HOME / Featured News / FEDERAL HEALTH REFORM NEWS
Exemption Allowing Insurance Restraint of Trade Eyed by Congress
Rate This Article:
1
Get the Flash Player to see this player.
The Associated Press reports in an article found here that "Top Senate Democrats intend to try to strip the health insurance industry of its exemption from federal antitrust laws, according to congressional officials, the latest evidence of a deepening struggle over President Barack Obama's effort to overhaul the health care industry.  If enacted, the switch would mean greater federal regulation for an industry that recently has stepped up its criticism of portions of a health care bill moving toward the Senate floor."

"Congressional officials said Senate Majority Leader Harry Reid of Nevada and Senator Patrick Leahy of Vermont, chairman of the Senate Judiciary Committee, arranged to make the announcement Wednesday, joined by Senator Chuck Schumer of New York."

Antitrust laws prohibit agreements by two or more that "restrain trade in interstate commerce." To prevent labor unions from antitrust liability, a "labor exemption" was created under the Clayton Act of 1914. A judicially-derived expansion of the labor exemption that protects union activity from antitrust scrutiny has been the crux of nearly all antitrust actions in professional sports (with the exception of baseball, which had an blanket exemption from antitrust laws until late in 1998). It has been ruled that the exemption applied throughout the negotiation process, even after a labor contract expired. This interpretation of the non-statutory exemption was upheld by the U.S. Supreme Court in 1997. [WikiAnswers]

"In a statement, the major industry trade group, America's Health Insurance Plans, said the industry already was one of the most regulated in the country. The focus on the industry's antitrust exemption, it said, was 'a political ploy designed to distract attention away from the real issue of rising health care costs.'"

While the health insurance industry currently enjoys the ability to "restrain trade in interstate commerce", if congress gets their way, the insurance industry may soon have to operate as do all other businesses.

A very good summary of this exemption may be found in this article which points out that while currently the politics of Washington is aiming at the notion that the insurance industry needs competition the problem is that the insurance industry has federal IMMUNITY from competition.

"The federal government has not been able to attack the insurance companies through federal anti-trust laws for over 60 years. Under the McCarran-Ferguson Act passed in 1945, insurance companies (and Major League Baseball!) are specifically excluded from federal anti-trust laws as long as the state regulates in that area, and federal anti-trust laws will apply ONLY in cases of boycott, coercion, and intimidation."

"Under the McCarran-Ferguson Act, Big Insurance is allowed to collect and SHARE data with each other about claims. With this information, Big Insurance can fix prices, set coverage requirements, outline conditions for coverage denials (like pre-existing conditions), and many, many more.  That’s right, folks! Big Insurance can plot together...!"

"Back in 2007 in the wake of Hurricanes Katrina and Rita, a bipartisan group went after Big Insurance for the way that it was screwing over homeowners who lost everything in those terrifying storms. Sen. Patrick Leahy (D-VT) introduced the Insurance Industry Competition Act, along with the judiciary panel’s ranking member, Senator Arlen Specter (then R-PA), Senate Majority Leader Harry Reid, (D-NV), and Senate Republican Whip Trent Lott, (R-MS)....This bill intended to repeal the McCarran-Ferguson Act. These legislators noted the blatant collusion among Big Insurance and the drought of competition in the insurance industry."

"Big Insurance went nuts... citing all the usual doom and gloom scenarios without providing any foundation for the apocalyptic tales....[and] claimed that taking away their immunity would stifle competition!! ...However, the same bill has been reintroduced this year again by Rep. Peter DeFazio (D-OR). No significant movement has taken place on this bill."

 
Post A Comment
* Indicates Required Field
Comment Title:
* Comments:
Nickname:
* Validation:
Most Recent Comments
 
 
FeaturedNews
Taking Multiple Meds Ups Fall Risk
Published 02/01/2012 - 12:44 p.m.  CDT

Working-age adults who use two or more prescription medications may be at risk for becoming seriously injured after falling in the home, researchers found.

In a study of young and middle-age adults, using at least two medications was associated with an increased likelihood of dying from or being hospitalized for a falling injury …. Antihypertensives and cholesterol-lowering drugs were the most common medications involved.

