to shut down the government because of it. That’s not how it works.” “Shutting down the government is not how you make government work. And anybody who thinks we don’t need it is an idiot.”

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1280px-Barack_Obama_after_basketball_with_Don_Cheadle,_Tobey_Maguire,_and_George_Clooney

May 11, 2012 – Pete Souza: “After some early morning basketball in Los Angeles, the President talks with the players who included actors Don Cheadle, Tobey Maguire, and George Clooney, along with two of Clooney’s long-time friends. Stacy Keibler is also at right.”

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Vanity Fair

What happens in Vegas . . . doesn’t stay in Vegas when you are George Clooney and get in an argument with a hotel tycoon over President Obama. “There were 9 people at that table. . .So you can ask them. . .Steve likes to go on rants. . .HE called the president an asshole. . . that is a fact. . .I said the President was my longtime friend and then he said ‘your friend is an asshole.’ . . .At that point I told Steve that HE was an asshole and I wasn’t going to sit at his table while he was being such a jackass. And I walked out. There were obviously quite a few more adjectives and adverbs used by both of us. Those are all the facts. It had nothing to do with politics and everything to do with character.”

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Vanity Fair

Steve Wynn and I have met three times, two times for dinner. That is the extent of our knowledge of one another, so I will refrain from trying to categorize him based on the little time we’ve spent together, but I will not let his version of the truth go unchallenged. He now says he didn’t call the president an ‘a——.’ That is false. He bellowed ‘I voted for the a——,’ and then called him the same thing several more times as the dinner came to an abrupt end. Again there were eight people at the table, eight witnesses. I did in turn, call him the same body part, and walked out. Again he can make up whatever story he wants, but these are the facts. He said I drank 16 shots of tequila. I didn’t drink one shot of tequila, not one. We were drinking but it was early and we still had two events to attend.

He said I live in a bubble. More of a bubble than Las Vegas? Honestly? He says I’m ‘molly coddled,’ that I’m surrounded by people who coddle me. I would suggest that Mr. Wynn look to his left and right and find anyone in his sphere that says anything but ‘yes’ to him. Emphatically. I did not attend a private boys’ school, I worked in tobacco fields and in stock rooms, and construction sites. I’ve been broke more of my life than I have been successful, and I understand the meaning of being an employee and how difficult it is to make ends meet. Steve is one of the richest men in the world and he should be congratulated for it, but he needs to take off his red sparkly dinner jacket and roll up his sleeves every once in a while and understand what most of the country is actually dealing with … or at least start with the fact that you can’t make up stories when eight people who are not on your payroll are sitting around you as witnesses.

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Washington Post

Walking through Clooney’s house, Obama glimpsed at the “HOPE” poster from the 2008 campaign by Shepard Fairey and told donors: “People don’t realize that the photograph of me is actually me sitting next to George” at an event when Clooney was advocating on behalf of Darfur. “We struck up a friendship,” Obama said, and then joked, to much laughter: “This is the first time that George Clooney has actually been photo-shopped out of a picture. Never happened before, will never happen again.” Obama said Fairey did a poster for Clooney with both men on the same picture. “Why he said at the bottom ‘Dope and Hope,’ I don’t know.” More laughter. “We raised a lot of money because everybody loves George.

They like me, they love him. And rightfully so. Not only is he an unbelievable actor, but he is one of those rare individuals who is at ease with everybody. He seems to occupy a constant state of grace, and uses his extraordinary talents on behalf of something truly important.” Clooney listened intently to the president throughout, his hands folded as if in prayer and his chin resting on them. And I want to thank Clooney for letting us use his basketball court. This man has been talking smack about his basketball game ever since I’ve known him.”

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At the National Press Club for ‘SAVE DARFUR: Rally to Stop Genocide’, 2006

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Interesting interview. He talks about President Obama at 35:42.

