U.S. Health and Human Services Secretary Michael Leavitt is scheduled today to brief state officials on what kind of federal help they can expect to implement universal health insurance.
State Department of Health and Hospitals Secretary Fred Cerise said Tuesday he has been given no indication of what federal officials will propose.
Cerise said there has been no communication with federal officials since before Christmas on a state proposal developed with heavy input from Leavitt’s agency.
“I don’t know what they are going to come back with. You would think if we were doing this in a collaborative fashion, we would have had some more give and take,” Cerise said.
Cerise planned to dine with Leavitt at Ruth’s Chris Steak House on Tuesday evening — a dinner arranged by Leavitt’s planners.
Financing of the universal insurance model has been the big question mark. State officials estimate it would cost an extra $500 million in the New Orleans area alone. Statewide implementation would require another $1 billion.
Federal officials want plans to cost about the same as the federal government is now spending on health care.
Today, Leavitt meets with legislators, LSU officials, and civic and business leaders in back-to-back meetings throughout the morning, according to a release from DHHS and others who have been invited to the sessions.
“I hope he’s not coming in on a ‘sales trip’ to sell us something we haven’t seen,” Senate Health and Welfare Committee Chairman Sen. Joe McPherson said.
“We have asked, ‘Give us your plan before you come down here.’ Instead we have showed them ours, but they have not shown us theirs. Yet they are coming to town for all these meetings,” said McPherson, D-Woodworth.
Leavitt is expected “to discuss options for the redesign of the Louisiana health-care system,” according to an HHS news release. He will discuss three models that the state can use as it seeks federal approval for what is called a “demonstration” project, the release said.
State officials will also have a midafternoon session with federal CMS executives on the nuts and bolts of the plan Louisiana submitted in October.
“We will see tomorrow afternoon what they feel like they can do to make this work,” Cerise said Tuesday.
Cerise said Louisiana doesn’t want a plan that destroys the system the state has in place today for taking care of its poor and uninsured that’s rooted in LSU’s charity hospital system.
Leavitt pushed Louisiana to go the private insurance route and implement it statewide rather than in just the New Orleans area.
In his Jan. 23 State of the Union speech last week, President Bush said he wants to help states that are coming up with innovative ways to cover the uninsured. But he gave no details.