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Showing posts with label sebellius. Show all posts
Showing posts with label sebellius. Show all posts

Thursday, May 22, 2014

No One Is Responsible For Any Event Under Obama's Watch. Not Benghazi,Not ObamaCrapCare, Not IRS, Not NSA, Nor Veterans Affairs!


In Obama’s White House, the Buck Stops Nowhere


The Fiscal Times

In Obama’s White House, the Buck Stops Nowhere
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In Obama’s White House, the Buck Stops Nowhere
What does it take to get fired from a job in the Barack Obama administration?
Only in this White House could a Cabinet Secretary get not just one but two public presidential statements of confidence as internal documents emerge showing that an agency knew about fraud, and left the problem to such an extent that people died while waiting for medical care.
This administration has long had trouble holding itself accountable for its failures, perhaps especially for the more spectacular disasters. When Health and Human Services spent $400 million and took three years to build a web portal for the Affordable Care Act – a technological feat that insurers have managed to accomplish a decade or more ago with far fewer resources – HHS under the direction of Secretary Kathleen Sebelius delivered a bug-ridden flop that still doesn’t meet its original specifications.
Despite her failure to oversee the Obama administration’s central domestic policy achievement and to know that it would not be ready by its launch date, neither Sebelius nor anyone else lost their job over the debacle. Sebelius retired last month after more than five years on the job.
At least in that failure, no one died. When the State Department ignored months of warnings about the vulnerability of its consulate in Benghazi to terrorist attacks, as well as an escalating string of attacks on Western interests in the eastern Libyan city, four Americans died in the assault that took place on the anniversary of 9/11.
For reasons that are still unexplained, neither the State Department nor the Department of Defense were prepared to respond to an attack on an obvious date in a location where the now-murdered ambassador had repeatedly requested more security – and whose requests were repeatedly denied by State Department officials. Even though four Americans lost their lives during an hours-long attack with no assistance from supposedly unprepared US forces, including the first ambassador killed in the line of duty since the Jimmy Carter administration, not a single person in the State or Defense Departments lost their jobs, or even a single paycheck.
Now we have a scandal in which at least forty veterans have allegedly died while waiting for medical care in one VA facility in Phoenix, which hid their long wait times by falsifying records. Whistleblowers have come forward in seven more locations alleging the same kind of wait list fraud. Even though the Inspector General of the Department of Veteran Affairs has been probing these problems for months, the White House tried claiming last week that President Obama only found out about them through news reports over the whistleblower allegations, the same way Obama supposedly found out about the IRS targeting of his political opponents.
On Wednesday, Obama had plenty of opportunity to demonstrate leadership in the face of this expanding scandal. He called VA Secretary Eric Shinseki, who has served in that role since January 2009, to the White House for an unusual face-to-face meeting. The last such meeting took place in July 2012, not exactly a high level of presidential engagement on Veterans Affairs.
At the same time, the press office hastily scheduled a press conference for the President that would start 45 minutes after Shinseki arrived. Given the details revealed over the previous week, including a memo that warned VA headquarters of wait-list fraud in 2010, the stage was set perfectly for Obama to act as a competent executive and dole out consequences for tragic failure.
Instead, Obama put the man who had presided over five years of ineffective leadership in charge of investigating his own department. “Nobody cares about our veterans more than Ric Shinseki,” Obama assured reporters. “I want to know the full scope of this problem, and that's why I ordered Secretary Shinseki to investigate.”
That’s absurd on at least two levels. First, as Obama also noted in his remarks, the Inspector General has an open investigation into the wait-list fraud. The IG should be independent of VA executives, including Shinseki himself, and that investigation may well end up making Shinseki’s performance a subject for the probe. Having Shinseki run his own investigation parallel to an IG probe is problematic at best, and potentially a conflict of interest.
More to the point, though, the issue of wait-list fraud had been known since before Obama took office. He campaigned for his first term as President on the issue of substandard care at the VA. During the 2008-9 transition prior to Obama’s inauguration, he and Shinseki were briefed on allegations that appointment data was being manipulated to hide long wait times. The 2010 memo confirmed those suspicions. Since then, Congress has increased the annual VA budget by 78 percent, and per-patient spending rose 27 percent at the VA – double the national rate of increase, and almost triple the rate of increase at Medicare of 10 percent.
Eric Shinseki had more than five years and plenty of additional resources to solve this problem, or even to “investigate” it. Yet the White House claimed this week that it was so shocked by the scandal that it hadn’t heard anything about wait-list fraud until news media began reporting on dying veterans languishing on faked appointment schedules. In any other organization, that kind of executive incompetence would get a subordinate fired. In the Obama administration, it gets the subordinate a televised statement of confidence and control over the investigation into his own lack of action.
This time, though, Shinseki’s position and Obama’s shrug may prove untenable. Two House Democrats, Georgia Reps. David Scott and John Barrow, followed Obama’s breezy business-as-usual speech by demanding Shinseki’s resignation. Rep. Tammy Duckworth – herself a disabled veteran – demanded that Obama provide “his personal attention” rather than relying on Shinseki.CNN’s Drew Griffin summed up the disappointment from veterans groups to the non-action of the Commander in Chief by reporting that what “they did not want to hear is we're going to wait for, yet again, another investigation, office of inspector general report, or some fact-finding mission.”
At the moment, though, Obama refuses to make his subordinates accountable for their own failures. A lot of incompetent bureaucrats will sleep easier tonight with this object lesson on accountability and leadership in the federal government from President Obama. Too bad our veterans won’t be able to join them.

