medicaid

Tillis shines shoes in Washington, DC; or does he?

I once heard a guy tell me that if Naw'th Carolina didn't get "this" Medicaid problem under control, Thom Tillis would be toast. He said he was a Republican; we were sitting at a bar in Raleigh, and I bought him a beer.

I keep wondering about all of those trips Thom Tillis has been taking to Washington, DC. You know, the ones he claims and has been reported as fund raising raiding. Even minor league Republicans (those that descend from the trees at dusk) and are from rural North Carolina, despise him. He surely doesn't give a damn about them; never did, never will.

In doubling a no-bid contract to $6.8 million, the state Department of Health and Human Services has turned over the financial management of North Carolina’s $13 billion Medicaid program to a Washington-area consulting firm.

Washington Post headline says it all

North Carolina Republicans put ideology above lives

Letting people die to prove a point.

A week after Portia Gibbs’s death, Belhaven Mayor Adam O’Neal began a 15-day, 273-mile walk to Washington to draw attention to the outrage in Belhaven, which he blames on the combination of an “immoral” hospital operator and the failure of Republican leaders in his state to accept the new Medicaid funding the hospital needed to stay afloat.

The ridiculously simple solution to NC's Medicaid problem

Fire Wos.

It's abundantly clear that Queen Aldona is the problem.

Both Hise and Dollar also said that the Department of Health and Human Resources sorely needs experienced Medicaid officials to manage a complicated program that provides care to 1.7 million North Carolinians: the blind, disabled, elderly and poor children and their parents.

To which North Carolinians respond "DUH!"

Yet the thoroughly incompetent Aldona does just the opposite, surrounding herself with people who have no such experience. To top it off, she pays them ridiculously inflated fees using our taxpayer dollars [emphasis mine]

What do you think about this?

The Medicaid meltdown continues

The N&O has some excellent reporting this weekend on Mr. McCrory's Magnificent Medicaid Meltdown, which is underway right now in North Carolina. If you've been wanting to understand what's going on with Medicaid, and why, this article should be your first stop.

As you read the story, two things will jump to mind. First, for all the mythology about Art Pope's financial acumen, he just another schmuck plugging made-up numbers into the state budget, all designed to create the illusion that McCrory knows what he's doing. And second, you'll learn that there are real and terrible costs associated with the so-called leadership of our Republican-led government. Under the crushing weight of Queen Aldona Wos, anybody who knows anything about Medicaid has abandoned ship, leaving DHHS hollowed out and completely dysfunctional.

Tagged:

Queen Puppet and her "brilliance"

... are truly too much to behold.

By now we all know that North Carolina is another $60,000,000.00 in the hole because of Wos and the "DHHS Plan." As outlined in an editorial from the Charlotte Observer, the math seems simple; or does it?

Simply put, according to the editorial, here’s how the plan would work:

North Carolina would tax 10 managed-care organizations that provide behavioral health services to mentally ill or developmentally disabled Medicaid recipients. Those “assessments” would bring in $90 million for the state and allow it to draw down an additional $60 million in matching federal funds. The state would then give the $90 million back to the managed-care organizations and pocket the $60 million from the feds. Budget woes, solved.

NC last in minority health; AMA calls for Medicaid expansion

The independent non-partisan Commonwealth Fund is out with a new report on health-care and North Carolina is ranked last in the country in minority health care.

NC ranked 36 out of 51 states overall, but ranked last with minority health among all states in the nation. We also have some of the most expensive employer health insurance in the country, with premiums 13 percent higher than the national average.

NC Medicaid Reform

After floating a trial balloon for privatizing Medicaid that sunk rapidly among the health care providers of the state, Deputy Assistant Guvnor Pat has now rolled out his proposed Medicaid reform plan, which relies heavily on Accountable Care Organizations. This plan has a far more favorable view from healthcare providers and payers.

Yeah, we know it's hard to believe that (1) Queen Aldona and DAG McCrony could apparently get something largely right (still to be determined); and (2) Queen Aldona and DAG McCrony could actually admit that their initial proposal was a disaster and make actual substantive changes.

Sec. Sebelius blasts GOP governors in five Southern States

From the Hill:

Health and Human Services Secretary Kathleen Sebelius lashed out Tuesday at the governors in five Southern states, and Rick Perry (R-Texas) in particular, for “playing politics with people’s lives” by refusing to expand Medicaid under ObamaCare.

Speaking in an interview on HuffPostLive, Sebelius called their decisions “an outrage,” and urged the constituents of those states to pressure their legislatures and let their governors know this is “not acceptable.”

“The worst situation is in the states that so far have not decided to take up the offer of the fed government to expand Medicaid … in the five states with the highest level of uninsured African-Americans, four out of five of those — Texas, North Carolina, Georgia and Florida — are not expanding Medicaid,” she said.

Former DHHS Secretary, Lanier Cansler, on Medicaid

State decisions needed on Medicaid funding from the Sunday editions of Asheville C-T
Jan 26, 2014 | Lanier Cansler OPINION ... Part two of a two-part guest commentary There are two fundamental questions that must be answered if we are going to achieve successful Medicaid reform. First, is the program ...

Medicaid program needs budget goals
Jan 19, 2014 | Lanier Cansler OPINION ... Part one of a two-part guest commentary There has been significant discussion over the past year about North Carolina's Medicaid program. Gov. Pat McCrory and DHHS Secretary Aldona Vos...

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