23 Burst results for "State Medicaid Program"
Vaccine withheld from hospital that gave Trump Tower shots
"Have to move on to this bombshell story. That blocked club first reported this week. Loretto hospital in austin before we get into all the impropriety here today. They said that they are reprimanding their coo and their ceo for these improper. Vaccinations kelly bauer. Do we know what reprimand means. In this case. I have to to politicians who are on the hospital's board of directors. And all they would say at the time was that we put out this statement. We're not going to elaborate on rep. What it means to reprimand so we are still trying to figure that out and see what could be happening to the ceo coo. Okay so the first story that you published here was that they the coo. Dr notion med has an apartment in trump tower about two and a half million dollar apartment and the hospital. That has these vaccinations for folks on the west side. Improperly administered vaccinations to trump tower employees. Is there any evidence of some sort of trade-off or exchange or how how this came to be well. We spoke to leto hospital and their ceo. George miller says that it was actually him who helped set up this event but what we found is that right or workers at trump tower told residents that it was loretto hospital that reached out to them now. Loretto hospital is saying that its workers who reached out to them. So it's very much a. He said she said situation. But the city's department said they are looking into it and investigating why these ineligible workers were able to get shots. Before other people and also ineligible were cook. County judges and guest preach judge that also got vaccinated. And there's some different answers onto how that happened. Even though those were not allowed in the current phase as well amanda vindicated. You look at the board of this hospital. As kelly mentioned there's to state lawmakers that sit on the board There's a state lawmaker. Camille lilly that works for the hospital. This is a hospital that gets tens of millions of dollars in reimbursements from the state's medicaid program. Is there a conflict of interest. Here that there can be this much clout on a hospital board. I mean those are certainly questions that were all asking. What sort of favors might members of the war getting terms of the vaccines employment whatnot. We're we're not saying that there is merely that these are the questions to ask in. This gets to something that we've talked about a lot as there's been a lot of corruption of course in springfield and that is that there are really lax economic interests statements conflict of interest rules in then again to place. Where have devil's advocate there. There are those who say it. Is it positive when you have. For example he state legislator employed by hospital because that brings along a expertise. This is a citizen legislature. It is technically a part time job and the reason for that being was because you want to bring in farmers dentists doctors people with all different sorts of knowledge so there are certainly two sides to that point but given kelly's reporting the trump tower. I think that's what it is. It's just it's it's the who got it because these are. There's a lot to look into here and kelly bars. You mentioned that the city's health department is investigating. They've halted vaccinations to that hospital. What do you anticipate. They're going to uncover in their probe. Well we've heard from multiple sources and people questioning why workers at trump tower who are able to get vaccinated and not other hotel workers now. We've also seen that. The ceo's church was able to get vaccinated. This doctor arwady. The head of the city's health department said today that they are investigating they will not be sending doses to loretto hospital until they are confident. Those doses are going to be appropriately.
"state medicaid program" Discussed on KTOK
"And this is Oklahoma's first news. Mild for February. Our forecast is coming up. The legislative session gets underway today. First up will be Governor Kevin States 2021 State of the State address that's expected to start about 12 45 this afternoon state representatives if I owned more than 1900 bills for the session, and state senators Filed 1035 bills for the session. Theo Oklahoma Healthcare Authority has selected for private health insurance companies to manage care for the states. Newly expanded Medicaid system. Governor Kevin State says managed care is the way to go every other state in the nation. With Medicaid expansion. Also has managed care, every other state in the nation. Because it works for companies are Blue Cross Blue Shield of Oklahoma UnitedHealthcare Humana Health Horizons in Oklahoma complete health. It's estimated that privatizing the state's Medicaid program will cost more than $2 billion. AH Group of Senate Republicans who propose a far smaller covert bill than President. Biden will be guest today at the White House, where the matter will be discussed at all. Scott reports. The group of 10 Republican senators is putting up a $600 billion plan against President Biden's $1.9 trillion proposal. Louisiana, GOP Senator Bill Cassidy said on Fox News Sunday. The two plans see I'd eye on vaccines degree increase capacity to make more vaccine more quickly as well as to adapt to these variants. Cassidy said. The GOP.
"state medicaid program" Discussed on KQED Radio
"And thrown out of 1600 Pennsylvania Avenue and forever banished to the dustbin of history. And some Republicans, like Senator Pat Toomey of Pennsylvania say they believe Trump committed an impeachable offense for his role in inciting the insurrection of the Capitol, where five people died. But you mean questions whether logistics would allow for a speedy trial to remove Trump from office before Joe Biden's inauguration. Trump was first impeached in December, 2019 at very pressured Ukraine's president to launch an investigation into Biden. Dave Mystic NPR news And it's closing days that Trump Administration has approved the nation's first request to run a state Medicaid program. Under what's known as a block. Grant Blake Farmer of member Station W. PLN, has details. It's entirely possible that the next administration will undo what the centers for Medicare and Medicaid services negotiated with Tennessee. But administrators Seema Verma says she hopes not. The federal government has made a commitment to the state of Tennessee. And they're going to be making significant investments to implement it. And so this program, I think should not be subject to political winds. Even though the Trump administration supports block grants to save money, Tennessee found a way to argue it's already saving the federal government by running a fairly bare bones program. Now it will get to keep most of that money to expand benefits for low income people. Still, the expansion possibilities are not easing the fears of patient advocates who say Tennessee has not proven itself trustworthy to act in the best interest of patients rather than its bottom line for NPR news. I'm Blake Farmer in Nashville. Texas hospitals are treating an all time high number of covert 19 patients. Texas Public Radio's Camille Phillips reports. There are now nearly 14,000 Cove in 19 patients and Texas hospitals about 1000 more patients than a week ago. State officials reported 381 new deaths on Saturday almost 29,700 people in Texas have died of complications from covert 19. More than 1.7 million people have tested positive for the coronavirus in Texas since March. I'm Camille Phillips in San Antonio. This is NPR news. Live from KQED News. I'm Queen Achim more than 30. U. S representatives, including many from the Bay Area are calling on the U. S attorney general to seek the same charges for the people who stormed the capital, as he did for the Black lives matter protestors this summer. At least 10,000 protesters were arrested during the nationwide BLM protest this summer. In September, then deputy Attorney General Jeffrey Rosen advised federal attorneys to charge BLM protesters with seditious conspiracy and other crimes Now Congressman Jared McNerney, who represents Stockton says Rosen should recommend that the January 6 insurrectionists be charged with the same crimes. At least five people, including one law enforcement officer died during the raid on the capital. California Healthcare startup Curative is still administering tests to asymptomatic people in the Bay Area, despite recent FDA guidance that those tests produce a high rate of false negatives. Que que es joy Chang reports, The company has put up nearly 40 temporary testing sites across the region and security's website. People without symptoms can still book tests online. But last week, the FDA issued an alert, saying that the tests were on Lee authorized for symptomatic people. Marcie Richardson is Sonoma County's director of nursing for covert response. It was on Lee approved for use in people who are symptomatic who have had symptoms in the last 14 days. That's what their emergency use authorization was for. The FDA recommended that patients and caregivers who have concerns about their curative test results, talk to their health care provider and possibly get retested. Period of didn't immediately respond to our request for comment about asymptomatic testing..