Wednesday, March 26, 2014

Premiums Will Rise in 2015, How Much? Double Digits Is Our Guess

Big Obamacare Insurer Sees Double-Digit Rate Rise in 2015

Tuesday, 25 Mar 2014 05:19 PM

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Two months before health insurers must submit rate proposals for 2015 to government regulators, WellPoint Inc. fired a surprising shot across their bow by predicting it may ask for “double-digit plus” increases.Kathleen Sebelius, the U.S. Health and Human Services secretary, said March 13 that while premiums for health plans sold on the Obamacare insurance exchanges would rise next year, the increases would be “far less significant than they were before the passage of the Affordable Care Act.”

Individuals who bought their own insurance in 2010 paid 13 percent more than in 2009, a Kaiser Family Foundation survey found. The exchanges, which opened in October, serve those who buy their own individual or family insurance and aren’t covered by employer or government health plans. WellPoint’s statement on next year’s rates, the first by an insurer, startled some analysts while others said the company may be hedging bets as the Obama administration continually changes the rules on the Patient Protection and Affordable Care Act.
“The double-digit increase surprised me,” said Stephen Zaharuk, a New York-based analyst at Moody’s Investors Service, in a telephone interview. “If everything’s working according to plan, then the increases should be where the medical trend is, which should not be double-digit.”
The medical trend refers to the total cost of health care, including price inflation and patient utilization of services. It has grown about 5 percent to 6 percent in the last two years, and may increase to 8 percent or 9 percent this year, Zaharuk said.
‘Costs Down’
Joanne Peters, a spokeswoman for the Department of Health and Human Services, declined to say if WellPoint’s prediction was in line with government expectations. “Since the Affordable Care Act became law, health-care costs have been slowing and premiums are increasing by the lowest rates in years,” Peters wrote in an e-mail.
WellPoint is the biggest commercial insurer in the Obamacare exchanges, with 500,000 members through January. The company's shares  fell 1.3 percent to close at $99.69 in New York Tuesday and has increased 55 percent over the past 12 months.
On March 21, the Indianapolis-based insurer raised its 2014 earnings forecast after saying it had expanded its customer base through Obamacare.
“We’re very optimistic as to where we are” on the exchanges, Ken Goulet, executive vice president for WellPoint’s commercial and specialty business, said at the company’s investor day meeting after the forecast was announced. The average age of those enrolled “came in right where we expected it to be.”
‘Double-Digit Plus’
Still, the 2015 rates will rise because of an expected reduction in government payments to insurers, he said. The payments, known as reinsurance, are intended to help ease insurance companies’ transition into the public exchanges.
“On a year-over-year basis on our exchanges, and it will vary by carrier, but all of them will probably be in double- digit plus,” Goulet said.
WellPoint’s prediction is “on the higher side” but the insurer is “playing it safe,” Ana Gupte, a New York-based analyst at Leerink Swann & Co., said in a phone interview. “They don’t know what the risk pool looks like yet, and until they get some experience, they’re going to be more cautious.”
Insurers may also be responding to the administration’s recent extension of the deadline to renew old health plans that don’t comply with Obamacare requirements, and a new requirement that insurers broaden their provider networks.
Rules ‘Changing’
“The rules of the road keep changing,” said Dan Mendelson, chief executive officer of Washington-based consulting firm Avalere Health. “These companies have to hedge their bets.”
Aetna Inc. spokeswoman Cynthia Michener declined to comment on her company’s 2015 rates.