"The risk of falls may be increased as a result of both the intentional and unintentional effects of pharmacological therapy such as orthostatic hypotension, psychomotor impairment, extra-pyramidal symptoms, and dizziness."

...Read More
Overuse Accounts for Up to 30% of Healthcare Spending
Published 01/31/2012 - 11:50 a.m.  CDT

Overuse of therapeutic procedures, diagnostic tests, and medications is an understudied problem that may account for as much as 30% of healthcare spending in the United States and result in harm to patients.

The 4 most common health services examined in the studies included in the review were antibiotics for upper respiratory infections, coronary angiography, carotid endarterectomy, and coronary artery bypass grafting and revascularization.
...Read More
Credit Rating to Drive Future of Health Care
Published 01/31/2012 - 7:33 a.m.  CDT

Ratings agency Standard & Poor's warned it may downgrade "a number of highly rated" Group of 20 countries from 2015 if their governments fail to enact reforms to curb rising healthcare spending and other costs related to ageing populations.

"If governments do not change their social protection systems, they will likely become unsustainable."

"If no reforms are adopted, healthcare-related credit downgrades would likely start within three years..."

"... developed nations will eventually become the victims of their social safety nets."

"S&P said it was not too late for G20 countries to tackle the problem, but reforms to contain age-related spending needed be coupled with efforts to balance budgets by 2016, which would be enough to offset rising healthcare costs by 2050."



...Read More
Reader Login
Username:
Password:
 Save Login?
Free Sign-up
Forgot Password?
Reader Control Panel
Article Popularity
Views
Ratings
Comments

despite well-publicized stories of people dropping dead during or after running a marathon, the race isn't all that risky, researchers found.

The death of a loved one can literally be heart-breaking, or at least heart-attack-inducing, researchers have found.

Among a cohort of 1,985 people, the rate of myocardial infarction was more than 21 times higher than normal within 24 hours of losing a loved one.

ACA member Dr. Steven Shoshany, will make his second appearance on The Dr. Oz Show on Wednesday, Feb. 8.

ACA member Dr. Rob DeStefano, team DC for the NY Giants, will be on the field in Indianapolis treating players during the big game.


The Centers for Medicare and Medicaid Services (CMS) recently ruled that providers not successfully/satisfactorily participating in PQRS by the 2013 reporting period (Jan. 1 - Dec. 31, 2013), will have their Medicare reimbursement decreased by 1.5 percent beginning in 2015, and 2 percent in 2016.

Therefore, the 2012 reporting period is the last opportunity providers have to voluntarily participate in PQRS and learn how to report successfully/satisfactorily while incentives are still offered and their Medicare reimbursement is not subject to penalties.

ACA needs your help!  Over the course of the past several years, ACA has been examining the practices of chiropractic networks. Recently, concerns about these networks has increased dramatically to the point of additional investigative efforts being put forth by ACA.

In order to effectively capture the voice of DCs regarding these issues, a questionnaire has been developed to give both members and non-members the opportunity to share their experiences about chiropractic networks. Responding to this questionnaire will help ACA understand the effects these networks have on profession, and will also help the association better position itself for future efforts.

Concussions are getting much-needed attention in the press, especially given the short- and long-term cognitive loss, early-onset dementia, physical disability and even death resulting from traumatic brain injury (TBI).

Smokers are no more likely to give up cigarettes for good by using nicotine replacement products such as patches and gum than if they did not use those quit-smoking aids, a prospective cohort study showed.

Working-age adults who use two or more prescription medications may be at risk for becoming seriously injured after falling in the home, researchers found.

In a study of young and middle-age adults, using at least two medications was associated with an increased likelihood of dying from or being hospitalized for a falling injury …. Antihypertensives and cholesterol-lowering drugs were the most common medications involved.

"The risk of falls may be increased as a result of both the intentional and unintentional effects of pharmacological therapy such as orthostatic hypotension, psychomotor impairment, extra-pyramidal symptoms, and dizziness."


This study suggests that the addition of an adjunct therapeutic mirthful laughter Rx (a potential modulator of positive mood state) to standard diabetes care may lower stress and inflammatory response and increase “good” cholesterol levels.

The authors conclude that mirthful laughter may thus lower the risk of cardiovascular disease associated with diabetes mellitus and metabolic syndrome.