"state medicaid program" Discussed on The Hospital Finance Podcast
"I this is my best day and welcome back to the award-winning hospital finance podcast. As we do every year bessler releases a summary of the final rule and to give us some highlights of this year's rule. I'm joined by Jimmy Mendez, who is a senior manager on our reimbursement services team here at Basler Jimmy Welcome back to the show. Here. Jimmy the release of the PS final rule for twenty twenty one was delayed several weeks due to covert nineteen this year. What were some of the most anticipated pieces of information? Well as usual, some of the key areas are the mass market basket rate, increase the uncompensated care figures, and of course, a wage index related information. Now you bad. So let's walk through those what happened to the market basket rate. The market basket rate increase will be two point four percent for fiscal year two, thousand, twenty, one. This will be the updated providers that submit quality data and our meaningful E. H. R. Users. This figure is reduced by point six percent it quality data is not submitted and reduced an additional one point eight percent if the provider is not a meaningful E. H. R. User. Jimmy what did the figures for? CARE look like. The bow to be distributed in uncompensated care for F.. Y. Twenty twenty one is eight, point, two nine. This is just slightly down from the eight point, three, five, billion distributed in F-, wide, twenty twenty. However, the proposed at twenty twenty, one amount had been seven, point, eight, one, seven, billion. Factor. To the calculation is the uninsured estimate provided by CMS, his office of the actuary that estimate was sixty seven point eighty, six percent in the proposed final, but it was adjusted to seventy seventy, two, point eighty, six percent in the final rule, the updated figured takes into consideration the effects of covid nineteen, and of course, this contributed to the amount in the final rule being eight, point, two, nine billion and that being higher than what was proposed initially. For factor three B uncompensated care calculation cms will use line thirty from the two thousand seventeen cost report as two thousand seventeen is the most recently available single year with audited S. ten data. For future years, CMS will. To use the most recent available single year audited as and that. Were there any interesting developments for wage index? Well. There was some movement in the designations of numerous counties. There are thirty four counties designated as urban that will now be rural forty seven counties that were previously rural that will now be urban and nineteen counties will move to another CBS say or to a new or modified CBS eight. But one was keep in mind that there is a five percent cap on any decrease in a hospitals wage index from the hospitals final wage index in fiscal year twenty twenty. In addition approximately two, hundred, eighty, five hospitals will benefit from the rural floor rule being applied. These are urban area hospitals of the State whose wage index is below the area wage into applicable to hospitals located in rural areas of that state. Wage, index will be set at the rural area level. So, when you think about the whole roll Jimmy, what are some areas of concern? Well an important one relates to Medicare. Bad debts. Forty to see a far or one three, eighty nine discloses the requirements for Medicare bad debt as does the provider Reimbursement manual or PRM chapter three the Pr Am is more detail and is what hospitals are accustomed to comply with based on its application by the respective. Max The purpose of the final rule appears to code by the PRN chapter three requirements, most of which will apply retroactively. There are a couple of requirements that I wished to essentially. One pertains to the process of determining that a non dual eligible beneficiary is indigent and thus exempt from the reasonable collection effort requirements. The rule stipulates the provider must not use a beneficiaries declaration of their inability to pay their medical bills or deductibles incur insurance as sole proof indigenes for medical kits. The provider must take into account the analysis, the both of beneficiary facets, only those convertible to cash, and then necessary for the beneficiaries daily living and income. and must determine that no source of the beneficiary would be legally responsible for the beneficiaries medical bill such as the legal. Guardian or State Medicaid Program. Another pertains to how bad debts reported on the financial statements for cost reporting periods beginning on or after October first twenty twenty Medicare, at the that's. Not Be written off to contractual allowance account, but must be charged to an uncollectible receivables account the results in a reduction in revenue. Were there. Any other issues that caught tension? Well. Mike There are twelve new MSTAR jeez including MS DART eighteen kyw merrick Antigen Receptor T. cell immunotherapy. which has the biggest the RG weight of thirty seven point thirty, three surpassing the DR weight of Ms. A zero one heart transplant. Two of the new embassy are Jeez. Five Twenty One and five, twenty, two relate to hip replacement and are subject to the post acute transfer policy. Other items of note, include the back that stem cell acquisition costs will be reimbursed on a reasonable cost basis effective precaut- reporting periods beginning on or after ten, one, hundred, twenty. Hospitals are not required to be Medicare certified transplant centers like solid organ transplant centers are required to be the determination of Medicare share of the stem cell acquisition costs will be somewhat different than that. Employ solid organs that the mechanics of how it will work or not entirely clear yet. Also a new requirement relates to market based Ms. The RG data collection and change in methodology for calculating the relative rates. Hospitals will be required to report on their Medicare caution for the median pair specific negotiated. At the hospital has the dossier with all of its Medicare advantage organization pairs by DAS BY MS. For cost reporting periods ending on or after January. First Twenty,.
Dr. J. Mario Molina Discusses Medicaid Program Financing in Light of the On-Going COVID-19 Pandemic
"On background, the ongoing Kobe nineteen pandemic has caused the worst unemployment rates since the Great Depression. Since Medicaid and the economy are negatively correlated when one's up the others down. Recent Kaiser family. Foundation study concluded that by January, seventeen million people could be newly eligible for the Medicaid. Program that would represent a twenty four percent increase in current program participation. As state. Which Medicaid funding is typically the second largest state expense after education they've cratered largely since two thirds of state income is generated via income and sales taxes. One month ago, the C. P. P. estimated states that are required to bounce their budgets. Each year are looking at revenue shortfalls totally accumulative five, hundred, fifty, five, billion dollars over fiscal years twenty through twenty two. In an effort to short state Medicaid programs and mitigate the economic fall back fall out in mid-march. The congress increased the federal government's Medicaid match termed eth- map by six point two percent in late. May The house further up the match to fourteen percent under the Heroes Act. The here act would also provide more than one train to state and local governments including nine, hundred, fifty, billion flexible aid. The Senate Majority leader however failed to refuse to take the house bill. As of today, it appears the presence executive steps taken Saturday to address four non healthcare. Related issues has caused Congress to journey until September seventeenth that is another code relief package will at best not be considered until late that month. With Megan and discussed the pandemics effects on the Medicaid. Program is Dr. Mario. Molina. So that document as a somewhat lengthy background introduction, let me begin by asking you generally what's your assessment? Of the Kobe nineteen pandemic effect on the Medicaid population I asked particularly in context of the fact that Medicaid is largely responsible for covering long term care facility a healthcare, and we've seen of course disproportion effect on long-term facility residents. I think that Medicaid patients are going to be disproportionately affected for a couple of reasons as Medicaid, the biggest pair of long-term care in the country. and clearly those patients have been hard hit. But we're also seeing that it disproportionately affects people who are lower income who are working as essential workers in essential businesses. Most Medicaid patients work, but they're working in low income jobs often without. Health Insurance paid for by the employer. So they are probably greater risk and we've certainly seen that black and Latino. Are More affected by. Colbert Dan. Caucasian population. Okay. Thank you. Yes. Definitely the case. Before. I ask about the Congress and state responses. Let me ask you this question. There's a lot of discussion and speculation regarding healthcare utilization. meaning that covid nineteen will will cause comparatively an increase in utilization. Interestingly enough I looked at some statistics that showed because of elective surgeries being canceled or postponed. Data showing then April. Healthcare expenditures were down almost forty percent and were still down ten percent or ten percent lower your year this past June. So this question obviously very much relates who pressure on state budget. What's your understanding of what will see relative arm balanced utilization in the Medicaid program? This year and going into next year. Well it's going to have different effects in different areas clearly, hospitalization and physician visits are down. in part because people are afraid to go to the doctor or the hospital. In. Part because Kobe has crowded patience out of elective surgeries. So those things are all down. Testing is going to be up testing expenses are up. and I think that overall you're going to see that utilization is lower in the second quarter and probably the third quarter and expected and from previous years. and I think that it's going to remain that way for a while people are still afraid to go to the doctor for many things and there is concerned that as a result, things like cancer screenings and treatments will be deferred. So we could see some pent-up demand perhaps next year but I do think that for the remainder of this year. Overall Service utilization will be lower than expected. Some areas, it'll be higher. But overall it'll be. It'll be down from previous years.
