Editore"s Note
Tilting at Windmills

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April 23, 2010

CONFUSION (STILL) REIGNS.... It's been about a month since the Affordable Care Act became law, and many political observers have been keeping an eye on the polls, watching to see if the breakthrough changed public perceptions. So far, there hasn't been much movement -- support has grown a bit, but opponents are still in the plurality.

For Democrats, the hope has long been that success would start paying greater dividends when the public grew less confused about the details. That trend has yet to begin in earnest, though, because people are still confused about the details.

The latest report from the Kaiser Family Foundation showed 46% of respondents have a favorable opinion of the ACA, while 40% have an unfavorable view. That's not bad, but the results are pretty partisan -- Dems like it, Republicans don't -- and the largest single group (30%) were those who have a "very unfavorable" view.

Chris Cillizza noted, meanwhile, that the same problem that has undermined the debate for a year still exists: the public still doesn't understand the proposal or its merits.

Majorities of Americans described themselves as "confused" about the new health care bill and acknowledge they don't have enough information about it to grasp how it will affect their lives, according to a new poll conducted by the Kaiser Family Foundation. The numbers -- 55 percent of those tested expressed confusion about the law while 56 percent didn't know what impact it would have on them -- suggest that President Obama and his administration have their work cut out for them in the run-up to the midterm elections.

Perhaps, but it also suggests the numbers are malleable. Many of the Americans who have a negative impression of the new law don't necessarily know what it is they don't like. More information -- and an effective sales job -- is likely to translate to more favorable opinions.

Indeed, many of the benefits of the new that will kick in this year continue to be very popular.

More than eight in ten people support tax credits for small companies who offer coverage to their employees (86 percent), back the idea of making it harder for insurance companies to drop you when a major medical problem occurs (81 percent) and like the idea of barring health plans from charging a co-pay for basic services (82 percent).

This will continue to matter through the campaign season, as Democrats point to these benefits as the kind of provisions that need to be protected from Republicans who intend to repeal the entire legislative package. When it comes to the policy landscape, and health care policy in particular, eight in 10 Americans don't agree on much, but they're already on board with some of the new law's key measures. The more they become the focus of political debate, the better it is for Dems.

Steve Benen 10:05 AM Permalink | Trackbacks | Comments (29)

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Comments

With the detailed analysis provided by the MSM how could anybody be confused??????

Posted by: john R on April 23, 2010 at 10:00 AM | PERMALINK

The Repubs will try to hijack the popular items like those you mentioned and say they will keep those but give up the unpopular stuff like the individual mandate. The ice cream without the spinach. Of course they have no intention of actually doing that, but it will make for good soundbites.

The Dems will be the ones who have to talk about the bigger picture - how the only way to achieve the bennies is to have everybody paying into the system. That will be harder to defend and easier for the other side to demagogue. The Dems have their work cut out for them.

Posted by: Virginia on April 23, 2010 at 10:05 AM | PERMALINK

One of the problems is that the major benefits of the law doesn't kick in until 2014...four years hence. For instance, while the bill will supposedly make it harder for insurance companies to use recession to drop sicker patients, it's obvious it doesn't stop it now. I.E., Wellpoint's swell software program that flags people who have been diagnosed with expensive-to-treat illnesses. And by the way, no way to prevent health insurance companies from radically raising their rates NOW up until 2014.

Posted by: winddancer on April 23, 2010 at 10:07 AM | PERMALINK

and the largest single group (30%) were those who have a "very unfavorable" view.

There's that 30% again. I'm beginning to think this mythical 30% group is the quantification of the subset of Americans living in a complete informational cocoon of a.m. radio and FOX news. Bush goooood. Going to war gooood. Deficit spending gooood. Obama baaaad. Affordable healthcare baaaad. Deficit spending baaaad.

Posted by: oh my on April 23, 2010 at 10:11 AM | PERMALINK

I admire your sunny optimism, Steve, but I suspect that these numbers will harden, with HCR dragging down the Dems in November, possibly to spectacular losses.

This is what happens when you cede the messaging to your opponents for an entire year.

