When Will Consumers Learn – It’s not all about them!

Today’s leading Wait. What? story comes via CTNewsjunkie who cover the news that despite repeated requests from Connecticut healthcare advocates to make sure consumers are represented on the new and
powerful Health Insurance Exchange Board, neither the Governor nor legislative leaders saw fit to appoint even one consumer representative on the new 14 member board.

As required by federal health care reform (aka the Patient Protection and Affordable Care Act or ObamaCare) each state must set up a Health Insurance Exchange Board to coordinate the development of that state’s healthcare exchanges which are the mechanism to expand access to health care insurance starting in 2014.

As CTNewsjunkie explained “All of the 14 individuals are either members of Malloy’s administration, former insurance company executives, or individuals with political connections, none, aside from the non-voting state Healthcare Advocate, are consumer advocates.”

The fact that Connecticut’s elected officials included insurance industry executives but failed to put on a single voting healthcare advocate is particularly bizarre since the Patient Protection and Affordable Care Act expressly requires consumer representation and prohibits the appointment of exchange members who are affiliated with the insurance industry.

Governor Malloy had two appointments to the new exchange board and put on Lt. Gov. Nancy Wyman and Mary Fox (a retired Aetna executive).

Democratic Senate President Pro Tempore Donald Williams appointed Cece Woods, the former Deputy Chief of Staff and Research Director for the Senate Democrats.

Democratic Speaker of the House Chris Donovan appointed Bob Tessier, a former union organizer for SEIU-1199 and presently the director of the Connecticut Coalition of Taft-Hartley Funds which oversees health funds for unionized workers.

Senate Democratic Majority Leader Martin Looney appointed Dr. Robert Scalettar, who recently retired as medial director for Anthem Blue Cross Blue Shield and House Democratic Majority Leader Brendan Sharkey appointed Dr. Grant Ritter (an academic healthcare researcher who is also the spouse of State
Representative Betsy Ritter).

Republican Senate Leader John McKinney appointed Mickey Herbert, the retired president and CEO of ConnectiCare and Republican House Leader Larry Cafero appointed Michael Devine, CEO of Earth Energy Alliance (Perhaps Cafero thought it was the Energy Exchange Board he was making the appointment to and not the group responsible for developing a major piece of Connecticut’s healthcare reform effort).

Automatic members of the new board are Ben Barnes (OPM). Jewell Mullen (Commissioner of Public Health), Roderick Bremby (Commissioner of Social Services).

Non-voting members include Thomas Leonardi (Commissioner of Insurance), Vicky Veltri (Healthcare Advocate) and Jeannette DeJesus (Deputy Commissioner of Public Health and Malloy’s Healthcare reform Advisor).

While healthcare advocates expressed shock, anger and frustration the best quotes (or non-quotes) of the day came from those who made the appointments.

Jeannette DeJesus, Malloy’s point person on healthcare reform defended the governor saying that “he filled his positions based on the legislative requirements…He stuck to the letter of the law.”

In addition, according to the legislation, “McKinney was supposed to appoint an expert in health care access issues faced by self-employed individuals, and Cafero was to appoint an expert in barriers to individual health care coverage. Donovan was responsible for appointing a health care benefits plan administrations expert, while Looney was to appoint an expert in health care delivery systems. Sharkey was to appoint a health care economics expert and Williams was to appoint a health care finance expert.”

But when CTNewsjunkie looked for an explanation of how appointments could have been made that were so different from what was required “neither lawmakers or the administration were willing to comment.”

Meanwhile, one of Connecticut’s leading consumer healthcare advocates, Jennifer Jaff,  was quoted as saying “I am appalled that nobody thought to appoint someone who would represent consumers’ interests, especially in light of the express language in the federal regulations” adding that it is “Another example of Connecticut consumers getting the shaft when it comes to health insurance issues.”

Well said Jennifer.

  • Jeff Klaus

    Fascinating take on this, Jon. You seem to agree that patients (consumers) ought to have a significant say here. Yet when it comes to state spending, you dismiss the voices of taxpayers in your support of state employee perks or massive spendng programs.

    • jonpelto

      Fair question. I would hope that if there was a commission revamping CT’s tax structure and it didn’t include a taxpayer I’d be vocal. As a small businessman it wasn’t that tax rate I find so offense but the way the taxes are collected. If they just said we want X I’d like it a lot more than the hours and hours of work to fill in all the reports.

      When that commission is set up you have my word I’ll yelp about the need for taxpayers who understand the “consumers” position.

  • WellRead29

    The PPACA does not say that “insurance industry executives” are expressly prohibited from serving on Exchange Boards. It says that they may not DOMINATE exchange boards, and the word “dominate” has not be defined in the regulations, so anything under 50% representation by insurance industry types would still be legal.

    WR29, Healthcare Economist