"state medicaid program" Discussed on The Oklahoma Observercast
"On politics if he would have put it on the August runoff about looking ahead, okay kindergartens now go to a runoff odds are abby boils wasn't going to go to a runoff, and so the only real runoff in town would have been whatever republican primaries went into a runoff and the. The CD five race would have gone into. That was almost guaranteed to go to a runoff. He would have had a much greater likelihood to defeat eight Oh two and he put it on the August runoff ballot. When this Position Law Republicans would have been voting and Democrats would have had to show up just for that one vote essentially. But. He didn't play scar driving. Put It on June ballot ballot and And of course it passed the only about six thousand votes, so that's one disorder caveat that he tried to defeat it. I think you're right Marianne on Viti. Put It on the November ballot. I got a good shot to win anyway. That would almost solidified her chance of winning in November and much like marijuana. Vote a few years ago, but If you! Look at the way. It broke down you know. It only passed in seven counties at least got a majority of the vote in seven counties. Predominantly the the large counties either have big cities Lawton Oklahoma City and Tulsa or universities pain county Cleveland County, and then you had. Cherokee County, which is a long been known as sort of a a blue dot in the middle of Rural Oklahoma with Turkey nation after Taloqan. By narrow margin, Palmtop County which also has the headquarters of the Chickasaw nation. See of the headquarters at Cherokee Nation headquarters, the chickasaw nation are three biggest cities and are too big universities, and that's where it past at least got a majority of the vote and I. Don't think that's a coincidence. secondarily, though a lot of WANNA WANNA throw rule Oklahoma under the bus. Say how they voted against their own self interest, and certainly there were people in those counties where they lost hospitals who voted against their own self interest because of a variety of reasons whether they thought a OC. Your Nancy Pelosi was somehow going to control their healthcare which they're not. Or whatever right. All ridiculous ads that you saw, but it should be noted that forty one percent of those seventy counties that voted against it's a forty one percent of the votes that came out of those what are proceed to be no counties. Forty one percent of those folks voted yes, and forty thousand boats and so. If drew, edmondson would have gotten forty one percent of the vote rule Oklahoma he'd be governor today so D- link of where we went from the governors election two years ago in rural Oklahoma where we were with Hillary Clinton's election in two thousand sixteen in rural. Oklahoma, which she was down in the low twenties. To now forty one percent of Oklahoma known a weeks, we support expanding the affordable care act and giving access to healthcare to two hundred thousand plus Oklahoma's. That's a big deal in so it shouldn't be. It shouldn't overlook. We did see in all this to it. It was interesting. Had some of that. You know hope for a better tomorrow. knee-jerk right when you know automatic Nolan something like that in rural Oklahoma, but you also had. I found it interesting. I noticed there were wealthier counties including a precincts I should say. In urban areas like including dickel hills that voted against this thing which I I'm just I'm sort of fascinated by I. don't know if that's just strictly. You know again a sort of a knee jerk, right wing reaction to things or whether that suggests that. A real lack of understanding of what was stoked. Circular Healthcare was I. don't know I mean I think sorry I just I think is this was a Dan wage analysis where he on twitter in response to A. Party Slam in rural areas. He looked at. He broke it down to the precinct level, which is probably you know more nuanced than anyone wants to actually grapple with because we wanna make these quick conclusions. But when he broke out, and then he broke it down by an incumbent. So this is where you see that it's the most affluent precinct in the state. Voted no on Ada too, and then he, conversely you see the the most low income, the poorest freezing seats in the state voted yes, and so It really complicates idea that rule of a homeless voted no in. And so I think you know this is were i. think the you know. The ideological rubber meets the road. Right you I mean there's there's a reason. Why we have such as. I don't know. I don't think it's people voting against their self interest in this case. I think it's people voting in their self interests when you think about it from an income perspective, because when you see this idea, this mistaken idea that you know your tax dollars your your taxes. Somehow, your taxes are going to be misused. You know. Maybe that's kind of the prevailing presumption in Oklahoma and these are people, they the vote high income, these are people that really manipulate the tax code in their own interests, and so you know. Maybe they bought into this idea that their taxes were going to be misspent, but you know my an ankle. Take take is honestly I. Don't know that they believe. That government programs are worthwhile investment. Because I think if they did, we would see. A state had not underfunded its programs for decades right so. I'm going to throw that those low. Those high income voters under the bus here I think they knew what they were doing I think they knew what they were voting against. Frankly I i. don't necessarily disagree with you I make the one caveat would be probably heritage hills, and Mestre Park in Crown Heights. The houses, Eighty eight voters, which are very high income precincts voted for, but when you do get just north of them to your point in nickel sales or you get to some parts of Tulsa. Jason and other other wealthier precincts in the areas I. Think you're right, they do go, they they. They are voting in their self Anderson that sense say they have healthcare and they don't. WanNa see their tax dollars going to help anybody else. They don't need it so therefore. Why should anyone else and I think a lot of times? Even Role Oklahoma there were folks who either had healthcare. And said I don't need it. And it was difficult for them to make the League going allowing in their mind, allowing AOC, or Nancy Pelosi to controller to somehow going to save your hospital so if they would have thought that if they really believe that it was going to save their hostile, I'd like to think that they would have voted for it. But, they were scared. I think by traditional dog. You know Republican dog whistle politics when it comes to liberals and they were scared into voting in what they thought was their best interest. In when in reality it wasn't so you kind of get into their mindset. Well, it does it. Does it you know? I was thinking about this earlier Marianne before you let us a on this path here, but you know I sometimes think we have this A. A misconception or misperception that rural alcohol Laya sort of an entirely by a threat. It's lower income. It's you know it you're you're you're just you're hanging on for dear life, but to me. This test SORTA suggests I've wondered for many times on these. There's really more wealth out there than you think that and that, and that may apply to this situation where again yeah, people can afford healthcare, so they don't. They don't see that it really benefits them. And they don't see it as a way to keep the rural hospitals, just as as we know David Premium, and did some research for us, outweigh state representative from chicken, who who points out that all eight counties that have lost their hospital. Since two thousand ten voted against. It Too Yeah, I just. Think this is this is this is where you get a lot of very progressive. In, that can really kick in in the sense that this is not. A scarcity of resources as a hoarding of resources in places like Hama, there is plenty of wealth in this state. I think McCartan county Of the low income states are low income counties in the state, a high prevalence of narrow neat necessity of use for government programs like. Tanith as sooner care which you know, the State Medicaid Program. But just think about. I gotTA. Do is go to the ARBIA DOT COM and look for a rental cabin around both broken bow and find. Mummy..