Posted by: BrklynLibrul on April 23, 2010 at 10:12 AM | PERMALINK

Maybe because we are still learning what it does. From Dupree

"First, the Congressional Budget Office weighed in with a review of the penalties on individuals for not buying health insurance, the so-called individual mandate, which is being challenged in court by a number of Republican Attorneys General.

The CBO found that in 2017-2019, those penalties would be bringing in $4 billion a year.

The review also said that about three quarters of that money would come from individuals making less than $60,000 per year and families with less than $120,000 in yearly income.

GOP lawmakers wasted little time using the new information to bash Democrats, charging that middle income families are going to see their taxes go up to pay for health reform.

Meanwhile, the Medicare Actuary did its own full scale review of the new health law and raised new questions about whether the plan will really reduce the rate of growth in health care spending.

While the report said a series of plans would "have a downward impact on future hearlth care cost growth rates," the study said "these effects would be outweighed by the increased costs associated with the expansions of health insurance coverage."

The actuary raised questions about proposed Medicare cuts and whether those might be rolled back by the Congress because of political pressures, and said it's "doubtful" that Congress would really hold the line on Medicare payments to doctors.

One other interesting note from this study was a paragraph on the new Community Living Assistance Services and Supports insurance program for home care, known as the CLASS Act.

While it produces a $38 billion net savings through 2019, that's mainly because you have to pay five years of premiums before you can start taking advantage of the program.

After that, the Medicare Actuary doesn't like the way it looks in financial terms.

"Over the longer term, expenditures would exceed premium receipts, and there is a very serious risk that the program would become unsustainable as a result," the study says.

This 38 page report is chock full of items like that which are certain to be gobbled up by critics of the law, who argue it will blow a hole in the federal budget."


Posted by: tm on April 23, 2010 at 10:13 AM | PERMALINK

Not so sanguine, here. We are living in a time and space where opinions seem almost completely free-floating. The idea that one's thoughts, beliefs, etc. need to be rooted in anything as plebeian as facts is sooooo last century. It's all about feelings and faith now, baby.

Somehow, the 1960s daring to imagine a DIFFERENT, more inclusive reality morphed into the right's fevered embrace of the alternative universe, complete with dinosaur riding cavemen.

Posted by: bluewave on April 23, 2010 at 10:18 AM | PERMALINK

Benen. You and other Democrats that pushed/push this bill as health care reform are confused chumps, as repeatedly charged. There isn't much health care reform in this bill -- there is insurance reform that may or may not occur and IS difficult to explain and easy to game. Google WellPoint and breast cancer insurance drop. Until the benefits become really obvious in 2012??, 2014??, Democrats will gain little by its passage because of what they didn't have the political will to do in 2009.

Posted by: gdb on April 23, 2010 at 10:29 AM | PERMALINK

while it is no secret around here that i love little more than bashing the Dems' pathetic message management skills, on this one i will cut them a little slack and go to my new hobby horse, bashing the voting public.

no, the Dems have not explained HCR well, and of course, the R's have lied, obfuscated, and confused the issue every way they could.

still, at some point, after more than a year of coverage, voters have to take some responsibility (as alleged grown-ups) for their own information or lack thereof.

think you're hearing a lot of "he-said, she'said" in the MSM? go to a library, read a newsmagazine with deeper articles, get online - look it up.

and when the bill finally passed, most of the MSM actually did a decent job for a day or two of running "here's what it does" stories.

Obama has given 3 major HCR speeches, all of them reasonably understandable.

In the weeks after HCR, I had no less than 4 different versions, mostly in bullet list form, some broken down by sup-category, all thorough and most understandable without a graduate degree, of "here is a summary of HCR" e-mailed to me by different sources - and there are many more out there with a simple online search.

is the expectation now that Democrats go door to door and sit down at each voters' kitchen table with colorful graphs and explanations in words of no more than 2 syllables?

Posted by: zeitgeist on April 23, 2010 at 10:30 AM | PERMALINK

I must admit to some confusion myself.

