Health Insurance Trade Group Proposal Praised By Sen Kennedy

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A proposal unveiled Wednesday by the health insurance industry would provide universal health coverage and hack away at medical costs through an outside group, and it has seen initial praise from an unlikely source.

The proposal, offered by the America's Health Insurance Plans, or AHIP, trade group, comes on the heels of a universal health care proposal offered by Senate Finance Chairman Max Baucus, D-Mont., as well as pledges by Sen. Ted Kennedy, D- Mass., to move quickly on the issue in 2009.

The keystone of the AHIP proposal is a goal to reduce growth in health care expenses throughout the U.S. market by 30% - a target Ignagni said would reduce health care costs by more than $500 billion from 2010 to 2014.

AHIP's plan won a positive remarks from Kennedy, who figures to play a large role in the debate next year as chairman of the Senate Health, Education, Labor and Pensions Committee.

"There's a spirit of optimism about our work to ensure quality, affordable health care for all Americans - and today's announcement adds to that optimism," Kennedy said in a statement. "The insurance industry has advanced serious proposals that deserve serious analysis and consideration."

The proposal represents an opening salvo for insurers, who have by and large agreed that universal coverage is necessary, in the health reform debate. Importantly, their proposal builds on the employer-based health coverage system - an approach favored by President-elect Barack Obama and Sen. Baucus.

"We're trying to have early input into what I'm sure will be a process of many elements and compromises," AHIP President Karen Ignagni said Wednesday.

Large insurers in the AHIP trade group include Aetna Inc. (AET), Humana Inc. ( HUM), Wellpoint Inc. (WLP) and Cigna Corp. (CI) and UnitedHealth Group.

The AHIP proposal suggests that Congress set a five-year cost goal and that a "public-private advisory group" would do the work of finding ways to cut spending.

Not surprisingly, the plan doesn't supplant the role of private insurers by including single-payer elements. For those earning less than 400% of the federal poverty level, the plan would offer "refundable, advanceable tax credits" to buy private insurance.

Ignagni said Wednesday that, unlike Baucus' proposal, the insurers' proposal wouldn't require that individuals buy insurance. She cited "the economic disruption in the country and hearing very specifically not only from large businesses but small businesses" as the primary reason for not including such a mandate.

"We didn't think that now was the time to recommend an employer mandate," Ignagni said.

Other elements of the AHIP plan would create an "essential benefits plan" for individuals and small business to purchase high-deductible insurance for wellness and prevention as well as acute care, as well as expansion of the state children's health insurance program, or SCHIP, and a streamlining of Medicaid, the federal government's health-coverage program for people below the federal poverty level.

-By Patrick Yoest, Dow Jones Newswires; 202-862-3554; patrick.yoest@ dowjones.com