Showing posts with label Municipal Labor Committee. Show all posts
Showing posts with label Municipal Labor Committee. Show all posts

Friday, June 9, 2023

Comptroller Lander Attacks Plans to Reduce Medicare as he Declines to Register Medicare Advantage Contract Pending Litigation

“As a matter of public policy, beyond the scope of our office’s specific Charter responsibility for contract registration, I am seriously concerned about the privatization of Medicare plans, overbilling by insurance companies, and barriers to care under Medicare Advantage.... Recent investigations identified extensive allegations of fraud, abuse, overbilling, and denials of medically necessary care at 9 of the top 10 Medicare Advantage plans, including CVS Health, which owns Aetna.  ... ‘Once corporations privatize every inch of the public provision of health care, we may never get Medicare back... Brad Lander
Wow! Brad Lander goes on my very small list of politicians I still vote for.... NYC Retirees

Friday, June 9, 2023

Good news. With the deadline to opt out (June 30) of MulgrewDisadvantateCare fast approaching, Brad Lander tosses a monkey wrench into the Mayor Adams/MRC/UFT deal to drag city retirees out of Medicare into the privately managed, profit making Aetna plan, due to take effect on Sept. 1. As you can see above, Lander went further than just talking about the specifics but went after the general attack on Medicare by the insurance lobby and its allies - our own union.

Fundamentally, the UFT/Unity backing of this change is anti-union and anti-worker. But with a union leadership that dovetails with the corporate wing of the Dem party, why expect anything else? We've noticed that some of the rhetoric coming from the mouth of Randi Weingarten and crew turn calls for Medicare for all into MedicareAdvantage for all --- meaning the standard neo-liberal attacks on government run programs as Medicare is. 

Last week, the lawsuit was filed by retirees and yesterday a bill was supposed to be introduced by Charles Baron to the city council, with a large demo outside of retirees but that was postponed until next week - most likely June 22 - Thursday. It's important to have big crowds at these rallies -- politicians notice.

With Adams facing an election in two years, I imagine Lander has put himself into the running as retirees will vote heavily to oppose Adams and Lander just gave himself a leg up. Yes, politics do matter. Even it we don't win the medicare case, we can punish Adams in the next election - and Mulgrew too - both in 2025.

But there is some skepticism in that the Mayor can overrule Lander and will probably do so, so don't go crazy. However, Lander went much further than the narrow legal issues and raised crucial points we have been trying to raise at the UFT - that they were helping kill the only public option

Nick has notes at NAC on the story:

Mulgrew: the Comptroller is worried about MAP. Why aren’t you? -

Yes, Mayor Adams may reverse Lander’s decision. But we now have well positioned allies refusing to sign off on retiree healthcare cuts. And that bodes well for the future, even if it does mean our dear beloved Unity-led UFT leaders may need to find their ‘healthcare savings’ elsewhere, as their debt to the City passes its due date. And yes, with the spotlight on retirees, we should expect those cuts to land on in-service teachers, who have been promised the absurd: an ‘equal or better replacement to GHI at 10% cheaper of a cost.’

When will that replacement be announced? You better bet it won’t be until after Mulgrew tries to ram through a mediocre contract—and that process will start as early as next week. So, before we vote on a TA, let’s make sure we ask – what will only 90% of our current health plan look like, and how will we afford it on a pay-cut?

Make no mistake: we can’t win the battle against healthcare cuts solely on the good graces of well-positioned politicians. Ultimately, we need to situate ourselves to be able to stop anti-labor backroom deals. As Mulgrew is keen to remind us at DAs and executive board meetings, health care is a part of our overall compensation. Well, we vote on whether to accept what the City offers us in economic compensation. So, both now and when we’re retired, we deserve a vote on changes to medical coverage too. Since UFT leadership doesn’t see the problems everyone else sees with reducing our coverage and tossing retirees onto MAP, we need a formal and permanent mechanism to keep them from doing so.

I'm hitting all my docs before Sept. 1 - braving the smoke today to keep a cardiology appointment - I do preventive maintenance - like having my car checked regularly. I think today is a stress test which I think will show I have slowed down since the last one -- I'm thinking it's my weight which I can't seem to lose - probably due to the cheese cake at UFT Ex Bd meetings. Or maybe it's the stress of seeing my own union try to reduce my healthcare.

The email below was sent by a large medical group here in Delray Beach regarding their feelings about Aetna.  It's an important read regarding their past dealings with Aetna.  





 

Here is Lander's complete statement:

 

FOR IMMEDIATE RELEASE
June 8, 2023

Chloe Chik, (646) 761-2914
cchik@comptroller.nyc.gov

press@comptroller.nyc.gov

Comptroller Lander Declines to Register Medicare Advantage Contract Pending Litigation 

New York, NY – The Comptroller’s Office declined to register the City’s contract with Aetna to transfer City retirees to a Medicare Advantage program for their health care coverage. A pending lawsuit, brought on behalf of retirees, questions the City’s authority to enter into such an agreement.  