I have found it confusing when Steve Benen, Kevin Drum and other "liberal" bloggers have echoed White House spokespersons in equating the health insurance regulation bill with Medicare and Social Security, both of which established government-run nonprofit programs under open, accountable, efficient public administration, which this legislation most certainly does NOT do, instead entrenching the for-profit insurance corporations as the foundation of America's health care system and subsidizing their profits at public expense.

Posted by: SecularAnimist on April 23, 2010 at 10:36 AM | PERMALINK

with breast cancer death panels, the taint of misogyny from beginning to end, the slow realization by many that the 'reform' is still gonna be the same ol' wrestling match with the god damn insurance company death panels -- with, maybe, some gov regulator help on the side of the patient -- and no options to escape this incessant med ins hell...

gonna be a hard sell that the Dims have brought a whole buncha comfort and joy...

Posted by: neill on April 23, 2010 at 10:39 AM | PERMALINK

The most important benefit this year is the small business tax credit. Most small business people don't realize it yet. The medium sized business people with businesses larger than 50 but smaller than 300 or so are going to wake up pretty soon to the realization that the Party of No let them down big time. Really small businesses are going to get a leg up.

Posted by: Ron Byers on April 23, 2010 at 10:39 AM | PERMALINK

What oh said. We have to resign ourselves to writing off that 30% of the United States. They have a completely different vision of the United States than we do, even as they use Medicare and apply for Social Security disability benefits. There is no reaching them. A disastrous war fought on completely false pretenses was not enough to dissuade them from their blind political alliance; a few more episodes of Bill Moyers isn't going to do it either.

Posted by: inkadu on April 23, 2010 at 10:41 AM | PERMALINK

Democrats cannot expect the public to figure this out on their own, or the news media to give them the straight dope. Republican office-holders continue to propagandize against the new law. I just received a forwarded email from the office of Mark Kirk (R-IL), with a timeline charting future Medicare and Medicaid cuts putatively attributable to the law.

Posted by: 1st Paradox on April 23, 2010 at 10:41 AM | PERMALINK

Removing annual and lifetime limits is huge. Unfortunately, most Americans don't understand that, even assuming the best insurance and the most honest insurer, in the event of a tragedy of some sort, they could actually run out of insurance -- forever (as has happened to many).

Simply removing those caps is huge, but unfortunately, most don't realize what a gift that is.

Posted by: Chris on April 23, 2010 at 10:44 AM | PERMALINK

SecularAnimist: "...instead entrenching the for-profit insurance corporations as the foundation of America's health care system and subsidizing their profits at public expense."

Fucking the insurance industry was never the goal--it would have been a nice bonus--but it was never the goal.

That said, I still support Alan Grayson's bill to allow anybody to buy into Medicare. In fact, I called my congressman and asked him to co-sign.

Posted by: Chris on April 23, 2010 at 10:48 AM | PERMALINK

I'm in the same position that probably a lot of people are wrt the new insurance reform. As far as me personally goes, it doesn't do squat. I have (expensive) group insurance. This "reform" does little to nothing for my biggest concern, which is simply that at the rate the cost is increasing it will soon go from higher-cost-than-any-mortgage-I-have-ever-had to GNP-of-Taiwan level expensive.

Of course it helps a lot of uninsured get insurance, which is a *Good Thing*. But even in MA, where this idea is being tested out, lots of the working poor find that they still can't afford it.

Cost control was a critical piece, but it (like a real public option) was given up.

Posted by: an old guy on April 23, 2010 at 11:33 AM | PERMALINK

Maybe more people would understand the bill if the liberals who passed it wouldn't have focused their talking points in the month after its passage on how bad it was that tea baggers called congressmen nasty names. People are looking for information. Obama went around trying to sell it, but the big story for a month has been how nasty and racist teabaggers are.

Posted by: suffern ace on April 23, 2010 at 11:48 AM | PERMALINK

Four months after the fateful battle that gutted the public option and medicare buy-in, and the promise of "a win is a win" and hasn't materialized. It has more time to sink in but as other commenters note there's a lot working against the political logic of "pass the damn bill."

