The Oneida Daily Dispatch (Oneida, NY)

Governors push bipartisan national health care compromise

- By Zeke Miller and Julie Carr Smyth

Abipartisa­n group of governors working to strike compromise on hot-button policy issues took on the question of health care on Friday.

Republican Ohio Gov. John Kasich, in presenting the group’s blueprint for policy changes at the National Press Club, lamented that one of the country’s largest challenges seems to have been set aside by policymake­rs.

“It’s like health care doesn’t evenmatter anymore down here,” he said.

Kasich and Democratic Colorado Gov. John Hickenloop­er have been working for more than a year on identifyin­g common ground in health care, immigratio­n and other top policy issues. They were joined in Friday’s effort by independen­t Alaska Gov. Bill Walker, Republican Nevada Gov. Brian Sandoval and Democratic Pennsylvan­ia Gov. Tom Wolf.

The governors’ plan includes their ideas for improving affordabil­ity, restoring stability, promoting flexibilit­y so that states can innovate and eliminatin­g duplicativ­e and burdensome insurance regulation­s.

“If we were to go about doing these systemic changes, we’re going to save a ton of money,” Kasich said.

The governors urge the federal government to restore insurer subsidies that were stopped by President Donald Trump, triggering sharp increases in premiums this year. They also seek more outreach to help sign people up for coverage.

Last year, the Republican Trump administra­tion slashed the ad budget for the Affordable Care Act’s 2018 sign-up season.

The governors also recommend action to shield insurers fromthe full cost of treatment for patients with very expensive conditions. That’s called re-insurance in industry jargon.

Alaska has already implemente­d such a program, with the blessing of the federal government, and it helped control premiums there. The idea has bipartisan support in Congress, but the outlook is uncertain.

“What they did in Alaska is a model for a lot of us,” Hickenloop­er said.

The governors’ proposal doesn’t merely call for federal government action, it also provides examples of effective state efforts that can be used as examples at the federal and state levels, said Greg Moody, who leads Kasich’s Office of Health Transforma­tion.

The blueprint incorporat­es agree able solutions that states have found, for example, to streamlini­ng regulation­s and cutting Medicaid costs, Moody said.

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