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View Diary: Abbreviated pundit roundup: Black Friday edition (55 comments)

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  •  Sam Brownback's solution (11+ / 0-)

    to billions in free Medicaid funds from the expansion provided through the ACA? Put ALL of Kansas' 380,000 Medicaid patients in to a private for profit system:

    That is when the state’s Medicaid managed care system — called KanCare — will take charge of all home and community-based services for about 8,500 developmentally disabled people, most of them adults.

    Three for-profit national insurance companies that run KanCare for the state will be making final decisions about eligibility and care. Currently, a network of community-based nonprofits and county agencies has that responsibility. Families and advocates worry about the insurers’ lack of experience managing a statewide program. They also are concerned that the need to make a profit ultimately will destroy a system they think works well.

    Kansas will be the first state to make such a leap, and it is being watched closely elsewhere, as at least two other states — Louisiana and New Hampshire — are considering moving in the same direction.

    “This is an unprecedented model. No state has ever taken a developmental disability population and placed it in an arrangement like this, with an out-of-state managed care system, all at once,” said Rocky Nichols, executive director of the Disability Rights Center of Kansas, a legal advocacy group. “It’s almost like throwing everyone into the deep end of the pool.”
    Southwest Boulevard is a safety net clinic that serves mostly the uninsured and Medicaid and Medicare recipients. Lee says that at the clinic, payment for Medicaid services is running about a week or two late.

    “So you don’t get the payment. It means you don’t have the money in the bank. It means you can’t use it to pay your staff or to do the other things you do with that income,” she says.

    Many Kansas doctors, hospitals and nursing homes continue to report payment delays and other KanCare complications despite the state's data showing major improvements. In September, one hospital in northern Kansas said it had not had a single claim processed correctly by one of the three companies.

    Think this is going to cost the state millions of dollars every year? Versus FREE from the feds for years, and even after that, only paying 10% of the total costs?
    And this is the kind of people it hurts. A paraplegic and former journalist:

    Bullers, who worked for 30 years as a journalist before his condition restricted him, brought letters signed by three doctors documenting his medical needs to Monday's hearing.

    Bullers said he currently receives 168 hours a week of personal attendant care, which he acknowledges is a "considerable weight on taxpayers but something I and my doctors consider critical."

    "I've spent my life playing by the rules, getting a job, paying taxes, buying the house on the cul-de-sac," said Bullers, whose change in care is pending while he appeals the determination. "Now I'm at the point where I need the state's assistance."

    Bullers says under KanCare he will be restricted to 40 hours of attendant care per week, piling duties on his wife in the off-hours, despite the fact that she works full-time, is raising their two children and can’t physically lift him to transfer him from his wheelchair to the bed or toilet.

    Your beliefs don't make you a better person. Your behavior does.

    by skohayes on Fri Nov 29, 2013 at 06:01:07 AM PST

    •  Genocide masquerading as "fiscal discipline" (7+ / 0-)

      People will die easily and cost effectively preventable deaths because of this.

      It's just that there won't be a pile of bodies for us to point at and gasp in horror.

      Change does not roll in on the wheels of inevitability, but comes through continuous struggle. --Martin Luther King Jr.

      by Egalitare on Fri Nov 29, 2013 at 06:22:01 AM PST

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    •  That's bad. Because what they really want is for a (4+ / 0-)
      Recommended by:
      Stude Dude, a2nite, skohayes, jbsoul

      privatized program to really work well right at the start when people are paying attention, and then incrementally start improving "productivity" by reducing staffs, pushing remaining staff harder, tailoring metrics to produce data that simulate cost-effectiveness and capability... etc.

      That's the way privatized mental health care has gone in Texas. They have one psychiatrist for 22 counties in N. Central Texas, aka "Meth-ylvania".

      You can't make this stuff up.

      by David54 on Fri Nov 29, 2013 at 07:09:52 AM PST

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      •  Must be the Texas version of "Methlehem" (2+ / 0-)
        Recommended by:
        David54, skohayes

        Get your Bible thumping and your meth overdose in one shop. Though, it does distract from hearing the Good News when skin tries to crawl off your body in search of your missing teeth.

        And God said, "Let there be light"; and with a Big Bang, there was light. And God said "Ow! Ow My eyes!" and in a flash God separated light from darkness. "Whew! Now that's better. Now where was I. Oh yea . . ."

        by Pale Jenova on Fri Nov 29, 2013 at 07:30:03 AM PST

        [ Parent ]

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