--The GOP will never let up on criticizing HCR. As was often said they were going to do this if was Romney Care or Single Payer.
-- A winning, short message on why the insurance mandate brings down costs and expands coverage still hasn't been mainstreamed. It's been articulated in several places but having the President and other leaders say "yes, you have to buy insurance and it's good." hasn't happened yet and it needs to soon.
--The insurers continue to be dicks (WellPoint story of this week) but now they are behaving badly in the post-reform political world and casual readers may be confused about whether this is what the bill allows or if it will be phased out once the new rules come into play.
-- Delaying the major cost cutting parts of the bill until 2014 was always bad politics and it still is. There are three election cycles to be had before the mandate begins to bring the promised reductions in costs. Sure some actions can be taken now but the mandate is the heart of cost control (on the plus side the requirement to buy insurance is far of as well).

"Pass the damn bill" supporters did not look closely enough at how a very compromised bill laden with pro-industry goodies would work on the campaign trail. Too often their logic was that the insurance mandate would be analogous to Social Security: that is, a law than in itself offers incremental change, but because symbolically it opens the door to major reform will energize the supporters of comprehensive reform and therefore will do the effectively the same political work that a more robust bill would have accomplished.

Unlike Social Security, the Affordable Care Act passed after the Dem leadership went to war with much of its base, and there's still lingering bad feeling. Moreover, unlike the SSA of 1935, the ACA of 2010 has barnacles attached to it, in the form of the insurers and the drug companies, that Democrats don't like. . The ACA promises to make the healthcare industry behave better, but it does so mostly through the style of business-government cooperation that was more characteristic of the first wave of New Deal reforms (the National Recovery Recovery Admin for example, than the second wave (SSA, Wagner Act, Fair Labor Standards, Act). Predictably, the healthcare industry has not started acting better just because the ACA passed. Maybe someday but not now when the elections are approaching.

As politics, rather than policy, "Pass the Damn Bill" needed to reckon more with the strange bedfellows Democrats have to carry with them to the polls in November. As the White House and Congress are seen as allowing the healthcare insurance racket to continue their supporters aren't getting that excited about 2010.

Maybe a Goldman Sachs-style prosecution of insurance fraud would add some energy to healthcare as a campaign issue but even then we're stuck with this and have to muddle through.

We passed the damn bill, warts and all, but can't seem to reap the immediate political rewards that were often used to justify accepting the compromises that so many liberals disliked.


Posted by: angler on April 23, 2010 at 11:56 AM | PERMALINK

Wise of you to not drop the whole topic of health care reform now that the focus has shifted to financial regulation. It's a pity media with more readers and viewers aren't more like you (a very very great pity and national tragedy -- I don't mean to damn with faint praise).

On lefty blogs I keep reading excerpts from this article about how Wellpoint had a computer program which searched for grounds for recision of women's policies if they were diagnosed with brest cancer. I'd say that fact would have a big impact on views about the ACA (the article went on to quote people who claim that the ACA won't really prevent such things in the future because it doesn't include adequate enforcement so it didn't reach a conclusion about ACA as it shouldn't have being a news article).

But if the media move on to the next story, people will never learn how bad they have it. Oh and it might remind the majority of why it supports a public option and get more people to ask whatever happened to that. It's not like congress couldn't add a public option -- they passed 2 bills and could pass a third.

Posted by: Robert Waldmann on April 23, 2010 at 11:58 AM | PERMALINK

This is goes to your comments the other day on what people read/watch. They don't know what they 'don't know' because they ONLY watch what reinforces their beliefs. When you point out obvious lies to them, MOST people (I'm not talking pundits here) will engage. I rec'd an email using a you tube of Lou Dobbs on immigration last night and the email BASHED Obama for 'ramming' this thru Congress. I replied ALL to this enormous distribution group, corrected the email, dated the segment and added comments on immigration. It was amazing. 27 people replied back to me that they wanted to know MORE. I WANTED to say 'easy, turn off FOX' but I refrained.