Comptroller Brad Lander issued the following statement: 

“The Comptroller’s Bureau of Contract Administration carefully reviewed the City’s contract with Aetna and returned the contract to the Office of Labor Relations without registering it. Pending litigation calls into question the legality of this procurement and constrains us from fulfilling our Charter mandated responsibility to confirm that procurement rules were followed, sufficient funds are available, and the City has the necessary authority to enter into the contract. 

“As a matter of public policy, beyond the scope of our office’s specific Charter responsibility for contract registration, I am seriously concerned about the privatization of Medicare plans, overbilling by insurance companies, and barriers to care under Medicare Advantage.  

“I appreciate the work of the Municipal Labor Council and the Office of Labor Relations to negotiate improvements to the Aetna contract to address some of the concerns raised by retirees. However, the broader Medicare Advantage trends are worrisome. Recent investigations identified extensive allegations of fraud, abuse, overbilling, and denials of medically necessary care at 9 of the top 10 Medicare Advantage plans, including CVS Health, which owns Aetna.  

As health care activist Ady Barkan wrote last month, noting that half of Medicare enrollees nationwide have been transferred from traditional Medicare to private Medicare Advantage plans: ‘Once corporations privatize every inch of the public provision of health care, we may never get Medicare back.’”

###

 

Tuesday, June 29, 2021

Are Municipal Unions Selling Out Retirees? Hell YES -

After killing a single-payer bill, the city’s public-sector labor leaders are trying to force a quarter million people from Medicare into pricier for-profit insurance plans. ... cost savings from Medicare

Advantage come from both higher copayments, essentially shifting costs from the government to individuals, as well as the fact that people receive less care either due to high claim denials or because they don’t seek out the care in the first place because fewer providers accept Medicare Advantage.  Daily Poster -

Are New York’s Unions Selling Out Retirees?

Tuesday, June 29, 2021 8:30 AM - Good Morning - Norm Scott

In the beginning, as the firmament coalesced into the formation of municipal unions, the city gave unions control over their health plans, with a bureaucracy and a patronnage system. Thus, the UFT Health and Welfare fund, which is not paid by union dues but by the city, thus giving union leaders a windfall of sort to play around with. The calls for moving the entire process under public management threatens both the insurance companies adn their clients, the union leaderships. When Mayor Wagner gave the sign that public worker unions were kosher c. 1960, he was not being dumb. He tied the unions deeply to the city as co-managers.

So, Yes, the unions made sure to kill the NYS single payer bill and despite claiming to support a national medicare for all plan, our own union lines up with the Dem Party right wing in supporting the privatized health care industry.

Mulgrew whines about health care costs and how we have to reduce them - savings he calls them -- as Jonathan Halabi pointed out on Sunday night's webinar -- the savings come from us. Certainly not reducing or eliminating profits -- they are in business to make money.

If Mulgrew wants savings, he should check the costs in Europe which are half ours. And those countries have various forms of universal healthcare. In essence, by opposing public options, Mulgrew and other union leaders are fighting to keep health care prices higher.

Here is a great piece by Julia Rock at David Sirota's The Daily Poster -- I urge you to sign up - only $50 a year: https://www.dailyposter.com/are-new-yorks-unions-selling-out-retirees/

Read on:

A January 2021 study by The New School found that the city could save about $1.6 billion per year if it adopted a self-insurance program, as most major cities and large companies have done. That would involve setting up a health insurance plan just for the city’s employees and paying for claims directly, rather than paying premiums to a health insurance company which tends to be more expensive because insurance company profit margins are so large.

But since the negotiations between the MLC and Office of Labor Relations were held behind closed doors, retirees don’t know whether this option was ever considered.

UFT retirees will note that our chapter leaders have never told us about this option. Now here comes a fun fact:

Retirees pointed to MLC personnel with ties to the health insurance companies that could end up providing the new Medicare Advantage plans as potential conflicts of interest. Gregory Floyd, President of the Teamsters Local 237 and Secretary of the MLC, is on the board of EmblemHealth.

Holy shit! The Secretary of the MLC is on the board of Emblem Health. I've always been suspicious of the unions' slavish devotion to private insurance. Do we think the insurance companies don't lobby our union leaders? The explanation offered for why unions want to stick with privatized plans:

“For a lot of these MLC unions, the one tangible thing that they provide, in addition to wages, are health care benefits, and particularly the benefits that come out of their welfare funds,” said one New York City union representative, speaking on the condition of anonymity. “They want health care benefits associated with union leadership.”

