NEW YORK, Jan. 11, 2017 /PRNewswire/ -- Below are experts from the ProfNet network who are available to discuss timely issues in your coverage area.
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- President Obama's Legacy
- Meryl Streep Trashes Trump at Golden Globes: Should Celebrities/Businesses Talk Politics?
- The Future of Obamacare (21 experts)
- News Reporter – CapitalStructure Americas Bureau
- Editor – Global Visuals, Wall Street Journal
- Restaurant and Food Reporter - Newsday
OTHER NEWS & RESOURCES
- 2016 Rewind: A Look Back at the Year in Media
- Blogger Events: Top Events to Attend in January
- Blog Profiles: Photography Blogs
President Obama's Legacy
Associate Research Professor (Hon.)
In less than a month, President Barack Obama will vacate the White House to make way for Donald Trump. When Obama took over, there was high expectation and excitement, as he made history by being the first African-American to take over the country's highest office. Looking back to his presidency, what will we remember him for? Dinesh Sharma, Binghamton University professor and author of "The Global Obama," is available to discuss the Obama legacy: "As we look in the rearview mirror in history, he will be remembered as a landmark president for clearly keeping America safe. Symbolically, his huge achievement, and we will recognize this more in retrospect, is he brought America into the global age as the first African-American, multicultural president."
Contact: John Brhel, firstname.lastname@example.org
Meryl Streep Trashes Trump at Golden Globes: Should Celebrities/Businesses Talk Politics?
Goldman McCormick Public Relations
"Unless your targeted audience or customer based is endeared to particular set of political vales, there's no reason ever to publicly tout your political perspectives. In the short term, you may experience a feel-good ego trip as one or more individuals praise you for expressing values similar to theirs. However, in the long term, you stand to permanently lose business and fans (recently as in the case of Meryl Streep's condemnation of Donald Trump at the Golden Globes despite its warm crowd reception). Whether you're an actor or business owner, your number one goal should be to provide excellent service and value to your fans/customers. Unnecessarily evoking a negative emotional reaction from people by pushing your political values may drive them into the arms of a competitor, even if you are the superior service provider. There are some effective ways for celebrities and businesses to make a substantial impact towards the political causes they believe in without tweeting up a storm: 1) Maximize your prestige and power by providing excellent service to as many people as possible. Appealing to all should have a positive impact on your bottom line. 2) Use the extra revenue generated by appealing to all and write bigger checks to individuals, political parties, and causes that you support. We recommend doing this quietly. 3) Carry yourself with kindness, honor, and integrity. If you have political passions and you're not pushing them on others, you might be surprised at how many more people may give your ideals a second look because of how you conduct yourself. The bottom line is that celebrities and businesses are better off not publicly touting their political perspectives. Sharing them among close-knit family, friends, and likeminded associates is a much better and more appropriate platform."
McCormick is reputation management specialist and co-founder of Goldman McCormick Public Relations.
EXPERT ROUNDUP: The Future of Obamacare (21 experts)
Following are experts from the ProfNet network who are available for interviews on the future of the Affordable Care Act, the likelihood of a repeal, what a new plan could look like, and more:
David Bowen, MD
Executive Vice President and Global Practice Director for Healthcare
Dr. Bowen's involvement with the Affordable Care Act began with a blank sheet of paper and a cappuccino. As health policy director for the Senate Health, Education, Labor and Pensions (HELP) Committee for Sen. Edward M. (Ted) Kennedy, Dr. Bowen had a key role in what became known as Obamacare, from writing the first draft of the ACA to negotiating its key provisions, and shepherding the bill through Congress. Earlier in that role he was also responsible for legislation and policy on issues that included drug safety and health information technology. After leaving government, he went to the Bill & Melinda Gates Foundation as the deputy director of global health policy and advocacy, and then became CEO of the nonprofit Malaria No More. His doctorate is in neurobiology. He was a visiting faculty member at Harvard Medical School. Currently, Dr. Bowen is based in Washington and leads the global healthcare practice at global communications consultancy Hill+Knowlton Strategies.
