I think there will not only be winners and losers in the provider area, but in the healthcare consumer area. I suspect politically well connected areas in the country will get better remuneration rates than others. This is the way it is right now with Medicare. Obama would like to change the practice of local lawmakers having a strong say in local Medicare rates. Good luck.
Key lawmakers often get involved in setting local Medicare rates. ASSOCIATED PRESS
September 14, 2009
6:42 a.m. ET
WASHINGTON (AP) -- Hospitals and drug makers like what they see in the early version of a health care plan that may evolve into the one that ends up on President Barack Obama's desk.
But insurers and doctors say they aren't happy. Neither are advocates for low-income workers and some business groups representing employers.
Senate Finance Committee Chairman Max Baucus, D-Mont., has promised a formal proposal within days and plans to convene a bill-drafting session the week of Sept. 21. The Baucus plan is important for two reasons: It's the only proposal that's been worked out in close consultation with Republicans, and it also seems to be headed in the general direction Obama wants to take.
''It's the logical starting point for negotiations,'' said Dan Mendelson, president of Avalere Health, an information company serving industry and government clients. An 18-page summary of an early version of the Baucus plan circulated last week
Senate Health Care Plan to Create Winners, Losers 
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