"state medicaid program" Discussed on Bad On Paper
"Or would they fully. I I think the jobs fully be not useful anymore. I mean I think these are some of the details of the plan that we don't really know but yeah I mean. The government has some some people that administer the Medicare program for people over sixty five. But you would assume if they're going to cover absolutely everyone's GonNa take more people. They're going to be more jobs doing that. I think it's also possible. That a Medicare for all system might hire insurance companies to like do some business for them maybe. The government is providing insurance and designing designing the like the billing and payment of being done by outside vendors and health insurance companies would become the vendors there definitely. It's not like those people are going to be completely Out of luck and the skills that have no value. But we don't really know it's going to be. The people are not going to be doing exactly what they're doing right now. They're going to have to figure out what to do differently. What doctors do honors then? Just become government employees took so that would not be true under any of the proposals that are being talked about in the United States. Right now the ideas that doctors and hospitals with day private You know they might be nonprofit. A lot of nonprofit but a lot of doctors or just organize businesses. You know you'll five doctors. Does it work in a group together. And they share their revenues that we continue to be like that there would still be potentially for profit hospitals. Are there would be more about them. So we still have this time pry that purpose dumb but the thing about having the government is the only one that's buying healthcare services is that they are going to have way more control control over what doctors hospital do and also on what they get paid because they can say you know instead of paying you two hundred dollars for this Did it for checkout. You know. We're only GONNA pay one hundred dollars and instead of covering checkup every year. We're only GONNA pay for a check of every three other year. It doesn't meet up example. That's not something that's NFL. You could understand why you're a doctor. You might be nervous about having the government being charged because it was with need that they could pay less than you're being paid now by private insurance and you wouldn't really have very much that you can do about it because it will be no other pair that could pay you. So is that why. Some doctors don't accept certain insurances because they don't get paid the same by all insurances yes so every insurance company and every doctor's practice the hospital they all separately negotiate their prices on a lot of times. What happens is yeah so like if you look even the same hospital the same service? They're looking taking off and yet you know Columbia Presbyterian Hospital in New York. The prices paid by at night. It's going to be different than the price paid by. Ah United Healthcare is going to be different than the price paid by cross. And that's going to be different than the price paid by Medicare and it's going to be different than the price. Paid by the State Medicaid Program. So we've all all of these different places in our systems and this is not always true but in general all private insurance companies pay the highest price and the government programs pay a lower price. And so you can imagine like if everyone gets paid the lower price than Medicare against cade that would mean that that doctors and hospitals would overall nick less money than any right now between Jew here some critic of Medicare for all things that this could really be a catastrophe Turkey for the healthcare industry because he would see hospitals and doctors having to react to making a lot less money and maybe they wouldn't be able to run their businesses as profitably. Or at all and I think that's something to think about and it's something that Congress would probably have to think about it. They were gonNA pass a Medicare for all they'll they would have to think like. Oh what isn't amount that we can pay these doctors and hospitals allow them to stay in business. But it's not so much that it's GonNa cost too much money. Let's talk about that. What would the tax impact be of of a Medicare for all program wouldn't necessity raising taxes in some way it's definitely would so there are a bunch of different estimates about how much it would cost And they rained a lot but all of Basically suggests that it's going to cost trillions of dollars in federal spending ending eighty year on top of what we already been right so the government already. You know you get paid a payroll. Okay you pay tax. Now that helps fund Medicare You pay other states hacking meeting on your property. Tax That helps fund Medicaid. You're already like paying taxes. That go to pay for health. Care are under Medicare for all. We have to pay for all this new stuff to advocate for Medicare for all day. Well it's true that you have to paying more in taxes but right now they're all these other ways that you're paying for healthcare maybe your employer is paying a premium. Maybe you're paying on portion of premium. Maybe we have a deductible that you have to pay when you go to the Doctor Co payment when you get a drug at the pharmacy counter and if you kind of all ending up together. It's not necessarily back different from what Medicare for all we costs. The big difference is that instead of paying for it out of all of these different sources of funds all going to come out of federal taxes but you know it's a big big number and Bernie Sanders has not really specified. Exactly how he would raise all that money and has bad bad basically that he doesn't have any immediate plans to do that. More actually had some pretty detailed financing plan. I think there have been some criticisms of it for maybe award being a little bit too optimistic about how little it would cost. But she has a bunch of different taxes many of them on corporations and and then Several on very high earning people including you know she has a wealth tax that would apply to Very high net worth individuals already under Medicare for all the wealth tax could be as high as six cents of every dollar of wealth for the most wealthy Americans so in her her plan it wouldn't necessarily be funded by taxes on the individual could be funded by taxes on other individuals corporations. Yes she has a design design years. She has this line where it wouldn't raise one penny of middle class taxes. Okay a little bit of an oversimplification. But basically she tries to find sources that are not there would be no income tax increase for middle income. People there would be no direct. Hey Wolf pack increase for those people. It would be paid for through these other taxes some of which indirectly affect people but none of which directly come out of their pocket and what would be the implications of the middle option of a public option. Like would that require requires tax increases. Like what are some of the Support or criticisms for that plan in terms of like how it would affect a private system. Or you know how it affect tax payers but the taxes is definitely true that those plans are also going to require more federal spending. And that's going to require. The federal government should raise more money in the form of taxes. There too big differences That make the overall built for those kinds of programs. A lot baller One obviously that we're just GONNA keep the people who are in a lot of people who are private insurance. They're going to stay there. And so they're going to be paying premiums to the company they're not gonNA be financed by taxpayers tax payers on and also it was going to ask the people even if they're in a private plan and they can afford to GonNa ask them to pay for some of their care so people who choose the option plan would have to pay a premium to the government in exchange for that insurance and they would also have to pay them money in the form of deductibles or cocaine in and when they go to the doctor or the pharmacy. So there's kind of you know some of these other ways that we pay for healthcare would continue to be the same so there would be kind of like a smaller dollar increase in federal spending a smaller set of tax increases. That would be necessary. I have a very nitty gritty example question. So if it Indi- I work for a company that offers insurance and I WANNA stay working for them. I actually don't I haven't earns from the New York marketplace right now but anyway assume I work for the company that I'm going to stay with. Their insurance plan would is still have increases taxes. That would help pay for other people's Public Health Options Shins. Or is it. Is it opt in where it's like. You only pay increase taxes if you're taking advantage of a public option but we don't really know the answer to that question because no one has been very specific about exactly what taxes would pay for it. I would say in general you would probably have to pay a premium so if you were going to buy a public option plan say EH. I don't WanNA stick with my employer plan anymore. I want to use the government plan. Instead you would be expected to pay something for that same as you pay for your insurance now. Your employer pays so that's not really attack but that is like a cost to you and then because the government plan under the under these proposals would cover more people more low income people who maybe can't afford to pay and would also Lower the amount that middle income people have to pay. There would be like just some tax dollars that would just going towards healthcare in that scenario. That aren't going towards healthcare right now and there's lots of different ways that you could raise that income you could have a broad based tax. You know AH income tax increase or payroll tax increase that would affect even people who are staying in their private plan or you could have something more along. The Elizabeth Warren Financing mechanisms where they're targeted taxes on high income. People are just uncertain kinds of corporations our business activities and in those cases they might not act you really directly at all and with regards to the presidential candidates on the democratic side. have any of them. Outlined kind of how they would structure or fund public option plan whereas that largely just not been aligned on. Yes I think in terms of how they would structure the plans. There is a fair amount of a few candidates internal funding. I would say it's like a little bit fussier I think view is. It's not as much money. So there's less pressure on them. Say exactly how the Jewish and who are the candidates who have very a well-defined plans in the public option category. So the chew it I think are the most detailed are the plants from Joe Biden and for people to judge and they share a lot of familiarity They have a couple of differences. That seem important but basically what they would do is a creep a public option. Anyone who wanted to buy hi. It could buy it They would automatically enroll a lot of people in the public option so basically anyone that doesn't have insurance. Now would it'd be and if the government did find you and tell you about it. They were trying to get you to sign up and then for people who go to the doctor and it turns out that they don't have insurance to say like you. You know you're in a car accident. And they go to the emergency room and they get to the hospital and they get treated and it turns out that they warrant signed up for insurance with with these plans would do is they will retroactively. Sign them up so they would give him a bill. Okay here's how much premium is. But we're GONNA pay for your emergency care also also.