Contacts: Bianca Hutton, email@example.com, or Rebecca Ballard, firstname.lastname@example.org
Executive Vice President, Public Affairs
"As Republicans take the first steps toward fulfilling their repeated promise to 'repeal and replace' Obamacare, we are all reminded yet again that this is complicated stuff. We remember the debate over Obamacare, but also the discussions in 1993 and 1994 when President Bill Clinton and then First Lady Hillary Clinton tried health care reform the first time. Republicans, who will now have to drive the bus, need to figure out how to protect the pieces everyone likes without those they have campaigned against. Requiring insurers to ignore pre-existing conditions and outlawing lifetime limits on coverage are provisions embraced by Trump and Hillary supporters alike. Keeping those provisions without the mandate so roundly opposed by Trump supporters will, one would think, have to mean dramatically higher -- not lower -- insurance premiums. Further, well over half of the estimated 22 million Americans who are covered through Obamacare get their insurance as a result of Medicaid expansion. But we know most Republican governors (with the notable exception of Vice President Elect Mike Pence) have rejected Medicaid expansion. How will that needle be threaded? I don't know anyone who believes the Affordable Care Act is working perfectly. But replacing it with something better, a plan that adheres to Republican principles while maintaining coverage for those who already have it, will be even harder than getting Obamacare passed in the first place."
A veteran Washington, D.C., healthcare public affairs executive, Jackson has nearly 30 years' experience in public affairs, issues management, health advocacy and legislative and grassroots communications. Jackson currently leads the Spectrum Science's Public Affairs practice. Spectrum Science is a leading independent health and science public relations agency, committed to achieving the goals of clients who are involved with issues, products, provider services or research in life and human health sciences.
Contact: Michelle Anderson, email@example.com
Health Care Attorney
Jackson Walker in Dallas
"Nobody knows for sure what will happen, because this is a very unique situation with a president who has no political track record. However, I predict: 1) Repeal is almost entirely certain, and will be near immediate with the new Congress. 2) It will be done using the same reconciliation technique that allowed it to pass in the first place, thus avoiding the filibuster and the need for 60 votes in the Senate. 3) The effective date of the repeal provisions will be phased in over time, with very few if any immediately repealed, to allow the new Congress time to fashion replacement parts. 4) Much (maybe most, depending on how you measure it) of the ACA will be replaced by similar new legislation. 5) Keeping children insured on their parents' insurance until age 26 and elimination of lifetime limits will reappear in the replacement legislation. 6) Something looking like a pre-existing condition ban will be part of the replacement legislation, but it will look a lot more like HIPAA's 'portability' provisions (requiring previous group coverage). 7) The individual mandate will go away and won't be replaced. 8) Any really new provisions will be designed to increase insurance competition, such as interstate insurance sales."
Drummond represents doctors, hospitals and other health care facilities in transactional and regulatory matters. He teaches graduate courses in health law, policy and regulation at UNT-Dallas. Since 2002, he has written a blog on HIPAA matters, and regularly tweets about HIPAA.
Contact: Kit Frieden, firstname.lastname@example.org
Hector De La Torre
Transamerica Center for Health Studies
"There is talk of repeal-and-replace for the Affordable Care Act, and many are looking for insights into what the 'replace' policies will be. While none of us has a crystal ball, we can look to previous legislative action, rather than rhetoric, from those who will lead these efforts for an idea of what to expect. Many of the proposals from the House and Senate eliminate both the individual mandate to have insurance or pay a tax penalty and subsidies for purchasing a plan through a health insurance Exchange. There is also support among Republican leadership for a move away from guaranteed issue of health insurance regardless of preexisting conditions to a continuous coverage requirement for those with preexisting conditions." (Quote from FDA/CMA Summit panel in December 2016.)
De La Torre is available to address health care policy, ACA/Obamacare, Medicare/Medicaid, state exchanges, impact of Trump administration, and impact of repealing the ACA on consumers and businesses. As executive director at Transamerica Center for Health Studies (a non-profit, non-partisan organization), De La Torre is focused on helping consumers and businesses navigate the healthcare landscape. He's a health policy and health insurance expert and can speak to public- and private-sector impacts of the evolving landscape. Among his accomplishments as an elected official in the state of California were expanding access to doctors in underserved communities, consumer protections against retroactive cancellation of health insurance, and supporting facilities improvements at Children's Hospitals. He appears frequently in the media, at industry events and regularly releases research and whitepapers. He is fluent in Spanish and English.
