Tag Archives: Kathleen Sebelius

News

White House and HHS were warned about Obamacare web site problems in April

Leave a comment

NBC News reports.

Excerpt:

The Obama administration, including Health and Human Services Secretary Kathleen Sebelius, was warned in April that there was insufficient time to complete testing before launching Healthcare.gov, according to a document released by a House committee investigating the website’s botched rollout.

The document, a 15-page slide show obtained by the Energy and Commerce Committee from the consulting firm McKinsey & Co., compares an ideal situation when rolling out a website such as Healthcare.gov with what developers were facing.

According to the committee, the presentation was given April 4 to a group including Sebelius and Marilyn Tavenner, the administrator of the Centers for Medicare and Medicaid Services, the HHS agency responsible for the rollout.

The document states that an ideal situation would be “end-to-end integrated operations and IT testing,” but that the situation at the time was one with “insufficient time and scope of end-to-end testing.” The document also says that a “limited initial launch” would be ideal, but that a “launch at full volume” was instead the plan.

Republicans are questioning testimony Sebelius gave to the committee during a hearing two weeks after she got the briefing, when she said development of the site was “on track and on time.”

“At this point, our energy and resources are focused on getting it up and running, and we are on track and the contracts have been led and we are monitoring it every step along the way,” Sebelius told the committee April 18. “I can tell you we are on track.”

In a statement, the chairman of the committee, Rep. Fred Upton, R-Mich., said that Sebelius had “appeared before our committee, looked us in the eye, and repeatedly testified everything was ‘on track and on time.’”

“We now know that was not the case and the secretary was aware implementation was in trouble,” he said.

So you can put this latest Obamacare lie by HSS head Kathleen Sebelius on the pile along with the Benghazi lies and the IRS prosecution of the Tea Party lies and the gunrunning to Mexican drug cartels Fast and Furious lies. Lies, lies, lies.

In fact, CNBC is now reporting that the Obamacare web site is still not complete – it is lacking about a third of its functionality, including payment capabilities.

Excerpt:

Another day, another big, bad black eye for HealthCare.gov.

A crucial system for making payments to insurers from people who enroll in that federal Obamacare marketplace has yet to be built, a senior government IT official admitted Tuesday.

The official, Henry Chao, visibly stunned Rep. Cory Gardner (R-Colo.) when he said under questioning before a House subcommittee that a significant fraction of HealthCare.gov—30 to 40 percent of it—has yet to be constructed.

“We still need to build the payments system to make the payments [to insurance companies] in January,” testified Chao, deputy chief information officer of the Centers for Medicare and Medicaid Services, the federal agency that operates HealthCare.gov.

That so-called financial management tool was originally supposed to be part of HealthCare.gov when it launched Oct. 1, but officials later suspended its launch as part of their effort to get the consumer interface part of the site ready. The tool will, when it works, transmit the subsidies that the government is kicking in for many enrollees to offset the costs of their monthly premiums.

This is not a defect in existing functionality, this is missing functionality. This project should never have been released to Production.

As someone who has worked on electronic payments extensively, let me just tell you that this is not a simple part of a web application. Billing and payment systems are some of the most difficult parts of an insurance application, requiring in depth knowledge of the business as well as technical knowledge. So don’t expect this all to be fixed with a wave of a magic want.

News

How the ADF kept nurses who wouldn’t perform abortions from being fired

2 Comments

In 2011, a story came out about New Jersey nurses being forced to perform abortions (or be fired). I blogged about it, but we didn’t really know the details. Well, now the details have emerged and the case has finally been decided. Here’s a press release from the heroic Alliance Defending Freedom, which protected the nurses involved from violating their consciences.

Excerpt:

Promoted from that team to a supervisory position over all the nurses, the new assistant manager announced that – since she and others had to help with abortions – she saw no reason why every nurse shouldn’t help. Hospital officials agreed, and passed a new, mandatory policy to make it so. The assistant manager quickly set up a training program that would give each nurse on the unit hands-on experience in how to assist with and clean up after abortions.

“As long as you work here,” she told the 12 nurses who openly protested, “you’re going to have to do it. If you don’t, you’re going to be fired or transferred out.”

“We were all shocked,” Fe says. “All these years I’ve been a nurse, I was never told to help kill children.”

But the managers remained adamant. Hospital administrators supported them.

[…]”Our jobs were hanging by a string,” Beryl says. “We were like, ‘All right. If they’re going to fire all 12 of us, fine. But this is against what we believe God wants us to do.’ We didn’t come into this profession to do [abortions]. We told them we weren’t comfortable with it and didn’t feel they should force us. And if that meant our jobs, well… God was going to provide.”

When even their own union declined to help them, Fe wrote a letter to hospital officials saying that she and her coworkers would not participate in abortions. She passed it around for the other nurses; 15 signed it. She gave the letter to her manager, who took it to the director of nursing.. Response was swift. A meeting was called for the next day, with each of the signing nurses, the labor board, a union official, the managers, and “an expert on ethics” scheduled to be on hand.

I think so often in this world today, Christians are on the defensive when it comes to acting on their convictions. My expectation is that we will never win when we do the right thing. The other side is so strong, and we have so few conservative Christians who are intentional about studying well, earning well, and reaching positions of influence. But sometimes we do win, because there are still some Christians left who have paid the price to get the education and training that allows them to do something when the freedoms of Christians are threatened.

