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拜登打擊將消費者視為傻瓜的垃圾保險

(2023-07-08 17:11:04) 下一個

拜登瞄準“垃圾”保險,誓言為被扮演“傻瓜”的消費者省錢

https://apnews.com/article/biden-health-care-insurance-prescription-drugs-e8960514ff32bcc37bb8becccf3112cf

拜登與“垃圾保險”作鬥爭。 醫療保健費用

總統喬·拜登周五推出了一係列新舉措,以降低醫療保健成本,打擊他所謂的“垃圾保險”計劃,並提供新的指導來防止意外的醫療費用。

作者:喬什·博克 2023 年 7 月 7 日

華盛頓(美聯社)——周五,喬·拜登總統推出了一係列降低醫療保健成本的新舉措:打擊他所謂的“垃圾”保險計劃,這些計劃將消費者視為“傻瓜”,製定了防止意外醫療費用的新指南,以及 努力減少與信用卡相關的醫療債務。

拜登正在之前限製醫療保健費用的舉措的基礎上,衛生與公眾服務部發布了新的估計,顯示 1870 萬老年人和其他醫療保險受益人將在 2025 年每年節省大約 400 美元的處方藥費用,因為總統將 作為去年《通貨膨脹削減法案》的一部分,限製自付費用。

由於通貨膨脹仍然是選民的主要擔憂,這位民主黨總統正在為 2024 年連任競選做準備,他強調了幫助家庭管理開支的政策,以及政府采取的一係列激勵措施,鼓勵私營部門開發電動汽車、清潔能源和 先進的計算機芯片。

共和黨議員批評拜登的政策,稱這些政策刺激了物價上漲,損害了家庭的福祉。

拜登表示,他的政府正在瞄準他所謂的“垃圾”保險計劃,例如短期保單,當人們在雇主之間過渡時,這些計劃可能會拒絕提供基本保險,但仍需要臨時醫療保險。

新提議的規則旨在彌補漏洞,這些漏洞允許保險公司提供可能根據已有條件進行歧視的產品,並向消費者推銷提供很少或根本沒有保險的保險。

“在美國,這聽起來很老套,但公平是我們所期望的,”拜登說。 “我不知道有誰喜歡被視為被愚弄的人。”

拜登邀請科裏·多德在白宮活動上講述他的故事,以突出這一倡議。 2019 年,多德在加納和平隊服役返回美國時,在開始讀研究生並能夠參加學生健康計劃之前,購買了一項高免賠額醫療保健計劃。 他認為該計劃可以在發生醫療緊急情況時保護他。

但就在他開學前幾周,他不得不接受緊急手術切除闌尾。 幾個月後,醫院打電話告訴他,保險公司隻能支付他賬單的一小部分,他必須自掏腰包支付超過 37,000 美元。

多德說:“對我來說,經濟和情感上都有損失。”他補充說,在有關他的情況的新聞報道後,保險公司態度軟化了。 “我一直認為自己是一個非常負責任的人。 但這確實損害了我的自尊和我的身份。”

拜登還宣布了源自 2020 年《無意外法案》的醫療賬單新指南。 該指南將限製與醫院簽訂合同的保險公司聲稱所提供的護理不在網絡內並讓客戶支付更多費用的能力。 健康計劃還需要披露向患者收取的越來越多的設施費用,這些費用可能會在醫療賬單中作為意外費用出現。

“夥計們,這不是健康保險,”拜登說。 “那是一個騙局。 它必須結束。”

消費者金融保護局和財政部也在尋求有關第三方信用卡和專門用於支付醫療保健的貸款的信息。 較高的費用和利息費用可能會阻礙需要治療的人尋求護理。

總統在講話中還強調了之前為降低醫療保健成本所做的努力,包括一項允許 Medicare 談判降低處方藥價格的計劃,以及為 Medicare B 部分的人提供每月 35 美元的胰島素價格上限。

Biden takes aim at ‘junk’ insurance, vowing to save money for consumers being played as ‘suckers’

https://apnews.com/article/biden-health-care-insurance-prescription-drugs-e8960514ff32bcc37bb8becccf3112cf 

Biden battles 'junk insurance.' health care costs

President Joe Biden rolled out a new set of initiatives Friday to reduce health care costs, crackdown on what he calls “junk insurance” plans, and provide new guidance to prevent surprise medical bills. (July 7)

BY JOSH BOAK  July 7, 2023

WASHINGTON (AP) — President Joe Biden on Friday rolled out a new set of initiatives to reduce health care costs: a crackdown on what he called “junk” insurance plans that play consumers as ‘suckers,’ new guidance to prevent surprise medical bills and an effort to reduce medical debt tied to credit cards.

Biden is building on previous initiatives to limit health care costs, with the Department of Health and Human Services releasing new estimates showing 18.7 million older adults and other Medicare beneficiaries will save an estimated $400 per year in prescription drug costs in 2025 because of the president placing a cap on out-of-pocket spending as part of last year’s Inflation Reduction Act.

