Haslam’s plan would take on the critical issue of aligning incentives among users, payers and providers of health care. The plan would:
- Leverage available federal dollars to purchase private health insurance for Tennesseans up to 138 percent of the federal poverty level who don’t have access to health insurance, which would translate to 175,000 more insured Tennesseans;
- Allow co-pays for those who can afford to pay something;
- Include a definitive circuit-breaker or sunset of the plan that could only be renewed with the General Assembly’s approval;
- And reform the payment structure for providers so they are compensated for health outcomes, not just based on services performed.
“Hospitals and medical providers have put a lot of sincere effort into working with us toward payment reform,” Haslam said. “I cannot emphasize enough how much I’ve been impressed with our hospitals’ willingness to work with us. To succeed, we also need cooperation from the Department of Health and Human Service (HHS), and we can’t get the same assurances from them at this point. Until we get those assurances, I cannot recommend that we move forward on this plan.
“All we’re asking from Washington is to allow us to use the federal funds to provide coverage on the health care exchange in the same way many other Tennesseans will access coverage regardless of whether or not we expand. It’s a reasonable ask,” Haslam continued.
But as a result of the lack of clarity from HHS, the governor will not ask the General Assembly for approval to accept the Medicaid expansion federal funds as he continues to work for the flexibility needed to implement his plan.
See his address below on video (scroll down)...
Meanwhile, AARP are not a happy group of campers.
A report commissioned by AARP on behalf of a Healthy Tennessee can be found at http://bit.ly/16KefMN
State of Tennessee, office of Governor
Karin Miller, Communications Director, AARP, Tennessee