Posts Tagged 'Medicare Advantage'

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

Today, Comptroller Brad Lander declined to register the Aetna MAP plan for New York City municipal retirees, citing not just pending litigation, but also concerns over the ethics of reverting to Medicare Advantage in the first place. Specifically, he noted “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.” These arguments are familiar to New Action members and others in the opposition – we’ve been making them for over a year now. Nevertheless, despite some support from legislative politicians, especially over 12-126, this may be the first major instance of a top executive player putting a halt to MAP.

Is this a sign of a turning tide, inspiring hope for members of later pension tiers who fear retiring long after future iterations of watered down MAP contracts gut our health plans? I’d like to hope so.

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.

Retirees Sue to Halt Forced Switch to Medicare Advantage

Yesterday, the NYC Organization of Public Service Retirees initiated a new lawsuit against the City, as reported by the Daily News. Using a complicated mix of legal strategies, the goal of the legal action is ultimately to stop Mayor Adams from switching retired municipal workers—such as UFT members—off traditional Medicare and onto an Aetna-run Medicare Advantage Plan (MAP).

I of course am no legal scholar, but I did read through the 106-page official court filing,  and encourage others to do the same. The lawsuit makes an overarching claim that retired City workers took lower salaries and made irreversible financial, geographic, and medical decisions, both while working and once retired, in part because they were assured during and after their careers that in retirement the City would pay for their Medicare Part B premium plus their choice of a Medicare Supplemental plan. As good as any excerpt detailing the lawsuit’s primary claims can be found on pages 73-74. In this section, we see the facts/arguments tailored toward an ‘unjust enrichment’ claim, though other passages tailor those same facts/arguments toward other types of claims. That section is reproduced here:

“First, Respondents engaged in an unjust bait and switch. For 57 years, the City has promised municipal workers that a career in civil service – which pays wages substantially below those in the private sector – would entitle them to City-funded Medicare plus supplemental insurance in retirement. Retirees worked for the City for decades in reliance on this promise. When he was running for office, now-Mayor Adams agreed that eliminating Medicare plus supplemental insurance would be an unfair “bait and switch” that would “traumatize” these elderly and disabled Retirees. 50 He added: “You don’t become a civil servant to become a billionaire. You become a civil servant to have stable health care, a stable pension and a stable life, and we cannot destabilize it after they retire. Right now, after serving your city, we should not do any type of bait and switch. When you retire, you retire with an understanding, and we need to make sure we live up to that agreement.”

Second, Respondents are statutorily and contractually required to continue offering, and paying for, a choice of Medicare Supplemental plan.

Third, the vast majority of Retirees survive on meager pensions. Absent the City fulfilling its obligation to pay for Medicare plus supplemental insurance, most Retirees will be unable to afford the healthcare that they need and to which they are entitled.

By forcing Retirees to incur expenses that Respondents themselves owe, Respondents have been, and will continue to be, unjustly enriched. Equity and good conscience demand that Respondents’ unjust enrichment be enjoined and that any financial benefit they receive (including in the form of savings) be disgorged.”

Altogether, the legal filing presents an interesting case—really, cases, plural—to prevent the City from throwing retirees onto MAP. Whether the petitioners will be successful is another story, and—again—I  lack the legal expertise to make a valid prediction. The retirees do have a solid track record – one they’ve been building since they won their first big lawsuit. In that case, the City and official union leadership were stopped from throwing retirees onto a different version of MAP unless they paid up to stay on traditional Medicare (now they don’t even have that option). But Judge Frank’s decision in that case was made on the basis of a narrow reading of Administrative Code 12-126. Our own Unity-led UFT leadership misrepresented that precedent all over the place, suggesting that because of it, the City would be able to unilaterally throw all retirees onto whatever MAP plan they wanted without a pay up option. That of course wasn’t completely true. The City would only be able to do this if union leadership agreed to this ‘nuclear’ option. As we now know, most unions did not agree to this decision, but because of the outsized weight that UFT and DC-37 have in voting on healthcare bargaining decisions through the MLC, Mulgrew and Garrido were able to almost singlehandedly greenlight the MAP nuclear option, and without consulting their memberships either.  (Why? The most likely reason for Mulgrew/Garrido selling out the city’s retirees can be gleaned from Jonathan Rosenberg’s testimony on budgetary implications of moving retired municipal workers onto MAP. While the City is the respondent of the new lawsuit, the primary savings of MAP (and, by extension, changes to in-service healthcare) go not to the City exactly, but to our joint stabilization fund. But I digress – that’s a post for another day.)

Will Marianne Pizzitola’s group be able to use the law to stop the City from pushing retired municipal workers onto an inferior Medicare Advantage Plan? Their legal strategy worked the first time around. It also worked the second time around. But, with a nuclear option now activated—a nuclear option that was tailored precisely to legally circumvent Judge Frank’s previous decision—we’ll  have to see if the law will still be on our side. Still, let’s keep up hope.

Union elections have consequences. One of those consequences is apparently getting your healthcare and retirement benefits stripped away without a membership vote. 

Today, the Municipal Labor Commission (MLC) voted to force hundreds of thousands of retirees off of traditional public Medicare and onto one of two privatized Medicare Advantage Plans (MAPs). (Full analysis of those two plans and the UFT’s role: here). Most of the City unions did not vote in favor of this change. But most unions are much smaller than the UFT and DC37. Therefore, with weighted voting, Mulgrew and Garrido were able to ram through Mulgrewcare with the help of a handful of other union leaders.

Weighted voting in itself isn’t unfair. Some of the unions in the MLC are smaller than divisions in the UFT. It makes sense that our union would get more of a say than particularly tiny ones. On the other hand, does it make sense that UFT votes as one giant bloc? Perhaps, the issue is that UFT has a winner-take-all model of democracy. Only a few minor seats, such as the High School Executive Board, are obtained through division votes. So, even though more than 40% of in-service teachers voted against Mulgrew, including the majority of high school voters, Mulgrew gets to speak for us – and use our weight to influence MLC votes. That’s particularly egregious, because those who voted against Mulgrew voted overwhelmingly for United for Change (which included New Action).  One of our platform items was to preserve traditional Medicare and end healthcare givebacks. It’s sickening to know that Mulgrew was able to use our numbers to vote against our interests as explicitly outlined in our election materials. 

Better yet, why wasn’t a decision this big opened up to a vote for general membership? Even those who voted for Mulgrew in the last election didn’t know that he would push through MAP without even a payup option to keep traditional Medicare. We should have been able to directly vote on this question. But, when asked, Mulgrew made it clear to the executive board, the DA, and–most explicitly–to the retirees that membership would not get a say. His message was simple, a paraphrased version of Trump’s infamous: ‘elections have consequences.’ By winning the UFT election, it seems, Mulgrew earned the right to throw us off our healthcare. He earned the right, in fact, to throw every municipal union off their healthcare. 

Look, the damage isn’t necessarily done. Tier sixers, like myself, are probably feeling pretty pessimistic right now. (We might be able to win for a while, but how do we win for another 50 years?) Nevertheless, we can organize. We can fight back. And we need to take Mulgrew at his word. If elections have consequences this drastic, it’s time for members to start getting involved with alternatives. 

We can’t keep letting Mulgrew’s ‘political party,’ Unity Caucus, do this to us. We can’t keep letting them do this to our brothers and sisters throughout the labor movement either. It’s time for a change.


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