ProfNet Profile: http://www.profnetconnect.com/hectordelatorre
Contact: Meghan Graham, Mgraham2@webershandwick.com
Senior Health Fellow
American Academy of Actuaries
Uccello is available to discuss the potential consequences of repealing the Affordable Care Act without an immediate replacement, including the effects on the individual market for health insurance: "With plans for repeal of all or part of the ACA being prioritized for action early in the 115th Congress, the Academy urges members of Congress to consider what would be needed should a repeal proposal not include significant measures to prevent substantial disruption and instability in the individual market. Avoiding these consequences means having in place measures to incentivize enrollment and prevent adverse selection. Delaying the effective date of repeal while a replacement is worked out likely won't be enough to assure the stability and sustainability of the individual market."
Uccello can also discuss the features and risks of different options that have been proposed as part of a replacement for the ACA, such as proposals to expand the selling of insurance across state lines.
ProfNet Profile: http://www.profnetconnect.com/coriuccello
Contact: David Mendes, email@example.com
Founding and Managing Partner
Nelson Hardiman, Los Angeles
"Obamacare was only a partial fix for U.S. healthcare, improving access but failing to improve affordability. As the story of Trumpcare unfolds, we expect the opposite: progress on affordability and lost ground on access. The real solution will take the courage to talk across the silos of U.S. politics, something Americans needs to do themselves because our politicians are incapable of doing so."
One of the nation's leading healthcare attorneys, Nelson is the author of the upcoming book, "From Obamacare to Trumpcare: Why You Should Care," which looks at how healthcare became so broken, how it led to Obamacare and, most interesting, how he foresees it changing under Trump. Nelson offers a point-by-point breakdown of what the impact on healthcare will be if Trump and the Republicans do this. Nelson has a track record of real leadership at the nexus of healthcare and business challenges, focusing on federal and state regulatory compliance, business strategy, and developing practical solutions to vexing industry problems. He regularly advises a broad range of healthcare, life science, and technology companies (as well as their investors). He has deep experience working with entrepreneurial healthcare ventures, including telehealth issues and new business models. He also has extensive experience defending government investigations and enforcement actions, and has forged strong relationships with regulators across many healthcare sectors. His practice has extended to counseling healthcare companies in matters related to professional and facility licensing (including physicians, behavioral health, long-term care, and pharmacies), Medicare and private insurance reimbursement, FDA and DEA compliance, HIPAA and data privacy and security issues. He has developed extensive resources to facilitate compliance, including the development of compliance programs for hundreds of healthcare businesses. He has also launched a number of healthcare consulting and investment fund firms, including Compliagent, The Rx4 Group, and Adaptive Healthcare.
Full Bio: http://www.nelsonhardiman.com/attorney/harry-nelson/
Contact: Olivier Gibbons, Esq., firstname.lastname@example.org
Senior Vice President, External Affairs
Health Center Partners of Southern California
"Across healthcare professionals, elected officials and appointed policy makers, most can agree that our country's current healthcare funding model is unsustainable. Under the new administration, we can expect the Affordable Care Act to be repealed. However, because healthy people are the foundation of a flourishing economy, it is imperative that Medicare and Medicaid continue to be funded in order to ensure access to quality, affordable healthcare services for all. It is crucial for all stakeholders, including those of us immersed in the realities of federally qualified health centers, to work collaboratively with policy makers to identify fiscally prudent solutions to safeguard affordable health care for everyone across the economic spectrum."
Health Center Partners is a consortium of federally qualified community health centers in Southern California that serve nearly 800,000 patients. Health Center Partners serves as a catalyst for transforming and enhancing primary care by helping members deliver quality health care to the safety-net population, through innovative programs, resources and advocacy. In addition to her role at Health Center Partners, Todd is a member of the National Association of Community Health Centers and previously served 10 years as CEO of the Heart City Health Center in Indiana. She can offer an objective and accurate view of the realities of the healthcare system in the U.S. and share what potential repeal and replace models may look like, as well as the impact those models would have on American economy and communities.
Contact: Emily Lynn Ashley, email@example.com
Dr. David Kashmer
Chief of Surgery
Signature Healthcare, Brockton, Mass.
When he's not answering the call of duty as a trauma and acute-care surgeon, Dr. Kashmer spends his time coaching the industry on how to improve healthcare quality. Like many of us, Dr. Kashmer is keeping a close eye on what Dr. Tom Price and the Trump administration will implement and the effects it will have our healthcare system, including costs. However, Dr. Kashmer believes the solution to keeping costs down now is to improve the quality of our healthcare system: "The bottom line is, come Inauguration Day, healthcare colleagues need to tackle how to recognize and measure the amount of waste and poor quality that exists in our system. Healthcare continues to be a decade or more behind other high-risk industries in terms of quality improvement. As Americans, let's work with Dr. Price and President-elect Donald Trump's leadership to make sure each of these important issues improve afterward."