Posted by: SYSPROG on April 23, 2010 at 12:27 PM | PERMALINK

At least two commenters have pointed out the obvious: it's too soon to say that the new reforms are wonderful because we're still groping to sort out how various elements of the new law take effect and play out. After arguing, for more than a year that "most people wouldn't be affected" by the reforms (keep your insurance! and your doctor!), the same people are now surprised that... well, most people don't notice a change. That seemed like the goal, as I recall.

I think the big mistake here, all along was substituting political goals for policy accomplishments. It's telling that what Benen wants is reforms that poll well more than, well, reforms that are making an impact. "Why aren't you people more thrilled with the elements we are convinced poll well?" - strikes me as the wrong question, and has been, all along.

What benefits are to be found - that some preexisting condition reform may occur, some recissions may stop - are likely to be overwhelmed, as others note, by the fact that health care costs will not be coming down, and problems of cost and access to care will make, at best, a mixed bag of results for people, if they get insurance, then needing to get care. That, too, has been true all along. We've yet to see how it plays out, but I'm not overly optimistic.

Getting healthcare reform to be likes was, and is, the wrong goal: we need to be honest that insurance reform is somewhat positive... but does nothing to rein in the problems government has paying for Medicaid and Medicare (and the VA), and does little to solve the cost of care problems of many ordinary folks. Getting serious about that means less selling... and more work. And I'm not sure Benen is seriously :continuing to press health reform" as much as he is trying, still, to sell the same old thing.

Posted by: weboy on April 23, 2010 at 12:57 PM | PERMALINK

The reason people don't understand the bill is because it was really tinkering at the edges of our health care system. Other than mandatory coverage and the end of recission, everything stays the same. I'll bet a large number of the 30% who say they hate it still believe that it is a "government takeover."

The public continues to be confused because Republicans continue to lie about it. There are governors and state AGs joined in a law suit to have this unconstitutional monstrosity overturned! What the hosts of Fox news said about it must be true!

If the Democrats wanted health care reform that people could understand and support, they would have passed single payer or universal health care.

Medicare was easy -- insurance for old people, with a single-payer. But this thing known as ACA? Seriously> They couldn't -- at the very least -- come up with a better acronym? It sounds like my cat coughing something up.

The bill simplifies the lives of few people and leaves us as we were -- contributing to the bottom line of corporations who profit from our misfortune.

Yeah, although there are definitely some good things in the bill, I would say it's going to be pretty much never that the American people stand up and say "Keep your hands off my ACA."

Posted by: karen marie on April 23, 2010 at 2:24 PM | PERMALINK

Complete fumble after passage. They had the opportunity to go across the country and explain what the bill will do for people in each state.

They went out for a couple of days and dropped it.

Coke doesn't run an ad one time. At some point, the Democrats are going to figure out that if they want a message to get out, they need to get it out.

Posted by: Argle Bargle on April 23, 2010 at 3:17 PM | PERMALINK

Please correct me if I'm misinformed, but hasn't been shown that some of what is broadly lumped together as "opposition" to HCR also represent people who don't think it goes far enough?

Posted by: ZakAttack on April 23, 2010 at 4:17 PM | PERMALINK

Election Year Medicaid Medicare Inducement issues left open for November not openly discussed. Politics have gone from heated to man on fire thoughts. Also the Judicial dilemmas, since all are offically allowed to bear arms again, the big city Mayors are concerned about how the poor will be able to rearm themselves and are looking for some type of financial relief from Federal State Medicaid programs to maintain their status quo.
The higher courts face tough issues this term since making honest fraud legal, there agenda now turns toward making honest kickbacks and honest bribes equally as legal. This topic remains high as a shared issue by the medicaid medicare enrollment providers since they are looking to expand inducements past the complicated pregnancy stage.The DOJ has serious concerns that if legalized marijuana in California for medical reasons could be used as a inducement or inticement to help secure new enrollments for the Federal State Medicare Medicaid programs. The State of California is concerned that if the Feds step up their effort in killing off the marijuana crops it could cause higher tax problems that effect Medicaid currently under consideration by the State "marijuana tax control board". Limo drivers cancel their planned DC rally and leave for California to protect this years crop. Wow, don't think I would like to be in Politics for this years elections. Govenor Schwarzenegger indicated that if the Tea Partys membership keeps holding their rallies at our Marijuana burning fields they will have to be taxed for their free use of inhalants, prior to having them bused back to Arizona.