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President Barack Obama jokes with cast members of the movie “The Monuments Men” in the Diplomatic Reception Room, prior to a movie screening in the Family Theater of the White House, Feb. 18, 2014. Standing from left are: Matt Damon and his wife Luciana Damon, Grant Heslov, and George Clooney (Photo by Pete Souza)

26
Sep
14

63% Drop In Uninsured Oregonians?! Thanks ObamaCare

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OHSU: OHSU Study Shows 63 Percent Drop In Uninsured Oregonians

A study released today shows that the number of uninsured Oregonians fell by 63 percent from June 30, 2013 to June 30, 2014. “This first glance at Oregon’s uninsured rates shows that a significant number of Oregonians have benefited from expansions in access to health insurance,” said Peter Graven, Ph.D., health economist with the Center for Health Systems Effectiveness at OHSU and lead author on the study. “Our study found that 95 percent of Oregonians now have health insurance coverage”  the study’s key objective was to estimate the number of uninsured individuals in Oregon as a result of policy changes associated with the Affordable Care Act. The number of uninsured Oregonians in June 2013 was estimated to be approximately 550,000, or 14 percent of the total population. The study found that the number of uninsured individuals in Oregon declined to roughly 202,000 in June 2014, or 5.1 percent of the population.

“Since the beginning of the year, nearly all of the previously uninsured patients we care for at Richmond Clinic have gained health insurance coverage,” said Christina Milano, M.D., assistant professor of family medicine in the OHSU School of Medicine and family medicine physician at the OHSU Richmond Clinic in Southeast Portland. “This makes a huge difference for these patients who previously had to pay out of pocket or work out other payment agreements; it’s a big weight off their shoulders. There’s also a peace of mind that comes with knowing you’re covered if you have a critical illness in the future.” Medicaid eligibility extensions and expanded access to individual health plans through Cover Oregon, Oregon’s health insurance marketplace, drove the substantial increase in the number of insured Oregonians. Most of the newly insured are enrolled in the Oregon Health Plan, Oregon’s Medicaid program, which saw an increase of more than 360,000, or 59 percent. Participation in private non-group health plans saw a 20 percent increase in participation, primarily through Cover Oregon.

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OPB: Number Of Uninsured Oregonians Falls By 63 Percent

The number of Oregonians without health insurance dropped 63 percent in a year, according to a new study by Oregon Health and Science University. In the summer of 2013, more than half a million Oregonians didn’t have health insurance. By this summer — after the state expanded Medicaid and after people were allowed to enroll under the Affordable Care Act — that number dropped to just over 200,000. So in effect, the number of uninsured Oregonians went from 14 percent of the population to five percent.

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22
Sep
14

Who Loves ObamaCare? ➞ New Jerseyans

Image: Supreme Court Upholds Obama's Affordable Care Act

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Beth Fitzgerald: Sharp Decline In Uninsured New Jerseyans In Wake Of Obamacare, Report Finds

The number of uninsured New Jersey non-elderly adults plunged 46 percent — from 21.2 percent in September 2013 to 11.5 percent in June 2014 — according to a new report Friday from the Robert Wood Johnson Foundation. According to the report, co-authored by Joel Cantor, director of the Rutgers Center for State Health Policy, and Katherine Hempstead of RWJF, the decrease is statistically significant — and suggests that more than 520,000 New Jerseyans have obtained health coverage since September 2013. “This are the first numbers showing the impact of the Affordable Care Act on the number of uninsured in New Jersey,” Cantor said. “They show a robust response to the ACA.”

Cantor said the survey shows that “People are responding to the availability of subsidies for private plans (on HealthCare.gov) and to the expansion of Medicaid eligibility. It appears that the problem of the uninsured was cut nearly in half since the third quarter of 2013. We can expect the number gaining coverage to rise a bit further this year, as people eligible for Medicaid can still sign up. The next opportunity for other individuals to buy coverage will begin in November, when the HealthCare.gov annual enrollment period opens for 2015 plans.” The state was also very smart to opt for the Medicaid expansion, which is the main reason the uninsured is dropping at a faster rate than the national average. The big increase in federal funds that will be spent in premium subsidies and Medicaid will also help stimulate New Jersey’s economy. Good news all around.”

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