Each year, thousands of patients in hospitals and treatment facilities die or are seriously injured through errors caused by faulty care systems, outmoded surgical approaches, and medical-process failures. Dr. Kashmer is an excellent source to discuss why these issues need to be addressed now, no matter what happens with the ACA. He is the author of "Volume to Value: Proven Methods for Achieving High Quality in Healthcare," and "The Hidden Curriculum." He writes on quality improvement in healthcare for the Healthcare Quality Blog and is a contributor for The Hill.
Contact: Robin Rectenwald, firstname.lastname@example.org
Leslie A. Muller, Ph.D.
Assistant Professor of Economics
Grand Valley State University, Grand Rapids, Mich.
"The ACA has many moving parts, and the repeal of just one tenet of the law may have a domino effect within the economy, particularly in the private insurance markets. Firms may also feel the effects, both in their labor market decisions and health insurance offerings. Even if a particular individual or firm is not directly affected by a repeal, the uncertainty that is created can have substantial effects on economic markets."
Dr. Muller has conducted several surveys of firm and patient experiences with the Affordable Care Act. She teaches both undergraduate and graduate-level health economics courses analyzing the economic effects of the ACA on firms, health insurance markets, labor markets and patients. She has given several interviews with state and local media on her survey results, as well as the possible economic outcomes of events such as the Supreme Court decision on federal subsidies and 2016's substantial premium increases in the ACA marketplace.
Contact: Dottie Barnes, email@example.com
Principal, Insurance Practice Group
Bressler, Amery & Ross
Borrelli can discuss what will happen with Obamacare and insurance plans under the Trump administration. Borrelli notes that Trump is a Republican so he believes in free competition. He will probably get rid of most of the subsidies embodied in the ACA. By doing that, we take the IRS and the DOL out of having jurisdiction over parts of the ACA. Trump is also likely to support legislation which is dependent upon a private exchange or a series of private exchanges, with free competition setting the price. Companies and even individuals will want to participate. More competition brings the price down and provides a larger community for rating purposes. Borelli says Trump will get rid of the government-funded marketplace, but he has to leave in some ACA parts -- prohibitions on pre-existing conditions, portability, and perhaps employer mandates to continue to promote access to healthcare, etc. He may use the private exchange to cover basics but offer other insurance for serious or even just catastrophic illnesses which creates a federal reinsurance mechanism. To the extent that free competition is ultimately restored and the risk adjustment factors are phased out with respect to the small and individual markets, carriers may see a decrease in the cost of providing the coverage. "My concern is how long this will take while carriers have already made substantial investments in ACA compliance, and what happens to the insured marketplace while realignment is ongoing," she says.
Borrelli's practice focuses on regulation and compliance for insurers, brokers and trade associations in the property/casualty and life and health areas. She has experience in advising clients in matters involving holding company regulation, corporate restructuring, market distribution and regulation of sales practices, product design, anti-trust and restrictive covenants in the insurance arena, the Dodd-Frank Wall Street Reform and Consumer Protection Act, the Patient Protection and Affordable Care Act, as well as implementing regulations. She is vice president of the Federation of Regulatory Counsel, most recent past chairman of the Board of Directors, and chairs the Admissions Committee. She also chairs the Legal Committee of the National Conference of Insurance Guaranty Funds.
Contact: Andrew Blum, firstname.lastname@example.org
Michael Rosko, PhD
Professor of Health Care Management
Widener University, Chester, Pa.
Rosko shares key features of Obamacare he believes President-elect Trump should consider keeping: "1) Provisions for mandated coverage of pre-existing conditions should not be repealed; however, the only way this works is if most everyone is required to participate. Exceptions could be made for small businesses, because mandated participation for them might drive them out of business. 2) Children under age 26 should also continue to have the option to receive coverage under their parents. This group tends to be very healthy, so it does not cost that much and it may give them access to preventative services, which ultimately help to save money and lives. 3) Value based purchasing and bundling of services should continue as they provide incentives to increase quality and reduce costs."