"state medicaid program" Discussed on KTOK
"Medicaid program good morning I'm Jacquelyn Scott in the Katie okay a new center will start to this thanksgiving week our forecast is coming up a consultant will help the Oklahoma health care thorny devise a state Medicaid program as an alternative to Medicaid expansion the contract with Michigan based health management associates is for nearly one and a half million dollars during the next year supporters of Medicaid expansion have turned in about three hundred thirteen thousand signatures on petitions calling for a statewide vote next year to expand Medicaid coverage in Oklahoma we're in one of the busiest thanksgiving travel weeks in years Jackman also reports triple a says fifty five million Americans will travel fifty miles or more from home the most is two thousand five by car rail in plain with the busiest days in the skies according to airlines for America the Sunday after thanksgiving other top contenders of Wednesday before thanksgiving a phrase Rebecca Spicer the least busiest travel day on thanksgiving itself experts encourage you to be prepared impact patients that more of us are traveling thanks to a strong economy and lower gas prices with all planned impeachment testimony completed Democrats and Republicans have different ideas about what should come next year's colonel Scott New York GOP congresswoman Elista phonic on fox's Sunday morning futures says the next person that needs to be heard from is the whistle blower of course he should be protected from retaliation or firing but this is what started off this entire impeachment process house intelligence committee chair Adam Schiff on NBC's meet the press says there are more facts to be found they prefer GOP cooperation but we're not willing to go the months and months and months of rope a dope in the courts which Mister bush would more than love for us today Democrats say more hearings and depositions could becoming a Logan county inmate who escaped Friday is back in custody here's Jim Forsyth Edward Jones is being transferred from the courthouse to the detention center when he fled he was being held at the Logan county jail on kidnapping and assault and battery charges Jones escape even prompted a lockdown at got three schools Friday afternoon authorities found it yesterday afternoon at his mother's home a suspect with a history of felony warrants who police say barricaded himself inside an Oklahoma City hotel room is on the run this morning police say it started Friday night at the Woodspring suite sure I forty four northwest thirty night his identity has not been released however police did arrest Taiyo Ketika on a felon in possession of a firearm ward and Kiera Colston on a misdemeanor larceny warrant police say the man on the run has a history of rape kidnapping and assault with a deadly weapon on the como park police officer is facing charges involving child sexual abuse fifty one year old Douglas Spencer is accused of first degree rape and indecent or lewd acts involving a child under sixteen he was booked into the Oklahoma county jail under a four hundred fifty thousand dollar.
"state medicaid program" Discussed on KTOK
"Okay XXY FM ninety six one Oklahoma City Medicaid good morning I'm Jacquelyn Scott in the Kitty okay news that her mild Monday I had our forecast is coming up the Oklahoma health care authority is looking for help from outside the state Jim Forsyth else's wine a consultant will help the O. H. C. A. come up with the state Medicaid program as an alternative to Medicaid expansion the contract with Michigan based health management associates is for nearly one and a half million dollars during the next year supporters of Medicaid expansion of turned in about three hundred thirteen thousand signatures on petitions calling for a statewide vote next year to expanded Medicaid coverage in Oklahoma triple a warns the tens of millions of Americans traveling this weekend to do so early Jeff Manasseh reports if you're traveling by air to your thanksgiving destination and haven't booked your tickets flight if you can today Monday really he arrived at the house one of the lower ticket prices probably gonna have less people at the airport triple A.'s genet castallanos as Wednesday's the busiest day for travel on thanksgiving day is the least busiest some fifty five million people are expected to travel fifty miles or more by air car in rail top destinations for thanksgiving this year warm weather climates Orlando Anaheim Las Vegas and Hawaii New York City also making the top ten I suspect with a history of felony warrants who police say barricaded himself inside an Oklahoma City hotel room is on the run police say it started Friday night at the would spring suites here I forty four north west thirty ninth his identity has not been released however police arrested Taiyo could teach on a felon in possession of a firearm warrant thank you dear Colston on a misdemeanor larceny warrant police say the man on the run has a history of rape kidnapping and assault with a deadly weapon a Logan county inmate who escaped Friday is back in custody Edward Jones was being transferred from the courthouse to the detention center when he fled he was being held at the Logan county jail on kidnapping and assault and battery charges Jones escape even prompted a lockdown at Guthrie schools Friday afternoon authorities founding yesterday afternoon at his mother's house a deadly weekend shooting at a north west Oklahoma City apartment complex police were called to the London square village apartments on northwest six about eleven forty five Saturday night after witnesses heard shots one person's body was found the shooting is under investigation and the cover park police officers facing charges involving child sexual abuse fifty one year old Douglas Spencer is accused of first degree rape and indecent or lewd acts involving a child under sixteen the Oklahoma state bureau of investigation says the incidents involved two fourteen year old girls it happened several years apart he was booked into the Oklahoma county jail under a four hundred fifty thousand dollar bond the Oklahoma City fire department honors a nine year old girl for her actions to prevent a possible apartment fire Lillian Mitchell was watching TV when she heard of fire alarm go off in a neighboring unit and woke up her mother to call nine one one fire officials say Lillian's upstairs neighbor had left food cooking on the stove million received a plaque and a thank you for potentially saving lives.
"state medicaid program" Discussed on KTOK
"Dot com Medicaid good morning I'm Jacquelyn Scott in the Katie okay new center and this is Oklahoma's first news mild Monday ahead our forecast is coming up the Oklahoma health care authority is looking for help outside the state Jim Forsyth dulces Y. I consulted will help the O. H. C. A. come up with the state Medicaid program as an alternative to Medicaid expansion the contract with Michigan based health management associates is for nearly one and a half million dollars during the next year supporters of Medicaid expansion of turned in about three hundred thirteen thousand signatures on petitions calling for a statewide vote next year to expanded Medicaid coverage in Oklahoma triple a warns the tens of millions of Americans traveling this weekend to do so early Jeff Manasseh reports if you're traveling by air to your thanksgiving destination and haven't booked your ticket fly if you can today Monday really arrived at the house one of the lower ticket prices probably gonna have less people at the airport triple A.'s genet castallanos as Wednesday's the busiest day for travel on thanksgiving day is the least busiest some fifty five million people are expected to travel fifty miles or more by air car in rail top destinations for thanksgiving this year warm weather climates Orlando Anaheim Las Vegas and Hawaii New York City also making the top ten I suspect with a history of felony warrants to police say barricaded himself inside an Oklahoma City hotel room is on the run police say it started Friday night at the what spring suites there are forty four northwest thirty night his identity has not been released however police arrested Taiyo could teach on a felon in possession of a firearm warrant and Keira Colston on a misdemeanor Larson the warrant police say the man on the run has a history of rape kidnapping and assault with a deadly weapon a Logan county inmate who escaped Friday is back in custody Edward Jones was being transferred from the courthouse to the detention center when he fled he was being held in the Logan county jail on kidnapping and assault and battery charges Jones escape even prompted a lockdown it got three schools Friday afternoon authorities found him yesterday afternoon at his mother's house a deadly weekend shooting in northwest Oklahoma City apartment complex police were called to the London square village apartments on northwest six about eleven forty five Saturday night after witnesses heard shots one person's body was found the shooting is under investigation Annette como park police officer is facing charges involving child sexual abuse fifty one year old Douglas Spencer is accused of first degree rape and indecent or lewd acts with a child under sixteen the Oklahoma state bureau of investigation says the incidents involved two fourteen year old girls it happened several years apart he was booked into the Oklahoma county jail under four hundred fifty thousand dollar bond the Oklahoma City fire department honors a nine year old girl for her actions to prevent a possible apartment fire Lillian Mitchell was watching TV when she heard a fire alarm go off in a neighboring unit and woke up her mother to call nine one one fire officials say Lillian's upstairs neighbor had left food cooking on the stove Lillian received a plaque thank you for potentially saving.
