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Plans To Control Doctors' Pay Big Issue In Massachusetts
Massachusetts officials are proud of their low rate of uninsured people, but the state also hosts the highest health care costs in the country, a problem that jeopardizes their achievement in expanding coverage, NPR"s Morning Edition reports. A commission charged with overseeing the insurance plan for 310,000 government workers recently voted - unanimously - that doing away with the current, fee-for-service model for paying doctors was the first step to controlling those costs. "Massachusetts policymakers want to replace fee-for-service with "global payment" - paying groups of health providers a flat yearly fee for each patient they cover," NPR reports (Knox, 8/5).

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California Gov. Schwarzenegger's Plan To Reduce State Spending Includes Cuts To HIV/AIDS Services

California Gov. Arnold Schwarzenegger (R) on Tuesday sent state lawmakers a plan to reduce more than $5 billion in spending that includes cuts to HIV/AIDS services, the Los Angeles Times reports (Rothfeld/McGreevy, Los Angeles Times, 5/27). The proposed cuts include $55.5 million in California"s AIDS Drug Assistance Program and other state Office of AIDS programs. According to the San Francisco Chronicle, Schwarzenegger"s plan would make HIV-positive people pay more for drugs, while HIV/AIDS programs such as counseling, monitoring and education would be reduced or eliminated. "We were expecting cuts, but this is much, much worse than what we were expecting," Courtney Mulhern-Pearson, policy and legislative associate for the San Francisco AIDS Foundation, said (Yi, San Francisco Chronicle, 5/27). Tuesday"s plan follows a separate proposal to cut $16 billion in overall state spending that Schwarzenegger announced two weeks ago. Aides say that Schwarzenegger plans to propose an additional $3 billion in reductions by the end of the week to offset a projected $24.3 billion budget shortfall. "Behind every one of these dollars that we cut there are real faces," Schwarzenegger said, adding, "Even though those are tough choices, what is the alternative?" (Los Angeles Times, 5/27). Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.


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