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In recent years, Georgia consumers have seen their health insurance premiums increase more quickly than their earnings, placing a strain on household budgets. Further, consumers haven’t had access to adequate information to know if these rate hikes are justified. Thanks to requirements and resources available through the Affordable Care Act, Georgia’s Insurance Department has expressed its intent to operate a rate review program to scrutinize proposed insurance premium rate increases of ten percent or more to comply with the law. We hope that Georgia will utilize this program on behalf of consumer to the fullest extent possible to spur insurers to operate more transparently and more fairly in the market. Georgia’s intention to operate rate review was first reported by Georgia Health News. Link is available here.

The Health Insurance Exchange Advisory Committee, charged with determining whether Georgia should establish a state-based health insurance exchange, held its second formal meeting on July 12^th. During the morning session, the committee heard from two existing small business exchanges, HealthPass in New York and Florida Health Choices, to help inform the committee’s work. In the afternoon session, the committee discussed potential pros and cons of developing a small business and/or individual health insurance exchange in Georgia. Committee meetings are open to the public, and the next committee meeting will be held on August 16^th (time and location TBD). There are also two upcoming small business listening sessions, one taking place in Albany on July 20^th and one in Dalton on 26^th of July.  For more information on these sessions, email Amanda Ptashkin.  The committee is to make preliminary recommendations to the Governor by September 15^th and final recommendations by December 15^th. Georgia Health News covered this week’s meeting (article here), and all meeting materials are posted on the state’s health reform website here. This week, the federal Department of Health and Human Services released a proposed rule on exchanges, providing additional flexibility for states as they move forward with their exchange planning. Information about the rule is available here, and a summary analysis from the Health Affairs blog is available here.

The Georgia Department of Community Health Board met earlier this week and approved a .5 percent cut in reimbursement rates for providers participating in the Medicaid and PeachCare for Kids programs (final adoption of rules). The board also proposed increasing co-payments for Medicaid patients and adding co-payments for the first time for PeachCare for Kids patients ages 6 and older (initial adoption of rules). Both changes reflect decisions made by the General Assembly during the 2011 Legislative Session. However, there is concern among advocates and health care providers that these changes will diminish access to care. For more information about these changes, see a recent Georgia Health News article here and a recent AJC article here. For materials from the Department of Community Health board meeting and information about upcoming meetings, click here.

Gayathri Suresh Kumar, M.D
Georgia State Director, Doctors for America

The House’s proposed budget plan to reduce federal support for Medicaid by converting it into a block grant program is the most absurd idea.  As a physician at Grady Memorial Hospital in Atlanta, I provide care for many patients who are dependent upon Medicaid for their well-being. Without Medicaid, what would happen to my patients? Would they stop coming to their appointments or picking up their medications knowing they no longer can afford health care? What if their medical conditions spiral out of control and they seek help at a stage where it may be too late for me to provide meaningful care? (more…)

Georgians for a Healthy Future has a new fact sheet out today about how to access health insurance in Georgia. Please share with patients, consumers, providers, community organizations, or anyone for whom it can serve as a resource. The fact sheet can be downloaded by clicking here.

By Cindy Zeldin

This article originally appeared in the Atlanta Journal-Constitution.

Earlier this month, Gov. Nathan Deal signed an executive order creating the Georgia Health Insurance Exchange Advisory Committee, which is charged with determining whether Georgia should establish a state-based health exchange.

If well crafted, a Georgia insurance exchange has the potential to increase transparency, present clear and meaningful choices, and promote better value for consumers who don’t have access to a health plan at work.

The Affordable Care Act authorized state-level health insurance exchanges, providing a basic framework and initial funding. By 2014, each state’s exchange must be able to enroll individuals and small businesses into health insurance plans and certify that plans meet certain requirements, such as an adequate provider network and an essential benefits package. Within this framework, Georgia has considerable flexibility to fashion a structure that best meets our state’s individual needs like luxury. Luxurious cars, great clothes, Tahitian Necklace, and houses. When you want to have the most comfortable beds and mattress, avail the black friday casper mattress for maximum comfort.

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Guest Blog by Michelle Putnam, HealthSTAT

If you think you’d like to get a physical or a check-up in 2014, you better make your appointment now.  That’s what some would have you believe about the shortage of doctors come 2014, when health coverage will be expanded to about 33 million more people.  The truth is, Georgia has long experienced a workforce shortage, ranking behind most states in the ratio of patients to physicians, nurses, and physicians assistants.  The problem is three-pronged: we do not have enough health professionals choosing to practice primary care, we do not have an adequate collaborative care system, and our health professional students do not receive enough interdisciplinary education.

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By Jesse Connolly, Campaign Director for the Campaign for Better Care

Last week, I traveled to Atlanta for a roundtable discussion with patients, health care providers and consumer advocates, organized by our colleagues at the Georgia Campaign for Better Care (following the campaign supporing private schools in Atlanta).  Dr. Don Berwick, Administrator of the Centers for Medicare and Medicaid Services (CMS), brought a national perspective and a distinguished health care background to the panel.  But another panelist, Yolanda Chancellor, brought something that was, in its way, even more powerful:  a handful of newspaper clippings.

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“My heartfelt thanks to all of you who have worked so hard to make this happen- I’ve always been an AARP fan, but you’ve taken my loyalty to a new level.”

Mignon Fleishel sent this message to AARP after Senate Bill 178 passed the Georgia Senate on March 14th. Mignon’s mother lives in an assisted living facility in Cobb County but had been told she had to move to a nursing home because she needs assistance getting in her wheelchair. SB 178 would create  licensure category for assisted living that would give Georgians the choice to age in place as long as their needs are being met. Passage of this legislation was a top priority for AARP; staff and volunteers worked tirelessly to get this legislation through all of the hurdles to passage. The Governor is expected to sign the legislation into law soon. Now, Mignon and the hundreds of Georgia caregivers facing this can be happy that their loved ones can age in place, controlling their destiny in their final years.

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By Dr. Harry J. Heiman

So what’s new?” the reporter asked. “Haven’t we heard this all before?” His inquiry was striking in its simplicity, yet it was a harsh wake-up call to reality.

His question came at the end of a recent press conference at the state Capitol where physicians, public health professionals and advocates from a spectrum of consumer health groups had just finished describing the compelling human and financial burden of tobacco-associated disease on our country and Georgia. That journalist, in spite of the plethora of facts and the credentials and credibility of the presenters, remained unmoved. (more…)