"state medicaid program" Discussed on Newsradio 1200 WOAI
"Contract with the state Medicaid program enrollment in America taxes in depends on contract renewal do the Democrats hate Donald trumps so much that they're willing to settle for Joe Biden as their nominee it would appear so coming up at eight on the Michael berry show stations across the land dot com all the social media there plus the live video stream if the gel pack show glad to have you here really glad to have back my friend she's the judge issues television star a very very smart prosecutor and much more it's judge Jeanine Pirro judge how are you I am great my friend and I'm thrilled to be on with you today a like minded individuals you know it's always fun to have you on because one of the smartest people I know your book liar's leakers liberals was on The New York Times bestseller list which by the way they probably hate when you're on the best seller list but tough it was on there for a long long time as well it should have been you've got a follow up call radicals resistance and revenge the left plot to remake America which is not released yet you can pre order it right now on Amazon put all the links on the social media I mean obviously there is a first and a hunger for this kind of stuff because what you deal in is the truth and that's my opening well you know what it yeah Joe where you felt that I've been a prosecutor judge in a DA for many many decades and to be honest with you like that the first political book wires because liberals was really about people why did people league violated the law and then I stepped back your when I said to myself you know what the truth is these people are radical and they are resisting Donald Trump yeah and their revenge is to get back the White House but it's more than that they're trying to remake this country and how are they trying to do what they're trying to do what all you have to do is watch television today or read newspapers and radical like to leave and ill hand old mark they're trying to open the constitution of the United States you could see that at the break capital hearing where the god what's in the title to the Democrats binds to the presumption of innocence all the first amendment free speech they throw it out the window you're not title to say something that is politically incorrect to them what shot down the conservative right they attack life itself they do it after babies are born remember governor Ralph north of yeah offer Virginia said once the baby's born we make the baby comfortable in the public decides whether to live or die and and people this is a domestic terrorist organization shutting down and assaulting people who are conservative then I could go on and on about the attack on capitalism yeah the attack on law and order I need these people are how about the invasion of the border they don't like the word invasion that's too damn bad station at the border it's a judge Jeanine Pirro justice with judge Jeanine every other weekend on fox news highly rated incredible program I love what you do with Cyril Wecht this past weekend although those amazing moment when it comes to abstain that was really just a great expose the new book is called radicals resistance revenge you've got to go and get it pre orders right now it would take about people like you and me Gee we were loving people we like other people we want to give them the benefit of the doubt I think that we don't pre judge anybody so for a long time what we did was we would not say radical and we would not say progressive radical progressive a radical socialist because we felt like we were labeling people we were playing nice the other side said forget playing nice run attack attack attack loyal we can the president to racist misogynist he's Islamophobic use a homophobic and they just kept on saying it told what people like you and me up that's why your books are flying off the shelves because people want reality they want truth but plus they want our side to fight back right worry but you know what you know I'm one of the other reasons why flying off the shelves joke I think I thank god thank god for that I do but pursuit but I thank you because they think of themselves in my crazy or is this really what's happening is if my country where are you from the flag and I say in god we trust you know when my court ruled about my faith in god we trust and so people are saying you know let me let me get this book to make sure I'm not crazy but in truth what we've got or people who act like lunatics what this social who want very much to show both now and in the end what they wanted to shut down the capitalist system they want very much to make sure that they are taking care okay they don't have to work we pay for illegals for their medical care for their for their help for their wrong yeah the whole yeah little feat look I know we all know people who work hard if they have enough money thank my go on vacation may be it may be if they have enough money they can pay for their kids education so this is crazy we've got an invasion of the border and I don't care what anybody says or if they are checked with that work nothing wrong with that word when you've got a hundred and forty four thousand people in one month coming to a border activation just take a look at the picture and they want to be able to be taken care of now you look at that group Joe let me ask you a question you think any of them have anything in their pockets of course not they gotta go on social services immediately great yeah if you are if you want to come to this country you ought to be you've got to be vetted want to know when that group is capable of contributing to our society I want to know how bout we start at the get go who you are do you have a criminal record I'm sorry maybe you don't have a title the AS our country is our whole country is where we live and where we express our freedoms and raise our families we should be able to know who among them the drug dealer and make no mistake some of them are not all of them are good people look for a better life than you know what never know what the right way come through legally like my family did and I'm sure your family everybody else what is it you know what let's let's just damn blog ordered no more rules yeah wrong we've got to take back this country from the word change of the laughter is judge Judy bureau of fox news host of course justice with judge Jeanine the new book as radicals resistance in revenge the less plot to remake America it wasn't that long ago my my grandfather came from Italy in nineteen twenty eight but he but he and his brothers they had a they were brick masons that had a built stop at a show that they could do something and be productive I mean let's transported to the early nineteen eighties when Castro open up is jails and sent everybody the Mariel boatlift north of Florida we put them in a good connection center to we knew what they were turns up most of war criminals so what what is changed in thirty plus years judge that that has our mindset that we have to let them in first if they can offer anything that's fine let's give them everything and if you don't do that then you're somehow racist or what how did that happen well I'll tell you what's changed I think that capitalism obviously is what lifts all boats and capitalism and the election of Donald Trump aw has made an incredible mark on this country the Democrats dole and they've known for years that they have a losing bet that you look at every Democrat controlled city look at San Francisco on what's going on in San Francisco people including because of the species of the Beatles on the streets of Baltimore the president was right you look at Detroit you look at the city's run by Democrats so the Democrats realize that there are messages that winning so what they've got to do to keep power if they've got a bake off out to be the evil ones but still people ever brain so what spring if the illegal they'll be beholding to what they'll both Perot's will remake the country and will tell them that the Republicans are no good because Republicans don't want them unless they come it legally and unless we know who they are so what Democrats with don yeah they have plotted this now they can keep their power if you remember Lindsey Graham one of its most famous fault which during the break capital hearing he said something like I know you want power and I hope you never get it if they're going to end up like this yeah they don't care about right and wrong it's all about power and that's that why I wrote the book and the book is radical resistance in revenge the less plot to remake America is also trying to retake America right you're trying I believe in tell me if you if you agree with me on this that the left their goal what whether it's Obama or Clinton or you know the squad I called in the squat because they've done nothing for their districts but they really want power and control centralized they're smarter than we are they can tell us what to eat were to work with the drive how to get there what to wear and so on and we'll give you a pittance so you know for money every month and maybe will educate you the way that we want you to be educated it really is about power control is that they're trying to actually the only remake America what they want to be kings and queens they think that they're they're they're the smartest people that we ought we should all bow to know yeah and you know we think about power and control Joe power controls what users do yeah to keep you on the line and a you know you mentioned at the earlier right and your work on the show who someone when I was eight trying murder cases you know he was a witness for me but with the power in control issue they had a once they started with this new great deal which is like a bonus right they're gonna take planes out of the sky the gonna have high rails and they're gonna stop the vicious at them when they talked about the bovine flatulence the house I think California it's okay right so actuated hole open on my on my show was great what I said to wait the next thing that they're going to do with the going to say we don't want to the fifth so they can get rid of the couch sure enough AOC comes out and says I don't think people need deep because much of a debate on the three for breakfast lunch and dinner white they're they're right there I want to tell you what to eat how much to eat when to eat I mean at this is Corrine the nets and you know what we're going to.