Posted by: Medicaid Cuts on October 19, 2010 at 10:24 AM | PERMALINK

Paragraph internet articles captured and merged into the power of a single thought that could tell a story. AmeriChoice Launches National Support Initiative for Community . Joins initiatives in more than 300 locations nationwide to recognize and support the work of Community Health Centers to provide health care to the ...
AmeriChoice of New Jersey is sponsoring or participating in 22 events at community health centers, in support of National Health Center Week, August 9-15, led by the National Association of Community Health Centers (NACHC). “As a partner with the New Jersey Department of Human Services in Medicaid, Personal Care Plus and NJ Family Care, we are committed to improving access to quality, affordable health care for the most vulnerable populations in America,” said John Kirchner, AmeriChoice of New Jersey president. Community Health Centers serve 18 million people at more than 7,000 sites nationwide, providing quality health care, supported by AmeriChoice corporate parent, UnitedHealth Group. About AmeriChoice of New Jersey, AmeriChoice of New Jersey serves approx. 275,610 Medicaid and NJ Familycare members in the state. The health plan is a unit of AmeriChoice, the public sector health care business of UnitedHealth Group (NYSE: UNH). UnitedHealth Group is a diversified Fortune 50 health and well-being company. AmeriChoice serves 2.6 million people in more than 20 states and the District of Columbia. CEO of AmeriChoice Health Bolts. John J. Kirchner - Director, Operations John Kirchner joined Healthfirst in May 2010 with over 25 years experience in health care management. Mr. Kirchner’s background includes responsibility for health plan P&L, strategic planning and operations, and government and regulatory affairs. Mr. Kirchner will be responsible for supporting all aspects of NJ health plan operations. Prior to joining Healthfirst, Mr. Kirchner held a variety of positions at AmeriChoice of New Jersey serving as President from 2007 through 2009. Judical decision, It’s true there is email thanking AmeriChoice health for their $25,000 cash gift and requesting much larger amounts for the pending year etc. from Community Health Center located in Bridgeton N.J.etc. It’s also true a licensed Health agents was fired for his refusal to deliver these checks. It’s true this behavior violates all the laws concerning bribes, kickbacks,fraud and Stark laws. It’s true this taint’s all the business then received from Community health center to AmeriChoice Health Company and then submitted to Mediciad and should be then held accountable and subject to all violations. Among its provisions, the anti-kickback statute penalizes anyone who knowingly and willfully solicits, receives, offers or pays remuneration in cash or in kind to induce, or in return for: A. Referring an individual to a person for the furnishing, or arranging for the furnishing, of any item or service payable under the Medicare or Medicaid program; or B. Purchasing, leasing or ordering , or arranging for or recommending purchasing, leasing or ordering, any goods, facility, service or item payable under the Medicare or Medicaid program. Violators are subject to criminal penalties, or exclusion from participation in the Medicare and Medicaid programs, or both. A violation of the anti-kickback law is a felony offense that carries criminal fines of up to $25,000 per violation, imprisonment for up to five years and exclusion from government health care programs. The federal anti-kickback statute, 42 U.S.C.§ 1320a-7b(b), prohibits individuals or entities from knowingly and willfully offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid or any other federally funded program. For purposes of the anti-kickback statute,remuneration means or includes the transfer of anything of value, directly or indirectly, overtly or covertly, in cash or in-kind. ps Wonder how many other cash checks were disbursed to community centers by AmeriChoice Health guess only the Shadow knows the DOJ certainly does not. Don't you just love the words partner, collaborate, team player and yes, these words should be made trigger words for someone or something getting screwed.

Posted by: Medicaid Fraud on October 19, 2010 at 10:26 AM | PERMALINK

Another Medicaid Fraud Scheme Kickback to Doctors for referrals.