“It’s too early to say,” she said today in an e-mail. The Hartford, Connecticut-based insurer is selling plans in 17 states.
Cathryn Donaldson, spokeswoman for Louisville, Kentucky- based Humana Inc., which is participating in 14 states, also declined to comment. The insurers will submit preliminary rate proposals to regulators at the end of May.
The Affordable Care Act, known as Obamacare, requires insurers to justify any rate increases of more than 10 percent, but federal regulators can’t restrict the amount that premiums rise.
Enrollment Guess
So far, insurers can only guess at the health of the people enrolled in their plans through the ages of those signing up. If enrollees are older and sicker than expected this year, that will help drive up premiums, according to Clare Krusing, spokeswoman for America’s Health Insurance Plans, the industry’s Washington lobby group.
“There’s broad recognition that you need to have participation from the young and healthy to balance out the old and less healthy, otherwise premiums will rise for everyone,” Krusing said in a telephone interview.
The group is concerned that the low tax penalty for people who don’t sign up — which starts at $95, less than most individuals would pay for a monthly premium — decreases the incentive for young, healthy people to enroll, she said.
“Our experience is similar to Massachusetts, which had a successful risk pool,” Peters, of HHS, said about the mix of people who signed up for exchange plans.
Increasing premiums next year may further worsen the mix of those enrolling up on the exchanges next year, said Moody’s Zaharuk.
Staying Away
“Already you hear that people aren’t signing up because it’s too expensive,” he said. “If, next year, there’s a double-digit increase, there’s going to be more people who say they can’t afford it anymore, who are the ones who need it least. The sicker population tends to stay with you.”
Even so, the system is not likely to go into a “death spiral” as critics of Obamacare have suggested, Mendelson said.
“There’s a subsidy, which will take the sting off for the lower-income population,” he said. “And even if your monthly premium goes from $400 to $450, if you need the product and want the product, you’re likely to keep buying the product.”

© Copyright 2014 Bloomberg News. All rights reserved.


Wednesday, February 26, 2014

More Lies From The Administration--Sebelius Claims She Never Predicted The Number She Said Was The Goal. If You Don't Accomplish The Goal, Change It And Deny You Ever Set The Initial Target.

Sebelius Denies 7 Million Was Obamacare's Target

Wednesday, 26 Feb 2014 09:56 AM
By Melanie Batley
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Secretary of Health and Human Services Kathleen Sebelius said Tuesday that the administration never had a 7 million enrollment target for Obamacare, backtracking on comments she made last year volunteering that figure.

"First of all, 7 million was not the administration. That was a CBO, Congressional Budget Office prediction when the bill was first signed," Sebelius said in an interview withHuffPost Live.

"I'm not quite sure where they even got their numbers. Their numbers are all over the board, and the vice president has looked and said it may be closer to 5 to 6."

The comments appear to contradict what she told NBC News the day before the launch of the troubled healthcare site last fall when she said that "success," in her opinion, would be having 7 million Americans enrolled in the Obamacare exchanges by the end of March.

"I think success looks like at least 7 million people having signed up by the end of March 2014," Sebelius told NBC's Nancy Snyderman on Sept. 30.




Last June Sebelius also volunteered the figure, telling reporters, "We're hopeful that 7 million is a realistic target." 

Syndicated columnist Charles Krauthammer blasted Sebelius in an interview Tuesday on Fox News' "Special Report with Bret Baier."

"Of course, she was the one that said it, among others," he said. "You know, it's an old rule, 'say the truth, it's easier to memorize.'"