"state medicaid program" Discussed on WBZ NewsRadio 1030
"Eighty eight degrees in Boston at eleven o'clock good evening I'm Suzanne sauce well here's what's happening state lawmakers have reportedly reached agreement on a state budget for the current fiscal year the forty three billion dollar proposal is expected to be passed by lawmakers and sent to governor Baker tomorrow it includes language aimed at curbing the cost of prescription drugs in the state Medicaid program three dogs die after being left in a hot car today in Jamestown Rhode Island officials and bystanders try to revive the dogs at the scene but were unsuccessful they were two black labs in a Keeshan police say the car was running but their air conditioning wasn't working and the windows were rolled up the owner and gar net of James town was arrested and charged with cruelty to animals state lawmakers consider a ban on the practice of declawing cats a bill that would prohibit the decline of cats is scheduled for a public hearing at the state house Monday the practice involves amputating a cat's toes to the first knuckle supporters of the proposed legislation say declawing is cruel and painful and they say cats need their paws in clause to groom and protect themselves the Humane Society of the United States opposes declined except in the rare cases when it's necessary for medical purposes the practice is already illegal in Los Angeles San Francisco and Denver here in the U. S. as well as much of Europe and Canada last month New York lawmakers approved a similar bill that bill is waiting on governor Andrew Cuomo's approval Sherri small WBZ Boston's newsradio the Pentagon is preparing for the worst after you Ron sees the British oil tanker in the strait of her moves on Friday CBS's David Martin is traveling with the top US general in the Middle East hold on air base has a ten.
"state medicaid program" Discussed on Newsradio 1200 WOAI
"Have Medicare in Texas Medicaid with America group you could be getting so much more America group may provide up to twelve hundred dollars for over the counter health items and zero dollar copays on many prescriptions not to mention free rides to your doctor and pharmacy visits get more out of your Medicare Medicaid coverage switch today call eight six six eight three seven twenty eight ninety three America group Texas incorporators an HMO special needs plan with a Medicare contract and a contract with the state Medicaid program enrollment in America taxes in depends on contract renewal Hey look at this why are you on your phone we have dinner reservations I'm getting a quote for life insurance for meet those just look I thought it would be more expensive a friend told me about ethos it's a new straight forward kind of term life insurance that offers policies for any budget let's do an estimate for you do we have time you just answer four simple questions to get an instant quote these are easy questions and there's the instant quote seriously I was really fast I know right and the online application only takes about ten minutes no pushy agents and in most cases no medical exams it's perfect for us can we apply right now why not and after dinner maybe we can celebrate you know what he does is perfect for us ethos is ethical term life insurance straight forward and super fast don't put it off go to eat those life dot com for a free instant quote now ET H. O. S. life dot com that ethos life dot com if you were looking for.
"state medicaid program" Discussed on Newsradio 1200 WOAI
"Thanks art in your bedroom our treadmills are covered in wondering are we are in your basement our free fitness training sessions art internet videos plus it's more more leave the gym to join planet fitness for one dollar down ten dollars a month join in club or a planet fitness dot com deal ends July sixteenth participating locations only see club for details do you have Medicare in Texas Medicaid with America group you could be getting so much more America group may provide up to twelve hundred dollars for over the counter health items and zero dollar copays on many prescriptions not to mention free rides to your doctor and pharmacy visits get more out of your Medicare Medicaid coverage switch today call eight six six eight three seven twenty eight ninety three America group Texas incorporators an HMO special needs plan with a Medicare contract and a contract with the state Medicaid program enrollment in America taxes in depends on contract renewal are you an over thinker hi Rick Adelman here host of the Rick element show right here every weekend in three decades of serving folks like you and almond financial engines with not a lot of folks were trapped because they were over thinking their financial decisions we get it this can be scary stuff you work really hard and you make a lot of sacrifices to save all your money and well just imagine if you make a mistake bad investment choices the wrong mortgage and correct insurance coverage it's enough to keep anyone awake at night so here two pieces of advice to help you solve the problem first realize that most decisions can be changed and second it's not just you it's where he you don't have to go it alone let us help you you'll get our experience and expertise so call us Evelyn financial engines it's one decision you don't have to over think call us the triple a to plan wreck that's triple eight plan wreck or visit us at Rick Adelman dot com that's right Stillman dot com.
California is first to offer health benefits to some immigrants in country illegally
"A minute California has become the first state in the country to offer health care benefits to young illegal immigrants the measure signed by governor Newsome extends coverage to low income undocumented adults ages twenty five and younger for the state's Medicaid program California has allowed kids eighteen and younger to receive care despite immigration status since twenty sixteen California has more immigrants than any other state and many don't have access to federal programs like Medicaid and Medicare except when it comes to pregnancy or medical emergencies state officials estimate this new plan will cover about one hundred thirty eight thousand people and cost California taxpayers ninety eight million dollars in its
California is first to offer health benefits to some immigrants in country illegally
"California's decided to provide health care to certain illegal immigrants ABC's Alex stone tells us the president doesn't like a California is becoming the first state to offer taxpayer funded health benefits to young adults who were living in the country illegally governor Gavin Newsom signing the bill making low income adults were twenty five years old and younger eligible for those state Medicaid program regardless of their immigration status new seven other Democrats have said they want to further expand coverage to more adults president trump is called that move crazy Alex stone ABC
California is first to offer health benefits to some immigrants in country illegally
"Story California leading the nation again this time providing healthcare to some illegal immigrants are this is Alex stone tells us the president doesn't like California is becoming the first state to offer taxpayer funded health benefits to young adults who are living in the country illegally governor Gavin Newsom signing the bill making low income adults were twenty five years old and younger eligible for those state Medicaid program regardless of their immigration status new seven other Democrats have said they want to further expand coverage to more adults president trump is called that move
U.S judge strikes down rule allowing 'skimpy' health insurance plans
"Herbst. Federal judge struck down a Trump administration rule that allowed employers to join together to buy health insurance that avoids Affordable Care Act consumer protections. NPR's Alison kodjak reports it's the second blow this week to the president's efforts to undo the Obama era healthcare law. The judge said the Trump administration's rule allowing more so-called association health plans is quote intended, and designed end-run the requirements of the ACA. He cited the president's own words from an executive order, directing the department of labor and health and human services to write the new rules. Those rules allowed small businesses and self-employed people to create associations for the sole purpose of buying health insurance. As did not have the consumer protections included in the Affordable Care Act. The ruling comes just days after another federal judge struck down work requirements in two state, Medicaid programs. That were encouraged by the
"state medicaid program" Discussed on KLBJ 590AM
"Topping. Legislatures. Limited role in the state Medicaid program to use that healthcare determinator pregnancy. Joe who heads the Texas alliance for life bite back on the notion that the state doesn't take care of low income women more than two hundred twenty thousand births are paid for by the state Medicaid program. Half of all children in Texas are on health insurance funded by the state of Texas, Texas is not used taxpayer dollars to fund abortion since the nineteen seventies. The city of Austin warning of an unauthorized website to pay your utility bills customer alerted Austin energy about the website after a typo in the web address led him to it because tumor typed IT's instead of utilities and trying to get to the utilities dot com. Website, the unauthorized sign offered to pay all of the customer's bills. But the city says doesn't have permission to do that. The city says you can only pay your bills on a legitimate city website, or by mail, or in person, the city of Lakeway still trying to find the best solution to cutting down on the number of speeders on Lakeway drive police chief Todd Ranford says he's really not in favor of most of the traditional traffic calming devices. A big proponent of adding a whole bunch more sign age as there's not any real research out. There is going to support that secondarily speed bumps in my opinion, would just create more of hazard right for says he does like the idea of using digital speed limit signs with flashing white driver's attention to those signs have already been ordered. And now the KLBJ radar weather. Watch our round tonight, low forty three tomorrow, partly sunny is sixty seven and sunny and pleasant on Monday, the high near seventy from the weather center, I'm meteorologist John Feerick..