Gearing up for his 2024 reelection campaign as inflation remains a dominant concern for voters, the Democratic president has emphasized his policies to help families manage their expenses, as well as a spate of government incentives to encourage private sector development of electric vehicles, clean energy and advanced computer chips.

Republican lawmakers have criticized Biden’s policies by saying they have spurred higher prices that hurt the well-being of families.

Biden said his administration was taking aim at what he called “junk” insurance plans, such as short-term policies that can deny basic coverage as people transition between employers and still need temporary health care coverage.

The new proposed rules aims to close loopholes that allow insurers to offer products that can discriminate based on pre-existing conditions and market to consumers coverage that provides little or no coverage.

“In America, it sounds corny, but fairness is something we kind of expect,” Biden said. “And I don’t know anybody who likes to be viewed as having been played for a sucker.”

Biden invited Cory Dowd to tell his story at the White House event to spotlight the initiative. Dowd in 2019 purchased a high-deductible health care plan when he returned stateside after serving in the Peace Corps in Ghana but before he started graduate school and was able to get on a student health plan. He thought the plan would protect him in the case of a medical emergency.

But just weeks before he started school, he had to have emergency surgery to remove his appendix. Months later, the hospital called him to tell him his insurer would only cover a small portion of his bill and that he would have to pay more than $37,000 out of pocket.

“For me, there was both a financial and emotional cost,” said Dowd, who added that the insurer relented after news coverage about his situation. “I’ve always considered myself a very responsible person. But this really took a toll on my self-esteem and my identity.”

Biden also announced new guidance on medical billing stemming from 2020’s No Surprises Act. The guidance would limit the ability of insurers that contract with hospitals to claim provided care was not in network and have customers pay more money. Health plans also would need to disclose facility fees that are increasingly charged to patients and can surface as an unexpected cost in a medical bill.

“Folks, that’s not health insurance,” Biden said. “That’s a scam. It has to end.”

The Consumer Financial Protection Bureau and Treasury Department also are seeking information on third-party credit cards and loans that are specifically used to pay for health care. The higher costs and interest charges can discourage people in need of treatment from seeking care.

The president in his remarks also highlighted previous efforts to reduce health care costs, including a plan allowing Medicare to negotiate lower prices for prescription drugs and a $35 monthly price cap on insulin for people in Medicare Part B.

 

拜登政府繼續推出新規,減輕美國民眾沉重就醫負擔
 
星島日報 |2023-07-08         
已經宣布競逐連任的總統拜登繼續推出新政,今次嚐試降低民眾在醫療方麵的負擔,承諾會打擊欺詐性保險計劃;防止意外高額醫療賬單;減少民眾為了支付醫藥費用而承擔的信用卡債務。衛生部也表示,根據新方案,“醫療照顧”(Medicare)計劃的受益人,到2025年每年人均處方藥開支可節省400元。
 

美聯社報道,拜登7日表示,政府正重點打擊“垃圾”保險計劃,約束本身覆蓋有限,在打工族跳槽時無法享受保障的短期保單;禁止民眾因身體原有狀況而遭歧視,無法購買保險;同時阻止業者在市場上推銷幾乎毫無意義的保單,連串措施生效後,不良公司無法再把民眾當成“傻瓜”。

拜登在白宮活動上邀請民眾講述親身經曆,其中登台的多德(Cory Dowd)表示,自己曾加入和平工團(PeaceCorp.)前往非洲國家加納,2019年返美準備報讀研究生課程時,因為無法申請學生醫療保險,因此另行購買了計劃,希望在緊急時能有保障,開學前數周需要切除闌尾,手術後幾個月居然收到醫院通知,表示保險公司隻能支付一小部分賬單,他必須自掏腰包支付超過3.7萬元。

多德表示,事件導致他在經濟和情緒方麵都深受影響,自問日常生活非常負責,卻因為相對簡單的手術而麵對高昂開銷,直到媒體報道自己的個案後,保險公司的態度才開始軟化,可見對方的立場本來就站不住腳。

拜登在7日的活動上又宣布,根據2020年生效的《無意外法案》(No SurprisesAct),政府將會製定醫療收費新指引,保險公司即使與醫院簽訂合同,也不能以個別護理服務不在覆蓋範圍為由,向民眾收取更多費用。保險計劃亦需披露所謂的“設施費用”,讓病人提前有心理準備,不會臨時被高價額外開支殺個措手不及。

拜登又表示,“醫療照顧”代表消費者與藥廠議價後,再加上“醫療照顧B部分”的胰島素開支封頂,每月上限不超過35元,可令民眾節省不少支出。衛生部也表示,《通貨膨脹削減法案》(IRA)生效後,參與“醫療照顧”計劃的1870萬人,到2025年每人每年可節省400元處方藥費。此外,財政部與消費者金融保護局也正檢討,是否監管信用卡行業,評估其收費會否阻撓民眾求醫。

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