We'll start today's entry with a complicated issue:
— Rosemary Hoban (@rosehoban) July 22, 2014
Quite possibly too complicated for our current leaders:
Examples of Medicaid managed care’s failures are well known in health care circles. Kentucky is currently struggling with lawsuits against Centene over the company’s abrupt withdrawal from that state’s Medicaid program. Blue Cross and Blue Shield of New York recently announced it would pull out of providing Medicaid in western New York state, leaving more than 50,000 recipients to find new providers. And in 2012, Connecticut transitioned away from managed care, with the state’s Medicaid director claiming state officials found “diminishing confidence in the value” of what was being provided.
During committee meetings, Sen. Ralph Hise (R-Spruce Pine) repeatedly cited Florida’s plan as a model for North Carolina to follow. That state is in the process of scaling up managed care statewide on a two-year time frame. Florida’s transition is only now taking place, with some of the largest counties in the state converting to managed Medicaid on July 1.
And there are still many kinks in the system, according to Joan Alker from the Georgetown University Center for Children and Families, who has followed Florida’s Medicaid experiment since the beginning.
In the meantime, one company involved in the pilot, Wellcare Health Plans, had the largest fraud indictment in the history of Medicaid. The company agreed with the U.S. Department of Justice to pay $137 million to nine states, including Florida, for fraudulent billing.
“The irony of this whole thing is that when reporters would ask me about what was happening in Florida, I would say, ‘Well, a better alternative would be North Carolina, because they have a model Medicaid program,’” Alker said.
Apparently she isn't familiar with NC's new approach to governing: if it's working moderately well, break it, and if it's a "model" program that others might want to emulate, break the shit out of it.
— Dave Enna (@Dave_Enna) July 21, 2014
I couldn't care less. Actually, the fact that I posted this here probably means I'm trying to convince other people that I couldn't care less, which means I may care more than I'd like people to believe...Nah, I really don't care.
— NARAL Pro-Choice NC (@NARALNC) July 21, 2014
We do need to make sure everybody knows, but until 2016 I'd be more interested in roasting every one of the jackasses (including Dems) in the NCGA who voted for this tripe, especially the ones in tight races.
— Jeanne MillikenBonds (@JeanneBondsNC) July 20, 2014
Okay, this Tweet is dated 20 July, but Twitter sent it to me in an e-mail yesterday. Once each week, on late Monday or early Tuesday, Twitter sends me one of these e-mails with several choices of Tweets from people I follow. How does Twitter know I'm compiling Tweets for a blog post? Is Owly one of my readers?
Did you know you can go on a virtual scavenger hunt on Instagram? http://t.co/42wtLil325
— Hootsuite (@hootsuite) July 21, 2014
Alright, you can give up the act. I know you're watching me, and while I appreciate your interest in keeping me up to date and all that, it stifles my creative impulses to know you're looking over my shoulder. Not to mention making me paranoid...
— Pat Fuller (@bannerite) July 14, 2014
Yep, that's all true. I'd like to think making sure all voters understand that would spell the doom of the Republican Party, but I'm afraid that's not going to be enough.
— Andrew Blackburn (@NC_Blackburn) July 21, 2014
You want to talk about jobs associated with offshore drilling? Go down to the Gulf Coast in Mississippi and Louisiana and talk to the folks who used to work in the seafood and tourism industries. I dare you.
— AFP-NC (@AFPNC) July 22, 2014
Did Dallas hire his own replacement? Did they sit around "brainstorming" to see who could come up with the most stupidly ironic statements? If any entity is "holding America back" it's the Republican-controlled US House, which has done nothing substantive in years. Their sole function has been to obstruct the President at every turn, and to hell with the consequences. Right statement, wrong building pictured.
On that inscrutable note, here's your Onion:
— The Onion (@TheOnion) July 20, 2014
Who do you think took the pictures and shot the video?