Brad Shannon

Brad Shannon:
The Politics Blog

Brad Shannon maintains this blog. He is political editor at The Olympian and can be reached at 360-753-1688 or bshannon@theolympian.com.

Inslee, Dicks keep quality-care piece in health reform

• Published October 26, 2009

The congressional effort to eliminate waste and fix the way Medicare and Medicaid pay for medical services is still running a bit under the radar. But the quality-reform piece that U.S. Rep. Jay Inslee earlier negotiated on behalf of Speaker Nancy Pelosi is now apparently a piece of the final House health reform bill.

Thomson Reuters just put out a "white paper" today that pegs the amount of wasteful spending at between $600 billion and $850 billion a year.

I missed their telephone press conference last week, but Inslee, a Bainbridge Island Democrat, and U.S. Rep. Norm Dicks, D-Belfair, had this to say about their effort last week in a release put out by Inslee's office:

"Today we have announced that we will no longer stand for inefficient care that costs taxpayer dollars and lives; and we will instead change the way reimburse care – rewarding quality over quantity," said Congressman Jay Inslee (WA-01). "As part of comprehensive health care reform, Washington State seniors will be more secure in their choice of doctors and hospitals. Health care legislation will, for the first time in decades, move Medicare, and health care overall, away from the inefficient system of fee-for-service and end the geographic inequities that have cost Washington state doctors billions of dollars." "What this means for our state is a substantial increase in Medicare reimbursements for Washington physicians and medical facilities, assuring that seniors will continue to be able to receive the care they need," Rep. Dicks added. "Because the existing system penalized states with more efficient systems like ours, reimbursement rates have been lower than the cost of providing care, diminishing the pool of doctors who will accept new Medicare patients," Dicks said. Medicare's complex reimbursement formula has long punished doctors for providing cost-effective, high-quality care. Today's announcement that the Inslee-Dicks negotiated provision will be included in the final House bill marks the greatest advance to date in the decades-long effort to address this issue in Congress. Earlier this year, Inslee advanced the provision during committee consideration of the health care bill, and a Senate committee has adopted similar legislation. House leaders believe that the inclusion of the Inslee-Dicks provision will ensure the House passage of the health care overhaul bill.

Click here to read a story about Inslee's reform effort, which he talked about during a visit to The Olympian's editorial board in early September.

What still isn't clear to me is how well the Inslee-Dicks prescription for less waste matches up with the diagnosis of Thomson Reuters' report. The former deals with unequal payments to states and perverse incentives for doctors to order tests that might be lucrative but not tied to better health outcomes. The latter identifies 40 percent of spending as waste and mentions over-prescribing of prescription drugs but also includes unnecessary tests ordered to protect against medical malpractice claims.

COMMENTS Community Publishing Guidelines

Join the Reader Network

Do you want The Olympian to keep you in mind when we canvass the community for opinions?

Click here and sign up with our Reader Network to offer your view.

TOP JOBS

All Top Jobs  »