Other things President-elect Trump should consider regarding healthcare, says Rosko: "1) Allow Medicare to use its purchasing power to drive down Rx prices. 2) Consider single-payer for hospital care or all-payer rate regulation. 3) Consider outcomes research when determining services to be covered. I know Sarah Palin called this 'death panels' and it was a strong and effective soundbite, but this would be a more effective way of rationing our scarce resources. I used the r-word (rationing). While this may frighten some, they do this in the UK, and it works fairly well."
Contact: Allyson Roberts, email@example.com
Darrell Spurlock Jr., PhD, RN, NEA-BC, ANEF
Associate Professor of Nursing
Widener University, Chester, Pa.
"Many lesser known and publicized provisions of the ACA have, in many ways, fundamentally reshaped the U.S. healthcare system. These provisions are designed to provide better care at a lower cost, and to more people. The ACA has exerted significant influence on healthcare systems and clinical care providers through payment reforms, quality improvement initiatives, and innovations in health workforce policy and research priorities. Through the use of financial incentives and penalties for hospitals not meeting quality benchmarks set by the Centers for Medicare and Medicaid Service (CMS), researchers have reported that through 2015, 150,000 hospital re-admissions had been prevented through the use of care coordination and evidence-based clinical treatment strategies. Similar efforts to reduce hospital-acquired harms (like receiving the wrong medication or having an operation at the wrong surgical site) have also shown success, having prevented over 50,000 such events, with an estimated cost avoidance of $12 billion. The ACA has also created structural change to how healthcare is delivered in the United States. We've seen the development of a new type of healthcare organization, the Accountable Care Organization (ACO), designed to bring together hospitals, primary and ambulatory care providers, and rehabilitation agencies to provide care in a collaborative way, across the health continuum – from wellness through illness, and back to wellness. We've also seen promotion of innovations in how primary care is delivered, with initiatives to facilitate creation of "medical homes" where an individual's primary, dental, mental health, and pharmacy care can be provided in a "one stop" setting, and investment in additional Federally Qualified Healthcare Centers (FQHCs) to care for the most vulnerable in our communities. The ACA has also bolstered the healthcare workforce and promoted innovation in research critical to long-term improvements in healthcare quality and cost savings. In an example of the innovation that the ACA promotes, the independent non-profit, nongovernmental Patient-Centered Outcomes Research Institute (PCORI) was created in 2010 to help people make informed healthcare decisions and improve healthcare delivery and outcomes by producing and promoting high-integrity, evidence-based information that comes from research guided by patients, caregivers, and the broader healthcare community. Though PCORI's work is just beginning, it has funded $670.8 million in projects dedicated to improving healthcare delivery and outcomes."
Contact: Allyson Roberts, firstname.lastname@example.org
Michael La Vean
Founder and President
Conceivex – The Conception Kit
"Allowing insurance companies to sell coverage across state lines will drive costs up -- not down. A national insurance market will take the treatment costs in the highest-priced markets (like New York and Boston) and use them as the floor to establish the costs for every other market across the country. In fact, the cost of care in the majority of states will rise to match the higher numbers in just a few states, not the other way around."
La Vean has more than two decades of healthcare and insurance experience, based on his background with several companies he founded that have, and continue to, provide FDA-approved fertility treatment care with insurance co-pays.
Contact: Michael W. Robinson email@example.com
Vice President, Government Affairs and Public Policy
Desser is vice president of government affairs and public policy at eHealth.com, the largest non-government website licensed to sell "Obamacare" health insurance plans. The Affordable Care Act's government-centric approach to health care reform failed because one key customer demographic (Millennials) rejected the products and did not sign up. President-elect Trump's victory now puts tremendous pressure on the private sector to help health reform succeed. If "Trumpcare" fails in the way that "Obamacare" failed, the 2020 election could be referendum on a single-payer health care system. Desser can talk about what it will take to make Trumpcare succeed where Obamacare failed, as well as the bad insurance products, the bad technology and the bad partnerships between government and the private sector that led to Obamacare's failure.
Contact: Jennifer Werdel, firstname.lastname@example.org
Professor of Health Policy and Economics
Indiana University's School of Public and Environmental Affairs
Simon is a nationally known health economist who specializes in the intersection of health insurance/policy with labor markets and has conducted some of the seminal research on the impact of the Affordable Care Act. Her primary research area is applying economic analysis in the context of health insurance and health care policy. She is the 2007 recipient of the John D. Thompson Prize from the Association of University Programs in Health Administration for contributions to health services research. She is a board member of the American Society of Health Economists (ASHEcon), and she serves as the health co-editor for the Journal of Policy Analysis and Management and an Associate Editor of Health Economics.