This time, it was the Alliance Defending Freedom lawyers who saved the day:

The day of that announcement, Pastor Terry Smith, of Life Christian Church in West Orange, New Jersey, returned from a trip. A staff member told him that one of his parishioners – Fe – had called, shared what was happening at the hospital, and asked for advice. The pastor immediately phoned Len Deo, president of the New Jersey Family Policy Council.

“I’ll be all over this,” said Deo, who hung up and called Alliance Defending Freedom. Shortly afterward, staff attorney Matt Bowman was on the phone with a local allied attorney, Demetrios Stratis, enlisting him to help defend the nurses. The two immediately called Fe.

[…]Amid all the tension, threats, and growing media coverage, the judge in the case stunned everyone by suddenly announcing, in a preliminary hearing, that a settlement had been reached.

“We had gotten everything [the 12 nurses] requested,” Stratis says. “We’d gotten the hospital to agree not to force them to perform these abortions. There would be no retaliatory measures against them, and they could feel free and sleep at night, knowing that the next day they would not have to be trained on the abortion process or help a woman kill an innocent child.”

“I was crying – really crying,” says Lorna, who heard the news from one of the other nurses. “And very thankful. The next day, I went to work, and all of us were hugging and very happy.”

“Before, I used to think that some prayers won’t be answered,” Fe says. “Sometimes, I’d feel very hopeless. But with this case, I saw how the Lord moves… providing the resources, the people who would help us out. It just strengthened my faith. I really thank God for Alliance Defending Freedom.”

Where does this desire to force people to commit murder come from? Well, it comes from the political left. In fact, the Obama administration actively opposes conscience protections for medical workers, and actively opposes conscience protections for military chaplains. This is to say nothing about the HHS mandate, which forces entire organizations and businesses to subsidize abortion-causing drugs.

I think that Christians need to be thoughtful, calculating and realistic about how we are going to deal with threats like this. Although some of us may prefer to study things that are easier, and do jobs that are comfortable, there is a real need for more of us to study hard things and do hard jobs. We need people with the right degrees in the right fields, and we need people who are good at earning and saving money. The truth is that this is the way the world works, and wisdom requires that we do what we have to do (not what we like to do) in order to be ready for the the challenges we are likely to face. The other side is certainly doing their job of getting the degrees and the money that they will use against us.

News

Obama administration decides to exempt Obamacare from fraud prevention rules

Leave a comment

From the radically left-wing New York Times, of all places.

Excerpt:

The Affordable Care Act is the biggest new health care program in decades, but the Obama administration has ruled that neither the federal insurance exchange nor the federal subsidies paid to insurance companies on behalf of low-income people are “federal health care programs.”

The surprise decision, disclosed last week, exempts subsidized health insurance from a law that bans rebates, kickbacks, bribes and certain other financial arrangements in federal health programs, stripping law enforcement of a powerful tool used to fight fraud in other health care programs, like Medicare.

The main purpose of the anti-kickback law, as described by federal courts in scores of Medicare cases, is to protect patients and taxpayers against the undue influence of money on medical decisions.

Kathleen Sebelius, the secretary of health and human services, disclosed her interpretation of the law in a letter to Representative Jim McDermott, Democrat of Washington, who had asked her views. She did not explain the legal rationale for her decision, which followed a spirited debate within the administration.

It’s all exempt from oversight laws:

Most of the buyers are expected to be eligible for subsidies to make insurance more affordable. The subsidies, paid directly to insurers from the United States Treasury, start in January and are expected to total more than $1 trillion over 10 years.

Ms. Sebelius said the Health and Human Services Department “does not consider” the subsidies to be federal health care programs. She reached the same conclusion with respect to federal and state exchanges, built with federal money, and with respect to “federally funded consumer assistance programs,” including the counselors, known as navigators, who help people shop for insurance and enroll in coverage through the exchanges.

What could go wrong? What could go wrong if the government hires “federal consumer assistants” like ACORN workers and other “community organizers” in order to administer federal subsidies? I think it will be fine. It will all work out great.

Oh, wait. I suppose that it’s possible that something like this might happen:

The Centers for Medicare and Medicaid Services (CMS) spent almost $29 million to cover Medicare Part D prescription drugs for 4,139 individuals “unlawfully present” in the U.S. and thus ineligible to receive federal health care benefits, according to an audit by Daniel Levinson, inspector general of the Department of Health & Human Services.

[…]CMS “inappropriately accepted 279,056 PDE [prescription drug event] records with unallowable gross drug costs totaling $28,990,718” between 2009 and 2011, Levinson reported. Total federal expenditures under Medicare Part D during that same two-year time period came to $227 billion.

Medicare Parts A and B cover hospitalization, skilled nursing care, doctor visits, and other medical services and supplies. The IG previously reported in January that CMS had also paid $91.6 million to health care providers to cover 2,600 ineligible illegal aliens.

Now failure like this could never take place in the private sector, because companies would go out of business. But in the government, they just borrow a trillion or two more from your children and call it even. That’s why we should never let the government get involved in things that are best handled by free trades between buyers and multiple sellers who must compete with each other. Health care is not something you hand off to a monopoly. At least, not if you expect transparency, affordability and quality.