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What Do Private Insurers Do With Your Money?

Today, CNBC featured a debate between Kerry Weems, former acting director of CMS and former U.S. assistant secretary of health, and CAPAF Senior Fellow Judy Feder about the role of administrative costs in health care.

Weems, who wrote about the subject in yesterday’s Wall Street Journal, reiterated his argument that “the administrative expenses of private insurance plans represent money well spent for their members”:

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Weems’ claims are specious at best. The rapid increase in premiums and corresponding spike in insurer profits — between 1999 and 2008, premiums have increased 117 percent for families, while the profits of the top 10 insurance companies increased by approximately 1000% — diminishes any notion that for-profit insurance companies are using their administrative dollars to negotiate for lower prices. As Feder pointed out, “the insurance industry has gotten more and more concentrated, they’re not competing. In almost every market one or a couple of insurance plans dominate and rather than making health care work for us and getting consumers good deals, what they’re doing is taking higher prices charged by hospitals, passing that onto consumers and even above that, increasing their profits.”

A more thorough debunk is available here, but one point bears mentioning. Weems claimed that Medicare does little to stamp out fraud. But as acting director of CMS, Weems himself implemented new anti-fraud measures, noting in one speech that “over the years, we’ve been able to save beneficiaries and taxpayers billions of dollars. However, we need to do more. Even one dollar paid to fraud is too much. CMS is working overtime to make sure that fraudsters will not find an easy mark in Medicare.”

Obama’s Health Care Czar Leaves Door Open To Dropping Public Plan Option

Today, during a roundtable at the Kaiser Family Foundation, Health Care Czar NancyAnn DeParle remained optimistic that health care reform would include a public health plan option, but suggested that the President would be open to exploring other ways of controlling health care costs:

It could operate by the same rules that all the other plans do. It could have payment rates that are very similar. Or it could have payment rates that are the same as Medicare — that’s one idea that has been used. So there are various ways of looking at it…[Obama] wanted to make sure that he could keep costs low — the public plan is one way of doing that — and he wanted to make sure that there was competition and choice for consumers, and that you have a way of keeping the private plans honest. But as he said, if there are others ways of doing that, he’d be open to talking about it.

Watch it:

DeParle stressed that the public health care plan remains ill-defined and suggested that policy disagreements (like how much a public plan pays providers) could be bridged during negotiations. DeParle echoed Gov. Kathleen Sebelius’ suggestion that the new plan could be modeled on publicly-owned health insurance plans for state employees, but did not address critics who claim that these plans have not successfully controlled health care spending.

Republicans strongly oppose a new public health care plan and some Democrats are already distancing themselves from the option. During an appearance on Fox News Sunday, Sen. Evan Bayh (D-IN) said that he was “agnostic” about having a public plan as part of health care reform and Senate Finance Committee Chairman Max Baucus (D-MT) recently told the Wonk Room that he believes health care reform can be accomplished “without” a public option.

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