Krauthammer also reacted to the latest Obamacare enrollment numbers released Tuesday by the administration which confirmed that 4 million people had now signed up for the new healthcare program.

"It will usually come out in the middle of the next month except when the secretary steps all over herself and makes bad news, so you want to trump it with a nice number, a round number which comes out in the middle of a week," Krauthammer said.

This is not the first time the administration tried to backtrack on the 7 million figure. White House healthcare policy adviser Phil Schiliro said in December that attracting 7 million enrollees to Obamacare by March was never the administration's goal.

"That figure was put out by the Congressional Budget Office in March, and was never our target number," he told NBC News at the time.


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© 2014 Newsmax. All rights reserved.


Thursday, November 28, 2013

ObamaCrapCare Site Can Only Handle 50,000 At A Time--That Is Way Too Small

Obamacare Marketing Drive Delayed Over Fears of Website Crash

Image: Obamacare Marketing Drive Delayed Over Fears of Website Crash
Thursday, 28 Nov 2013 12:15 PM
By Todd Beamon
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An Obamacare marketing campaign is being put on hold because the White House fears that a rush of customers to the hobbled HealthCare.gov website could crash the system.

"Our concern is that we want to make sure that people have the right expectation going into this," Jennifer Palmieri, White House communications director, told The New York Times

"Early October was a frustrating experience for users," Palmieri said. "We are preparing for the outcome that we have as many or more visitors as we had on Oct. 1."



About 4.7 million people visited HealthCare.gov that first day, Obama administration officials told The Times.

According to the report, administration officials are encouraging Americans to use the site but are working to not create too much demand. HealthCare.gov is greatly improved, officials said, but they cautioned that it might not work well for everyone.

"We are definitely on track to have a significantly different user experience by the end of the month," Health and Human Services Secretary Kathleen Sebelius told state and local elected officials in a conference call on Tuesday, The Times reported.

Sebelius was seeking to assure the officials that the administration would meet its Saturday deadline for having HealthCare.gov running smoothly.

The report strikes another blow to beleaguered HealthCare.gov, the main Obamacare website that serves 36 states that do not have their own insurance exchanges.

The site has been shut down to address technology issues, and HealthCare.gov crashed last week during a visit by Sebelius to a hospital in Miami.

In addition, Americans continue to have accessibility problems with the website.

The report also came on the same day the Obama administration announced a one-year delay for small businesses to purchase healthcare plans via HealthCare.gov.

According to The Times, White House officials said the site could now handle about 50,000 users at one time, but that number could leap to as many as 250,000 this weekend because of a Dec. 23 deadline to sign up for coverage that would begin on Jan. 1.

"The system will not work perfectly," Jeffrey Zients, who is now heading efforts to repair the website, told The Times last week. The site could handle 50,000 users, he said.

"To be clear, there will be times that volume on HealthCare.gov will exceed this capacity," Zients said.

Even Sebelius was vague about how many visitors HealthCare.gov might be able to handle on Saturday. She said in the conference call that there was not "a magic turn-on switch" that could be flipped to solve all of the website's problems, The Times reported.

Progress, however, has been gradual, and visitors can expect to find a better-operating site on Saturday, Sebelius said.

To ease pressure on HealthCare.gov, Americans can expect to find a "waiting room" for times when the site is operating slowly, The Times reported.

Visitors can ask the government to send an email telling them of a better time to use the site, and they then would go to the front of the line, according to The Times.



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© 2013 Newsmax. All rights reserved.


Friday, October 18, 2013

ObamaCrap Care Website--A Failure From The Start

We met with a local health insurance company today. They are a major company and one of three providing benefits through the Obamacare website in the State of Michigan.  As of this morning they had enrolled a total of, wait a minute and make a guess, seven people in 16 days. At that rate, the total uninsured population of Michigan should be covered in several centuries! What an abysmal failure!

Additionally, in the State of Michigan, ALL of the premiums for ALL of the carriers are going up 25-50%. So much for the lie that a) we could keep our coverage and b) that the premiums would go down.

If things do not improve (as we suspect was the intent in the beginning of this catastrophe), we will see the government throw up its hands within a year (and probably by the end of March) and turn the whole mess over to Medicare. We will then have a one payer system which was Obama's intention all the way along.

