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Hoosier biz groups oppose Senate health bill

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Four business groups told Indiana’s senators this week to vote against the health reform bill being debated in the U.S. Senate.

They join national business groups that have supported Congress’ health reform efforts, but are now turning against the final product. The bill would raise various taxes to fund subsidies to help more than 30 million uninsured Americans buy health coverage.

The presidents of the Indiana Chamber of Commerce, the Indiana Manufacturers Association, the Indiana Health Industry Forum and the Indiana Hospital Association all signed letters sent to Sen. Richard Lugar, R-Indiana, and Sen. Evan Bayh, D-Indiana. The letter was released publicly on Thursday.

“The current Senate legislation, while expanding insurance coverage, continues and expands many of the dysfunctions of our current health care system,” wrote Kevin Brinegar, Pat Kiely, Kristin Jones and Doug Leonard, leaders of the four business groups.

They mainly faulted the failure of the legislation to change the way doctors and hospitals are paid. Government insurance programs such as Medicare and Medicaid now pay health care providers based on the volume of procedures they perform.

The business groups want the government to base those payments more on patient results or measurements of quality. They also want financial incentives to encourage hospitals, doctors, employers and patients to all work toward common goals.

Those kinds of changes are in the Senate bill, but only as pilot programs. Proponents of the bill say those efforts will expand in the future, but critics doubt that.

“If passed in its current form, it will add stress to an already flawed health care delivery system by increasing demand for health services by millions of newly insured without fundamentally improving the quality of care that patients receive or bend the total cost curve through smart reforms,” the business group presidents wrote.

The business groups also expressed concern about the Senate bill’s higher Medicare and medical device taxes. They also don’t like proposed expansion of the federal Medicare and Medicaid programs, saying these massive insurance plans pay doctors and hospitals too little.

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  1. These liberals are out of control. They want to drive our economy into the ground and double and triple our electric bills. Sierra Club, stay out of Indy!

  2. These activist liberal judges have gotten out of control. Thankfully we have a sensible supreme court that overturns their absurd rulings!

  3. Maybe they shouldn't be throwing money at the IRL or whatever they call it now. Probably should save that money for actual operations.

  4. For you central Indiana folks that don't know what a good pizza is, Aurelio's will take care of that. There are some good pizza places in central Indiana but nothing like this!!!

  5. I am troubled with this whole string of comments as I am not sure anyone pointed out that many of the "high paying" positions have been eliminated identified by asterisks as of fiscal year 2012. That indicates to me that the hospitals are making responsible yet difficult decisions and eliminating heavy paying positions. To make this more problematic, we have created a society of "entitlement" where individuals believe they should receive free services at no cost to them. I have yet to get a house repair done at no cost nor have I taken my car that is out of warranty for repair for free repair expecting the government to pay for it even though it is the second largest investment one makes in their life besides purchasing a home. Yet, we continue to hear verbal and aggressive abuse from the consumer who expects free services and have to reward them as a result of HCAHPS surveys which we have no influence over as it is 3rd party required by CMS. Peel the onion and get to the root of the problem...you will find that society has created the problem and our current political landscape and not the people who were fortunate to lead healthcare in the right direction before becoming distorted. As a side note, I had a friend sit in an ED in Canada for nearly two days prior to being evaluated and then finally...3 months later got a CT of the head. You pay for what you get...

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