Welcome to AmeriChoice of Pennsylvania

On behalf of AmeriChoice of Pennsylvania, I would like to welcome you as a participating provider in our Medicaid and Children?s Health Insurance Program (CHIP) products. We are committed to working with you and your staff to achieve the best possible outcomes for our members. This welcome kit contains valuable information about important contacts, policies, procedures and services to help you to conduct business with us as efficiently as possible. For easy navigation through the kit components, you can click on each link in the Table of Contents, which will bring you directly to that section. You can also download the Physician, Health Care Professional, Facility and Ancillary Administrative Guide by logging on to www.americhoice.com . This is a comprehensive reference source for the information you and your staff need regarding claims, benefits, prior authorization, medical management and other plan components. Again, we are pleased that you are one of our participating providers delivering quality care to our members. If you have any questions about your participation with AmeriChoice, or need a printed copy of this welcome kit, please call the Provider Service Helpline at 1-800-345-3627.

Sincerely,

Ernest Monfiletto Pennsylvania-East, Chief Executive Officer AmeriChoice of Pennsylvania AmeriChoice Provider Welcome Kit

This chart identifies bonus payments available to you, in addition to your regular payments, for compliance with HEDIS measures as defined by the National Committee for Quality Assurance (NCQA). For more information, call Jessica Anglin at 215-832-4590.

AmeriChoice Provider Welcome Kit This chart identifies bonus payments available to you, in addition to your regular payments, for compliance with HEDIS measures as defined by the National Committee for Quality Assurance (NCQA). For more information, call Jessica Anglin at 215-832-4590. Provider Incentives Measure Requirements AmeriChoice Will Available Referrals Adolescent Well-Care ? Provider Incentive:$100/4th qtr 2008 only;$50/visit all other months ? Member Incentive: 2 movie tickets Ages 12?21 years ? Well-care visit ? Physical exam ? History of health & development ? Education & guidance ? Call members ? Offer auto messaging for providers ? Mail reminders ? Provide member list with addresses and phone numbers ? Provide EPSDT grid Healthy First Steps? (HFS) 877-651-6667 Lead Screening ? Provider Incentive: $15/submitted test ? Member Incentive:$15 VISA gift card ? Documented levels ? 9-19 months and Another Medicaid Fraud Scheme Kickback to Doctors for referrals.

Welcome to AmeriChoice of Pennsylvania

On behalf of AmeriChoice of Pennsylvania, I would like to welcome you as a participating provider in our Medicaid and Children?s Health Insurance Program (CHIP) products. We are committed to working with you and your staff to achieve the best possible outcomes for our members. This welcome kit contains valuable information about important contacts, policies, procedures and services to help you to conduct business with us as efficiently as possible. For easy navigation through the kit components, you can click on each link in the Table of Contents, which will bring you directly to that section. You can also download the Physician, Health Care Professional, Facility and Ancillary Administrative Guide by logging on to www.americhoice.com . This is a comprehensive reference source for the information you and your staff need regarding claims, benefits, prior authorization, medical management and other plan components. Again, we are pleased that you are one of our participating providers delivering quality care to our members. If you have any questions about your participation with AmeriChoice, or need a printed copy of this welcome kit, please call the Provider Service Helpline at 1-800-345-3627.

Sincerely,

Ernest Monfiletto Pennsylvania-East, Chief Executive Officer AmeriChoice of Pennsylvania AmeriChoice Provider Welcome Kit

This chart identifies bonus payments available to you, in addition to your regular payments, for compliance with HEDIS measures as defined by the National Committee for Quality Assurance (NCQA). For more information, call Jessica Anglin at 215-832-4590.

AmeriChoice Provider Welcome Kit This chart identifies bonus payments available to you, in addition to your regular payments, for compliance with HEDIS measures as defined by the National Committee for Quality Assurance (NCQA). For more information, call Jessica Anglin at 215-832-4590. Provider Incentives Measure Requirements AmeriChoice Will Available Referrals Adolescent Well-Care ? Provider Incentive:$100/4th qtr 2008 only;$50/visit all other months ? Member Incentive: 2 movie tickets Ages 12?21 years ? Well-care visit ? Physical exam ? History of health & development ? Education & guidance ? Call members ? Offer auto messaging for providers ? Mail reminders ? Provide member list with addresses and phone numbers ? Provide EPSDT grid Healthy First Steps? (HFS) 877-651-6667 Lead Screening ? Provider Incentive: $15/submitted test ? Member Incentive:$15 VISA gift card ? Documented levels ? 9-19 months and
AmeriChoice Provider Welcome Kit Pa

