VACATION HOME: This house in North Port, Fla., produced $63,000 in rent payments to lobbyist Rusty Cranford, according to a government information about improper spending by a nonprofit at center of public corruption scandal. The Democrat-Gazette's further examination today of ill-gotten gains in the corrupt activities of past executives of Preferred Family Healthcare glides over something worth emphasizing about nonprofits such as PFH. They can make huge profits and shield the windfall through arrangements with for-profit management companies. Doug Thompson's reporting delved into the complicated and intentionally opaque sales and asset transfers that enriched a handful of insiders to the tune of $17 million. That bottom line was revealed when one of the former executives, Keith Noble, pleaded guilty last week. In his plea agreement, the government spelled out the windfall profits in detail, omitting only some specific names. The essence is simple: The conspirators caused … [Read more...] about The nonprofit route to profits isn’t limited to a rogue Medicaid provider
click to enlarge NOT MY FAULT. Gov. Asa Hutchinson talking about how well the work rule was doing after 4,300 lost coverage the first month. While Gov. Asa Hutchinson was touting the character-building aspect of his work requirement for Medicaid, a federal commission was expressing alarm at the first report of thousands of people losing coverage. From the New York Times: Members of a federal advisory panel expressed alarm this week that 4,350 low-income people in Arkansas had lost Medicaid coverage because they failed to show they were complying with new work requirements held up by the Trump administration as a model for the nation. “I hope these data scare the pants off people in Arkansas,” said Dr. Christopher Gorton, a member of the panel, called the Medicaid and CHIP Payment and Access Commission. Dr. Gorton clearly doesn't know the controlling Repblican bloc in Arkansas, which still believes entirely too many people are getting government assistance in … [Read more...] about Medicaid Commission ‘alarmed’ by lost coverage in Arkansas. What, Asa worry?
Tony Leys Des Moines Register Published 6:23 PM EDT Sep 14, 2018 Gov. Kim Reynolds, who dropped David Hudson as a Medicaid adviser this summer, stopped by his house Thursday to hear his concerns about how private Medicaid managers are treating his son and other severely disabled Iowans. Reynolds, a Republican, spent more than an hour at Hudson’s Windsor Heights home, after meeting with him in her office earlier this month. Reynolds’ Democratic challenger, businessman Fred Hubbell, visited Hudson's home twice in August. Hudson drew statewide attention last month from a Des Moines Register story about Reynolds’ decision to drop him as co-chairman of a Medicaid advisory council. Hudson, a Republican, had used the post to publicly complain about Medicaid management firms limiting payment for services to his son, Matthew, and other Iowans with severe disabilities. He questioned whether the 2016 shift to private management of Medicaid is saving taxpayers … [Read more...] about Iowa Medicaid controversy draws Reynolds, Hubbell to resident’s home
Walthall The program contains numerous exemptions, including for pregnant women, the medically frail, people over age 60, caregivers of dependent children and the chronically homeless.Upping expectations Clere And even then, the hourly requirement starts relatively low—five hours a week until October, then increasing gradually until it hits the 20-hour-a-week requirement in July 2020. Shackleford Lawmaker concerns DeLaney “These kinds of requirements just drive up the bureaucracy and slow down people’s ability to get the benefits,” he said.‘Red-tape barrier’ Kirchhofer “Under this planned work requirement, the most vulnerable Hoosiers among us will lose health care,” he testified. “This requirement will create a red-tape barrier between those in need and the medicines and treatment they need, often desperately so.”New research Quigley “Medicaid work requirements are out of step with the lived experiences of … [Read more...] about Debate rages over Medicaid work rules as state rollout nears
Other medical association leaders expressed similar sentiments. During its meeting Thursday, Health Care Authority staff reported on the status of a legislative mandate that could require some unemployed Medicaid recipients to get a job or volunteer. So far, the agency has received about 1,000 comments from the public about the rules, which must be approved by federal regulators before they go into effect. The proposal requires SoonerCare recipients to prove they meet guidelines on work status, skills training or education. Many recipients would be exempt, including Oklahomans younger than 19 or older than 50, pregnant women, people unable to work and parents of children younger than 6. The Health Care Authority also will consider exempting Native Americans, foster care parents, adults formerly in foster care, people enrolled in a program for breast and cervical cancer, enrollees with the state's family planning program and people who are recently released from incarceration. Agency … [Read more...] about Medical providers see first Medicaid pay boost in almost a decade