Business Roundtable
This association includes about 160 chief executive officers of the country's top companies.
What They Want
As the providers of employer-sponsored coverage for about 35 million employees and dependents, the CEOs that make up the Business Roundtable are primarily concerned with controlling health care costs. "The CEOs have said their companies will continue to provide coverage, but what they want out of this is a better system," said Maria Ghazal, the policy director heading the Business Roundtable's Consumer Health and Retirement Initiative.

To those ends, the group would like to see more competition in the health insurance marketplace, perhaps through a regional system of insurance markets, and an increase in insurance options so individuals can keep coverage no matter their employment status.
But until a system overhaul becomes reality, the business leaders want to make sure their coverage of employees continues without interruption. "We need to make sure that we don't do anything that dismantles" the current coverage system, Ghazal said.
Deal Breakers
The Business Roundtable wants to keep two provisions out of health care legislation: a public option and changes to the Employee Retirement Income Security Act.
"We're very concerned that if a public plan is put into place, we will exacerbate some of the problems that exist in the system right now," Ghazal said, citing a further cost shift as a possible offshoot of the introduction of a less expensive public option. Because of the way Medicare and Medicaid reimburse health care providers, private insurance must reimburse at higher rates. Adding a public option which would also reimburse at lower levels would result in even higher rates for private insurance, the Business Roundtable believes.
ERISA laws regulate pension plans and benefits given to employees. Ghazal said the current laws give member CEOs the "flexibility to design the plans based on the different employee populations," but they are concerned that changes to the laws could lead to requirements for a "one-size-fits-all benefits package."
As the Business Roundtable consists of large companies, all of which offer health benefits to employees, the group is less concerned with the possibility of an employer mandate -- a provision that worries small business organizations -- and more concerned with government interference into how they provide insurance.
How Much They've Spent
In the first six months of 2009, the Business Roundtable has spent about $7.4 million on lobbying activities, according to lobbying disclosure forms. In the same time period in 2008, the group spent about $5 million.
As a business association, the group has lobbied on other issues this year -- like taxes and climate change legislation -- but because health care is the "single most important cost pressure" for member CEOs, reform has been a priority issue, spokesman Joe Crea said.

The Business Roundtable does not have a political action committee, but its president, John Castellani (right), has donated $6,500 during the 2010 election cycle to federal candidates and committees, with 85 percent going to Republican recipients. During the 2008 election cycle, Castellani donated $19,350 to candidates and committees, with 78 percent going to Republican recipients.
The Business Roundtable is also a part of two coalitions, Divided We Fail and the National Coalition on Benefits, that have spent money on health care reform. The group's total revenue was about $23.7 million in 2007, according to its Form 990 filed with the IRS.
Key Players
Individual CEOs who belong to the Business Roundtable and staff representing the group have met with congressional and White House officials to discuss reform.
"They have been in numerous meetings with the policymakers," said Ghazal, who has taken an active role herself as health care policy director. "We work very closely with the committee staff as they're putting together this bill."
Before coming to the Business Roundtable, Ghazal worked as health policy director at the American Benefits Council, government relations director on employee benefits at Verizon, legislative assistant at Metropolitan Life Insurance Company and aid to Sen. Daniel Patrick Moynihan, D-N.Y.
Castellani, president of the Business Roundtable, has testified before the House Energy and Commerce Committee and Senate Finance Committee this year, in addition to taking part in other discussions with lawmakers and administration officials.
"We've been in near-constant communications with the White House and Congress, and we believe we're working as an honest broker to bring about reform," Castellani said in a conference call with reporters last week.
Prior to joining the Business Roundtable, Castellani worked as an executive at Tenneco Inc., the National Association of Manufacturers and TRW Inc.
Kodak CEO Antonio Perez is the chairman of the Business Roundtable Consumer Health and Retirement Initiative. Last month, he met with Senate Finance Committee Chairman Max Baucus, D-Mont., Ranking Member Charles Grassley, R-Iowa, Majority Leader Harry Reid, D-Nev., and White House health reform czar Nancy-Ann DeParle.
Links
Business Roundtable Consumer Health and Retirement Initiative
Castellani Telephone Conference On Health Care Reform
Testimony Before the House Energy and Commerce Committee
Testimony Before the Senate Finance Committee


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It seems like almost every other day this summer National Journal and its sister publications have reported on some new multi-million dollar advertising or lobbying campaign
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With the U.S. House of Representatives poised to vote on health-care reform in days, the battle over how to fix the nation's health-care system has reached the boiling point.
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I wanted to thank you for this great read!!But The way Medicare and Medicaid reimburse health care providers, private insurance must reimburse the rates
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The group's total revenue was about $23.7 million in 2007, according to its Form 990 filed with the IRS.
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The group's total revenue was about $23.7 million in 2007, according to its Form 990 filed with the IRS.
Great to see the context below.Property auctions
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In the first six months of 2009, the Business Roundtable has spent about $7.4 million on lobbying activities, according to lobbying disclosure forms. In the same time period in 2008, the group spent about $5 million.
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Adding a public option which would also reimburse at lower levels would result in even higher rates for private insurance, the Business Roundtable believes.Bingo Deposit Bonus
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Health care reform definitely needs to be here. This is going to help a lot of people in the future. There are so many people without insurance. Lets get this done.
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