Contact: Kemba Neptune, Kemba.email@example.com
Leader of Healthcare Practice Group
Freeborn & Peters LLP
Dorman-Rodriguez can discuss the following aspects of Obamacare: 1) The future of the ACA:Will the controversial healthcare law be rolled back entirely, or will portions of it remain? If parts are to be replaced, what will the new government potentially propose and how will this affect payors and providers? 2) The future of ACOs: Accountable Care Organizations have seen mixed success. Will these industry innovations remain as a way to help reduce healthcare costs by creating efficiencies? 3) The future ofMedicaid/Medicare:What do the results of the election potentially mean for Medicaid and Medicare programs? Could we see a push for privatization? 4) Insurer lawsuits against the government:The DOJ and insurers are currently engaged in litigation over what are known as risk corridor payments. Risk corridor payments are intended to compensate insurers who had excessive losses due to qualified health plans sold on the government-run healthcare exchange. The payments are supposed to be from insurers with qualified health programs that experienced excessive profits. However, due to shortfalls, these payments have not been made in full. Whether the government will continue to defend such litigation or settle remains to be seen.
Dorman-Rodriguez is the former chief legal officer of Health Care Services Corp., the largest customer-owned health insurer in the U.S.
Contact: Keith Ecker, firstname.lastname@example.org
David M. Kaufman
Member of Healthcare Practice Group
Freeborn & Peters LLP
Kaufman can discuss the following aspects of Obamacare: 1) The future of the ACA:Will the controversial healthcare law be rolled back entirely, or will portions of it remain? If parts are to be replaced, what will the new government potentially propose and how will this affect payors and providers? 2) The future of ACOs:Accountable Care Organizations have seen mixed success. Will these industry innovations remain as a way to help reduce healthcare costs by creating efficiencies? 3) The future of Medicaid/Medicare:What do the results of the election potentially mean for Medicaid and Medicare programs? Could we see a push for privatization? 4) Insurer lawsuits against the government: The DOJ and insurers are currently engaged in litigation over what are known as risk corridor payments. Risk corridor payments are intended to compensate insurers who had excessive losses due to qualified health plans sold on the government-run healthcare exchange. The payments are supposed to be from insurers with qualified health programs that experienced excessive profits. However, due to shortfalls, these payments have not been made in full. Whether the government will continue to defend such litigation or settle remains to be seen.
Kaufman is a partner in Freeborn's Healthcare Practice Group and formerly served as the general counsel of Blue Cross & Blue Shield of Illinois, as well as general counsel to the New Mexico State Corporation Commission, counsel to the New Mexico Superintendent of Insurance, and an assistant attorney general for the State of New Mexico.
Contact: Keith Ecker, email@example.com
Managing Partner, Chicago Office
Barnes & Thornburg, LLP
Rust, the immediate past chair of the firm's national Healthcare Department, concentrates his practice in transactional, regulatory and medical-legal issues affecting healthcare entities and provider organizations. For nearly 35 years he has written about or practiced in healthcare law, writing in a wide variety of publications from the Journal of the American Bar Association to USA Today. He is listed as a notable healthcare lawyer in Chambers USA, Top Healthcare Lawyers of Illinois, Super Lawyers and The Best Lawyers in America. He has represented hospitals and hospital-physician joint ventures, multi-specialty clinics, large radiology, anesthesiology and cardiology groups, medical staffs, healthcare management companies and managed care organizations including provider-sponsored insurance companies and HMOs. He routinely is engaged to advise on mergers and acquisitions, contract formation and negotiation, and regulatory issues. In addition to federal fraud and abuse and Stark analysis and state healthcare regulation, Rust has focused on the application of ERISA pre-emption to the healthcare field. He and his firm appeared before the U.S. Supreme Court in Rush Prudential v. Moran, 536 U.S. 355 (2002), successfully arguing, for the first time, how the relationship between providers, patients, managed care and state regulation should work under the federal law known as ERISA; and Rust was counsel of record on behalf of the American Medical Association and fifty state medical societies on the same topic before the Supreme Court the following year in Kentucky v. Miller, 538 U.S. 329 (2003). He also focuses his attention on analyzing and explaining antitrust issues. For Thompson West Publishing, Rust regularly updates the antitrust section of The Law of Medical Practice in Illinois, Third Edition. He has appeared before the United States Congress and several state legislatures providing testimony on healthcare delivery and managed care.
