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Industry Winners and Losers


Posted: Mar 22, 2010

This was published Friday, but I thought it would interest all of you.  If it was published before, sorry.  But to add my 2 cents to the mix, I noticed that they are delaying all the items that make health insurance unaffordable for many.

Also, I still stand on my belief that if some do not want to buy health insurance, so be it. They shouldn't be forced to buy it. After thinking about this for quite a while and how some people state how we are mandated to have car insurance, well, car insurance is billed twice a year for us, and we pay a little over $800 a year. That's $66 a month. Will health insurance cost me that little? I doubt it.

The article reads:

"Drugmakers, device companies and health insurers all got some good news when Democrats in the U.S. House of Representatives released changes to health care reform legislation on Thursday.

Hefty taxes on those three industries were delayed by at least a year, among other adjustments to the bill that seeks to overhaul the nation's health care system.

Following are some of the winners and losers for the health care industry based on the reconciliation bill the House is considering along with the Senate's bill.

WINNERS

Brandname Drugmakers

  • The pharmaceutical industry largely keeps its $80 billion agreement to provide savings and rebates. Its fees, to be parceled out among companies such as Pfizer and Merck, would be delayed from 2010 to 2011, increasing from the initial $2.3 billion a year to $2.7 billion.
  • Overall, wider insurance coverage could help offset the costs by providing more potential customers.

Drugmakers warded off deeper price cuts in the Medicare program for the elderly. The House had sought to fully close the so-called "doughnut hole" where coverage drops temporarily after reaching a spending limit, but the bill maintains the industry's 50 percent discount. The government will pay for another 25 percent discount.

  • Lawmakers rejected Obama's plan to end lucrative "pay-for-delay" settlements with brand-name drugmakers, a win for both generic and brand name companies.
  • The bill also discards an earlier provision that would have extended a hospital drug discount program.

Device Makers

  • Fees for medical device makers such as Boston Scientific and Medtronic  would be delayed until 2013 after initial bills called for 2010. The sector earlier won a reduction in an industry tax to $20 billion, down from $40 billion.
  • Rather than an overall industry fee, the bill now contains a 2.9 percent sales tax. Certain products, such as eyeglasses, contact lenses and others bought by consumers at stores are exempt.

 Hospitals:

Hospitals which include companies such as Universal Health Services Tenet Healthcare , say they kept their a $155 billion, 10-year deal accepting lower government payments from Medicare and Medicaid in exchange for an expected boost in insured customers.

  • A provision that could have helped certain rural and children's hospitals through an expanded hospital drug discount program was dropped.

LOSERS

Health Insurers

  • While health insurers overall still face tighter regulation, there was some good news. Insurers such as Aetna , Cigna , UnitedHealth Group  and WellPoint  saw their $67 billion, 10-year tax delayed until 2014.
  • Private Medicare plans called Medicare Advantage would see their payments frozen in 2011, then lowered in 2012. The plans, which can offer more benefits than traditional Medicare coverage, would also have to spend at least 85 cents out of every dollar on medical costs — leaving 15 cents toward overhead and salaries, among other things.
  • Consumer protection provisions still aim to change the way companies do business, banning denial of coverage for preexisting medical conditions and ending limits on how much coverage patients can get from their insurers over their lifetime. Certain curbs would be expanded to all health insurance plans six months after the bill passes, while others take effect in 2014.
  • The bill changes penalties for individuals who do not buy health insurance as mandated. The fine is lowered from $495 to $325 in 2015 and from $750 to $695 in 2016, but the alternative method of fining people using a percentage of income increased slightly to 2.5 percent by 2016.
  • There are some potential bright spots: The bill does not include President Barack Obama's call for federal oversight of health insurance rates and premiums. It also expands tax credits and other financing to help more people afford insurance.
  • Lawmakers have said up to 30 million more Americans could have insurance with the reform.

Generic Drugmakers

  • Overall, companies that make generic versions of brand-name drugs still see little direct help, although increasing insurance access could help more people buy medicine.
  • Generic drugmakers had been concerned that closing the Medicare "doughnut hole" would turn people away from cheaper, generic medicines. The bill includes a 75 percent discount on generic drugs, the same as brand-name.

Tanning Bed Makers

  • The bill keeps a 10 percent tax on consumers who use indoor tanning salons, seeking to raise $2.7 billion by 2019 while discouraging use that can cause skin cancer.

http://www.cnbc.com/id/35947793/page/2/

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Thank you for posting this BT - I had not seen it before - anon

[ In Reply To ..]
I too would agree that I would love to have my health insurance premium be about as much as my car insurance (70 monthly), especially since I am very healthy and don't go to the doctor. Last time I went was 4 or 5 years ago for a sinus infection, before that was about 3 years prior for 3 broken ribs. I think if people remain healthy they should get some kind of a bonus. Have a yearly checkup and if the doctor gives you a clean bill of health you get a $100 or $200 bonus, something like that. I don't think people should be forced to buy a commodity that they do not want. There are so many things out there that I do not buy because I do not want or need it. Two different people gave me two different explanations that were right on. One said... What they are doing is like going to a car dealer and buying a car, paying payments for it, insurance on it, taxes and registrations, and in four years you can drive it. Another person said to me, forcing everyone to purchase health insurance would be like forcing everyone to purchase car insurance whether or not they drive or own a car. After all at some point they are going to get into a vehicle, as a passenger or bus, so after all it's only fair that they share in the costs so everyone can have car insurance.

Anyway... I liked your post. I did not know who would benefit and who wouldn't. I still can't figure out why tanning beds are included in the health bill. I've never typed a report where a doctor gives someone a prescription or is treated by tanning beds. LOL

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