So for the next six to twelve months, things will be in flux with the government continually "working very hard to eliminate the problems" and in the end will collapse the entire health system.   We hope you don't have any serious health problems in the next year or so, as you probably won't get care.

In the meantime you can join the throngs who are trying to get onto the site and register and not be able to purchase the coverage you desire.

Conservative Tom

Congressional fight over Obamacare turns to website woes

By Dugald McConnell and Brian Todd, CNN
updated 12:05 PM EDT, Fri October 18, 2013

Obamacare blame game


STORY HIGHLIGHTS
  • Republicans point out problems with healthcare.gov
  • Some want HHS secretary to step down over rollout
  • White House says technical problems are being fixed
  • It says real story is all Americans can get insurance
(CNN) -- The deal ending the shutdown may not have put a dent in Obamacare, but the battle over implementing the health coverage law is not over.
One venue that Republicans are turning to for leverage, starting next week: oversight hearings, beginning with some tough questions about why the rollout of the website for enrolling in health care exchanges is having so many problems.
"The American people deserve to know what caused this mess," said Rep. Fred Upton, R-Michigan, chairman of the House Energy and Commerce Committee. "Delays and technical failures have reached epidemic proportions."
Upton has already asked officials from the Department of Health and Human Services to brief his committee on the problems at a hearing scheduled for next Thursday. He also is asking them to turn over records of their communications with website contractors about the preparations for the site's launch, and the problems people have had trying to use it.

Kathleen Sebelius under fire

Problems plague Obamacare rollout

Keeping Them Honest: Obamacare debacle

Delay Obamacare because of website?
Additionally, the chair of the House Oversight and Government Reform Committee, Rep. Darrell Issa, last week wrote to Health and Human Services Secretary Kathleen Sebelius demanding information about the rollout problems. Joining him was Sen. Lamar Alexander, ranking Republican on the Senate committee on health, education, labor and pensions.
One issue has been the ability to log in to healthcare.gov. A senior administration official told CNN some users, especially those who signed up "early on," have been having trouble logging in, but the administration is working on a fix. There also was conflicting word on whether some passwords were deleted if they were created in the first week or so after the launch.
Sebelius concedes there have been implementation difficulties.
"I'll be the first to tell you that the website launch was rockier than we would have liked," she told an audience in Cincinnati on Wednesday, during her tour to promote Obamacare. But, she told CNN affiliate WLWT, "There are constant improvements under way, so that we are getting people in much more quickly."
Nevertheless, a couple of Republicans have called on Sebelius to resign.
"Enough is enough," said Sen. Pat Roberts, who has called for her to step down in spite of being a longtime friend of her family. "Secretary Sebelius has had three and a half years to launch Obamacare, and she has failed."
Rep. John Fleming of Louisiana tells CNN he is working to collect signatures calling for Sebelius to leave.
White House spokesman Jay Carney pushed back on Tuesday.
"The secretary does have the full confidence of the president," he told reporters. And when he was asked Thursday who would be held accountable for the problems with the website, Carney replied, "The people who are responsible for making it work are hard at work, fixing the problems that need to be fixed."
He focused instead on the benefits the uninsured Americans are now entitled to.
"The result will be millions of Americans who have insurance who did not have it before. That's the goal. And the goal is not about the website. The goal is that the American people who have been shut out of affordable health care options in the past have those options available to them."
But former White House spokesman Robert Gibbs, while not naming names, said of the website on MSNBC, "when they get it fixed, I hope they fire some people that were in charge."
Public attention may have been focused more on the shutdown fight this month than the problems with enrolling in the exchanges. But with the shutdown ended, part of the emerging Republican message is that the problems with the Obamacare website reflect broader problems with the law overall.
"I think this is emblematic of how problematic this is going to be in the future," said Fleming. At a minimum, the implementation of the individual mandate, requiring people to get health care, should be delayed, he said.
But a spokeswoman for Sebelius said the online enrollment process is proceeding.
"While traffic is down somewhat from its peak on day one, it remains high as Americans continue to seek to learn more about their new coverage options," said spokeswoman Joanne Peters.