Skip navigation

June 2024 e.Bulletin

In this e.Bulletin: Vote NO on I-2124, In Defense of the WA Cares Fund: Aging with dignity and independence recap, UHCC recap, and events!

Spotlight_Bar.png

What is the Washington Cares Fund?

By Ron Lovell

WA Cares is a mandatory long-term care insurance program established by Washington state law in 2019. In our 2nd Wednesday Speakers Series (2WSS) June 12, 2024, Ruth Egger, consumer representative on the Long-Term Services & Support Trust Commission, and Erin Lee, Coordinator for No On I-2124 took us on a deep dive into the need for the WA Cares Fund and a 2024 ballot initiative that may destroy the program. Washington was the first state in the nation to create a public long-term care benefits program. 

This short video (53 min) of our 2WSS explains the program and the ballot initiative so that you can make an informed opinion when you vote.

Here are the key details about WA Cares Long Term Care Services program:

  • Provides a lifetime maximum benefit of $36,500 (adjusted annually for inflation) that can be used to pay for long-term care services like professional care, equipment, home modifications, and compensation for family caregivers.
  • Funded by a payroll deduction of 0.58% of wages from all employees in Washington state, with some exceptions.
  • Benefits become available starting July 1, 2026, for eligible individuals  who have paid the premium for at least 3 of the last 6 years or a total of 10 years.

For complete information, go here.

Administrative Simplification Round 3: Health Insurance Plans vs. the Rest of Us

By Marcia Stedman

At its June meeting, the Universal Health Care Commission again tackled the topic of Administrative Simplification, this time hearing from a panel of 3 providers and 1 insurance executive.  The presentations reinforced what members of the public have been telling the Commission for years in their public comments.

All panelists agreed that simplifying administrative requirements was essential to lower the costs of care and improve patient access.  

Priorities for what to tackle first varied across specialties:  

  • Physicians: prior authorizations, licensure delays, and clinic/pharmacy communication.
  • Behavioral health: claims processing, timely payments from insurers, and ER follow-ups.  
  • Insurance executive: too many interoperability standards across their “lines of business” and getting provider buy-in to the new standards.

Commissioners identified these priorities for simplifying administrative requirements:

  • Better communication between pharmacies and medical clinics 
  • Address the stigma of substance abuse, mental health and cost in lives lost, especially at the Federal level. Given Federal laws, what can we do at the state level?
  • Lack of uniformity in pharmaceutical formularies, possibly caused by insurers chasing rebates.
  • How does administrative simplification affect different provider types? 
  • What are the unintended consequences for Medicaid patients? 
  • Analyze savings from simplicity, as improvements may not give significant savings
  • Help connecting the dots:  where would a universal health care system help on all of these good ideas?

There needs to be a set process or systemization for how legislative changes are implemented.  

For example, in 2019 an exception process for pharma to avoid prior authorizations was passed into law, but it is not well known. 

Staff will review these priorities and advise for the 2024 Report. 

This was a rich meeting with many details and is well worth viewing. The Panel presentations begin at 1:26:06 with Jeb Shepard.

The next UHCC meeting is August 8 @ 2-5 pm. Find the meeting materials and Zoom link here.

Meanwhile, please join us as we track the  FTAC meeting on July 11 @ 2-4:30 pm

We encourage you to:

Subscribe to Health Care Authority (HCA) for updates. 

Upcoming_Events_Bar_(2).png

Sat, July 6

 

"Healthcare Not Warfare"
WW and WPSR Town Halls
2:00 p.m.

Everett Library, 2702 Hoyt Ave, Everett, WA.
Registration is not necessary.

In person only.

Tue, July 9  

One Payer States
2nd Tuesday Speaker Series
5-6:30 p.m.

Hear from leading experts in their fields and how to apply their knowledge to win the fight for universal one-payer health care.

Register

Tue, July 9

 

PSARA Webinar:
Is Medicare Advantage Driving Your Provider to Despair? And Why You Should Care
p.m.

Dr. Carol Paris and Dr. Diljeet Singh from PNHP discuss how insurance companies force providers into crises of conscience, thereby adversely affecting both providers and patients.

Register

Thu, July 11

 

Finance Technical Advisory Committee Meeting
2-4:30 p.m.

FTAC meeting

Fri, July 19

 

One Payer States 3rd Friday Meetings
10 – 11 a.m.

Learn, engage and activate! Join us as we discuss the work of One Payer States

Register

Multiple July dates

 

Whole Washington Town Halls around the state on July 13, 15, 18, 20, 21, 22, 25 and 27.

Further information here.

Please support our work.


The perfect gift for every universal health care supporter, any time of year: Everybody In, Nobody Out t-shirts, winter scarves, and umbrellas.


 Editors: Consuelo Echeverria & Marcia Stedman 
★ Graphics & Communications Specialist: Sydnie Jones 
  President: Ronnie Shure ★  

Continue Reading

Read More

May 2024 e.Bulletin

May 31, 2024

Kicking off a Summer of Action - Actions, Events, Meetings and more! TOP EVENT  - Happening NOW May 28-June 1:  2024 Medicare for All National Strategy Conference, Sponsored by Healthcare-NOW REGISTER HERE!  This year's theme is "Healthcare Beyond the Ballot Box," featuring presentations, interactive...

Read more

April 2024 e.Bulletin

April 30, 2024

GiveBIG for Universal Health Care! Healthcare for profit is not working and we need your help to change it!  Whether meeting with Legislators to draft and pass healthcare reform bills, participating in and reporting on the Universal Health Care Commission, or collaborating with allied...

Read more