The reasons go deeper than this. In the beginning, the city gave unions control over their health plans, with a bureaucracy and a patronage system. Thus, the UFT Health and Welfare fund, which is not paid by union dues but by the city, thus giving union leaders a windfall of sort to play around with. The calls for moving the entire process under public management threatens both the insurance companies adn their clients, the union leaderships.

The Daily Poster: https://www.dailyposter.com/are-new-yorks-unions-selling-out-retirees/

Are New York’s Unions Selling Out Retirees?

Friday, April 30, 2021

Retiree Advocate/UFT Calls for MLC Moratorium on health care modifaction negotiations until greater transparency; Will Host Sunday eve info/action Zoom at 7PM

RA/UFT  is sending the following letter to the Municipal Labor Committee: 
 
To: Harry Nespoli, Chair, MLC
CC: Michael Mulgrew

The members of Retiree Advocate/UFT strongly object to the lack of transparency over the process in awarding contracts to one of two finalists in the proposed transfer of 250,000 retirees out of Medicare and into a privatized Medicare Advantage plan.

Until there is complete transparency regarding the process, with full information to those affected by this decision,  Retiree Advocate/UFT calls for the Municipal Labor Committee to declare a moratorium on this move due to the deleterious effect it will have on NYC retirees.

Retiree Advocate/UFT

I've been part of Retiree Advocate/UFT Organizers. We spent the past few months preparing a platform and a slate to challenge Unity Caucus in the upcoming UFT retiree chapter elections (ballots go out in about 10 days - if you are a retiree check the Retiree Advocate slate). We have 130 retirees running and could have had 300 to fill the entire slate but were running out of time.

Then a few weeks ago, just as we were meeting the UFT deadline for sending in our leaflet that will be sent out with the ballot, we began hearing about these negotiations going on behind our backs about pushing us all into a privatized version of our much beloved Medicare - which everyone should have but is opposed by our unions and the Democratic Party which are so tied to privatized insurance corporations that I sometimes wonder what they are getting out of it -- well, the Dems get massive donations but exactly what are the unions getting? I'll let you speculate on that in your spare time.

Once we were able to gear up and zoom meet - between our doctor appointments - possibly soon to disappear when our docs don't take the Advantage plans -- a plan of resistance began to formulate - and we forsee the battle continuing even if they make this change because we expect they might make things look good initially before the chopping block comes when people are no longer watching.

Someone in another union sent us a missive from the MLC chair Nespoli that MLC  washolding a steering committee meeting Monday, May 3 and a full committee meeting on Wednesday May 5. It is not clear if they will actually vote. Hearing this sparked our moratorium letter to Nespoli and the MLC.

Then we hear that Mulgrew is holding a meeting for retirees on Tuesday May 4 -- hmmmmmm.

COMRO Objects
A similar letter to ours was sent to the MLC on March 14 by COMRO -- what is COMRO? The Council of Municipal Retiree Organizations which includes the UFT which is represented by one of the UFT founders George Altomare who we assume was involved in sending an open letter published in the Labor Press
An Open Letter to Mayor de Blasio and the Municipal Labor Committee:
The Council of Municipal Retiree Organizations (COMRO) has learned that you are in the process of awarding a highly lucrative contract to a major health insurance company to take over administering health insurance for over 200,000 Medicare-eligible retirees effective this July 1. You released an RFP and have eliminated two of the four responders. Your technical committee is evaluating the two finalists and will shortly send their recommendations to you for a final vote. 
Nowhere in this process have you consulted with the 200,000 people and their families to determine how it will help or harm us. Medicare Part B works very well for most of us. We contributed to Medicare during our years of employment with the tacit understanding that we will have the hard-earned entitlement when we turned 65. Now we are dependent on the kindness of strangers to maintain our health and wellbeing without additional cost. We are duly concerned that these types of managed care programs have a history of making it difficult to choose doctors and specialists by introducing bureaucratic hurdles. 
The lack of transparency in your rush to change this program is both insulting and frightening to those of us who have collectively worked millions of years serving the people of New York City. How can we trust our very health to a backroom deal based on a dubious assumption of cost avoidance? 
Before this contract is awarded, you must include actual Part B recipients in the evaluation process to ensure any change in Medicare Part B will not harm us.

 

RA Sunday night (May 2) Info/Action Zoom at 7 PM

We expected 35 or so but so far registration has gone over 100 and we may have to buy an extended ZOOM package or stream live to FB for the overflow. You can still register:

Make sure to register early for our Zoom event this Sunday.

Retiree Advocate/UFT invites you to a Zoom Meeting
                                     Sunday  May 2 at 7PM

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       Is Our Medicare Being Privatized into        
                      Medicare Advantage?
              Information, Discussion, Action
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