Contact: Tyler Rabel, firstname.lastname@example.org
Leader of the Center for Healthcare Regulatory Insight
Kocot is a subject expert on CMS, Medicare, Medicaid, helped launch Medicare Part D, medication therapy management, healthcare policy, healthcare reimbursement, health plans, pharmacy benefit managers, drug stores. The Center follows health care regulatory and policy trends driving health care transformation and industry convergence and the broader implications of operating in a more collaborative and integrated U.S. healthcare payment and delivery environment. Kocot is a former senior advisor to the administrator of the Centers for and Medicaid Services (CMS) at the Department of Health and Human Services. In this capacity, he was involved in a wide range of health care policy issues and operations related to Medicare and Medicaid, including the launch of Medicare Part D. Prior to joining KPMG, Kocot practiced law in Washington and was a visiting fellow in the Economic Studies Program at the Brookings Institution and deputy director of the Engelberg Center for Healthcare Reform at Brookings.
Contact: Bill Borden, email@example.com
HealthValues and HealthCare.com
Smedsrud says the ACA will inevitably observe significant changes or total replacement. While these changes won't go into effect for a considerable amount of time, individuals should prepare for what the Republicans want to change. Smedsrud can address the Republican tax credit and the modified community rating. Republicans plan to modify the community rate from 3:1 (under current ACA) to 5:1, which means older individuals will pay five times more than what a young individual will. For example, if an 18-year-old pays $116, a 64-year-old would pay $584. Thus, costs for younger people will go down and the cost for older people will go up. Subsidies would then be provided based on attainted age. Younger people -- no matter their income -- will get fewer subsidies but pay less and older people will get more subsidies because they pay more. With the Republican tax credit, the older you are, the less costly insurance will be.
Smedsrud has spent a lifetime creating new ways for consumers to gain more control over their health care costs, and served as a health care reform advocate for much of his career, providing expert testimony on healthcare issues before national and state committees. He is a co-founder and senior advisor for HealthCare.com, and was previously the chief marketing strategy officer and senior vice president of The IHC Group. He serves on many non-profit health care boards, including the Coalition of Affordable Health Coverage. He is able to discuss the effects of mandates/penalties; growth in faith-based insurance platforms; private companies administering subsidies (less reliance on HealthCare.gov); incentives from private insurance (receive bonuses to reward health behavior; liken to other industries, such as auto, life, etc.).
Contact: Jennifer Brough, firstname.lastname@example.org
President and CEO
"Michigan is unique in the nation. In conjunction with the ACA, it employs the Healthy Michigan Plan, a health coverage program that allows the state to make health care benefits available to low-income Michigan residents. Since its inception, more than 568,342 beneficiaries have gained coverage through the plan, according to the Michigan Department of Health & Human Services. Of those beneficiaries, nearly half were between the ages of 19 and 34, an age group that has had high uninsured rates in the past. The uninsured rate in Michigan in 2015 was 6.1 percent, down from 12.4 percent in 2010."
Budden is president and CEO of Priority Health, a Michigan-based health insurance company.
Contact: Sara Bloomberg, email@example.com
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OTHER NEWS & RESOURCES:
Following are links to other news and resources we think you might find useful. If you have an item you think other reporters would be interested in and would like us to include in a future alert, please drop us a line.
- 2016 REWIND: A LOOK BACK AT THE YEAR IN MEDIA. 2016 was one heck of a year in the world of media. The past year was laden with challenges, including covering a contentious presidential election, making heads or tails of fake news, launching Facebook Live, and processing numerous media consolidations and more layoffs. We take a look back: http://bit.ly/2iFYV1x
- BLOGGER EVENTS: TOP EVENTS TO ATTEND IN JANUARY. The new year is officially here, and blog events quickly are taking shape. Here's what's in store for January: http://bit.ly/2hWUH4K
- BLOG PROFILES: PUBLIC SAFETY BLOGS. Each week, PR Newswire's Audience Relations team selects an industry or subject and a handful of sites that do a good job with promoting and contributing to the conversation. This week, they look at public safety blogs: http://prn.to/2hNvds4
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