Measure Requirements AmeriChoice Will Available Referrals Breast Cancer ? Member Incentive: $50 VISA gift card Mammogram Females, Ages 40-69 years ? Call members ? Mail reminders ? Offer auto messaging for providers ? Assist in locating providers and scheduling appointments ? Assist with ransportation QM Coordinator 215-832-4524 Case Management 877-651-6667 Cervical Cancer Screening (PAP) ? Member Incentive: $25 VISA gift card Females, Ages 21-64 years ? Call members ? Mail reminders ? Offer auto messaging for providers ? Assist in locating providers and scheduling appointments ? Assist with transportation QM Coordinator 215-832-4524 (to help schedule) Case Management 877-651-6667 Diabetes Care Provider Incentive: ? Phase 1: Completed E and M visit ($100.00) and completed Cholesterol and HbA1C Screening ? Phase 2: Diabetes managed ? ($150.00); Cholesterol below 100 mg; HbA1c below 9 Ages 18-75 ? HbA1C testing and documentation

Posted by: More Medicaid Fraud on October 24, 2010 at 2:40 PM | PERMALINK

Politico reports that advisers to the main 2012 presidential contenders and other veteran Republican operatives reveal they have one mission in common: Stop Sarah Palin. Pickup this message at 214PM via Smirf etc. decoded 227PM

Obtained from reliable sources and yes it's true Aliens have decided to cast their vote for the Tea party.The greys have reviewed the political issues of all the party's and have agreed that those who have the tea party's viewpoints are less likely to present issues that conflict with their globle view obstructions. Sometime soon after the midterm elections they will make themselves knowed but in the intermin they have left their sexuality concerns and viewpoints in sacred trust with the earthling Sara. All other concerns about the future have been stored in the secret and private volts of the A1 Limo service. Since my retirement my personal advisor in matters of this importance have been rendered to me from Horhay who is also a friend and my special ranch weed grower. Sincerely, your friend George

Jeffrey Skilling, the former Enron Corporation president, has one last, good chance to get out of prison soon. The Fifth U.S. Circuit Court of Appeals in Houston will hear arguments today about how many, if any, of the 19 felony counts on which Mr. Skilling was convicted in 2006 should be overturned as a result of the landmark Supreme Court decision in his case. Please don't worry Election Year Medicaid Medicare Inducement issues left open for November not openly discussed.Politics have gone from heated to man on fire thoughts. Also the Judicial dilemmas, since all are offically allowed to bear arms again, the big city Mayors are concerned about how the poor will be able to rearm themselves, and are looking for some type of financial relief from Federal State Medicaid programs to maintain their status quo.The higher courts face tough issues this term since making honest fraud legal, there agenda now turns toward making honest kickbacks and honest bribes equally as legal. This topic remains high as a shared issue by the medicaid medicare enrollment providers since they are looking to expand inducements past the complicated pregnancy stage.

The DOJ has serious concerns that if legalized marijuana in California for medical reasons could be used as a inducement or inticement to help secure new enrollments for the Federal State Medicare Medicaid programs.The State of California is concerned that if the Feds step up their effort in killing off the marijuana crops it could cause higher tax problems that effect Medicaid currently under consideration by the State 'marijuana tax control board'. Limo drivers cancel their planned Medicaid Cuts DC rally and leave for California to protect this years crop. Wow, don't think I would like to be in Politics for this years elections. Govenor Schwarzenegger indicated that if the Tea Partys membership keeps holding their rallies at our Marijuana burning fields they will have to be taxed for their free use of inhalants, prior to having them bused back to Arizona. Senator McCain wants the deportation of illegal Mexicans to stop immediatley claims their State has gone to POT and insists California return his landscapers at once.

Posted by: rudy on November 1, 2010 at 8:22 PM | PERMALINK
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