"state medicaid program" Discussed on KLBJ 590AM
"Called him a wimp. This is Fox News. BJ? I'm Robert Pooley talking. There's a Bill in the state legislature that wouldn't allow women enrolled in the state Medicaid program use that healthcare to terminate a pregnancy. Joe who heads the Texas alliance for life by back on the notion that the state doesn't take care of low income women more than two hundred twenty thousand births are paid for by the states Medicaid program. Half of all children in Texas are on health insurance funded by the state of Texas, Texas is not used taxpayer dollars to fund abortions since the nineteen seventies. And he says it's unlikely to start now to new digital speed limit signs have been ordered for Lakeway drive is police continue their effort the clamp down on speeders chief Todd Radford's as they considered a slew of different options. Obviously speed bumps speed humps speed tables, adding more science painting the roadway the speed limit ran for says he settled on the digital speed signs because he doesn't like the idea of adding other signing, John Lakeway. Drive, and he feels things like speed humps would become a hazard the city of Austin is warning of an unauthorized website to pay your utility bills, a customer alerted Austin energy about the website after a typo in the web address led him to it because tumor type IT instead of utilities when trying to get to the utilities dot com. Website the authorized I offered to pay all the customers bills. But the city says it doesn't have permission to do that the city says you can only be your bills on legitimate city websites or by mail or in person. And now the KLBJ radar weather. Watch our round tonight, low forty three partly sunny is sixty seven and sunny and pleasant on Monday, the high near seventy or the weather center, I'm meteorologist John Feerick. And I'm Robert would get news on demand at newsradiokkob E, J ward and Ed Clements. Afternoons three to send a request twenties. Are you think you're going to receive? Twenties in cash from the ATM. Instead, it's giving you one hundred how many of you would one keep the money thinking, it's not stealing or you think it's ceiling, and you still keep the money. And then partout is how many of you would honestly returned the catch the difference in the cash you're getting eighty dollars more than what was intent. They're gonna take that money. Go. Be.
"state medicaid program" Discussed on Vox's The Weeds
"Of the interesting things I've had a lot of conversations with the spokespeople for the hospital. Who say, you know, look, we are the hospital of the indigent. We are the possible the uninsured the low income a few, you know, privately insured people end up in the situation, and it's bad. But like we have to keep our focus on this low income population that we're serving which I mean, there's a lot going on there. But the thing that's very odd. To me is this hospital seems to have taken private insurance. It's like a Mark of unlimited affluence like that, you know, if you're someone with private insurance like you just have to foot this twenty thousand dollar Bill and sure like people with private insurance tend to have more money than people with public insurance. But if you look at California, you know, their it's only a difference in a few dollars income of whether you're on the state Medicaid program or whether you're on a private ObamaCare plan, but that's kind of the dividing line. You know, and we're talking about. Someone who earns twenty thousand dollars. They're going to be on the private insurance plan someone who earns twenty thousand dollars a year will be on a subsidized ObamaCare plan that does not include this hospital in their network, and they're being determined to be somehow wealthy enough to afford these kind of bills to the perversity of trying to address the healthcare safety net through two different means read. So it's like we have the insurance safety net. Then we have the provision safety net from a social perspective, visible, the reasonable strategies. Like one thing we could do is make sure that everybody has a health insurance program that like will get them treatments that they need at reasonable cost. Another philosophy would be to say, look, we're going to have a national health service or a state house over the city. Healthsource whatever it is right. But like actual public providers whose provision of free medical care will be the safety net. And then insurance is going to be like an. Optional thing for more affluent people who are doing fancy dandy stuff. But the way to do that would not be too like finance the publicly provided healthcare by like screwing over a random assortment of patients who happen to be brought to your hospital by an ambulance. Right. It's like that's what we have taxes for. I mean, again, it's like the library, right? Like they need money to fund their operations. And like the city just pays for it. They don't like mug one in a thousand customers at the bookstore. And then when you come around like why are you taking this guy's money? Well, we gotta serve the poor. Right. Like that's not like that's just not how how you do a public service. But you can see the thinking like narrowly from the hospital administrators right is like look, we need the money that we can get right. Like our mission is to serve these Medicaid clients. But it's so it just like the incidents winds up being so absurd, right? It just like has to do with like did you have a bike accident? Like, what did your insurance company say? Where did the ambulance go? Right. And like that's not what you know. Like, the city could look at its budget, and like decide how much money they wanna put into this..
"state medicaid program" Discussed on KQED Radio
"That's according to a new report by vox, senior health policy. Correspondent Sara cliff who spent a year studying the billing practices of emergency rooms around the country secretary general for its part says it does not accept private insurance in accordance with. Its mission to serve those with public health plans circle of joins us to talk about her findings. And we want to hear from you. Have you ever had to foot? A surprisingly large ER built Sarah cliff is senior correspondent covering health policy with vox and welcome to the program. Good to have you with us. Thanks for having me. Well, I guess let's begin with the fact that you did quite a bit of yeoman or yo person work here for about a year studying billing practices at hospitals, and you found over Jerker Burke, San Francisco more surprises than you had expected. I did this wasn't really a story. I set out to write when I've been doing for the past year at vox is collecting emergency room bells from our readers, we have about two thousand of them now. And I started noticing as we got more bells from Zuckerberg, San Francisco General something really unusual about those bells and the first time I saw it. I kind of shrugged and thought well, maybe that's just a quirky case. But after I had about a half dozen bills. The thing I was able to really see that the hospital does not participate. Nate in network with any private insurers, and that turns out to leave patients with some really really significant bills your profile, some of these patients, in fact, young woman, for example, goes in the emergency room leaves with an arm and a splint and months later gets a Bill for over twenty thousand dollars part of this problem has to do with those kinds of charges. But also with the fact that the insurance company in that case would only cough up about three thousand. Yeah. That was the case of Nina dang who is in a bike accident in San Francisco. It seems like a lot of the bills. I get are. The typical story is often at the cyclist who's who's in some kind of accident transported to soccer Berg, San Francisco. General in this case, you're right. The insurance company only paid about four thousand dollars which they felt like was the adequate amount for this. That's about twice what Medicare would pay for the same situation. But soccer Berg, San Francisco General was billing twenty four thousand dollars in that has left Nina with a twenty thousand dollar Bill that the hospital is. Saying it's going to send collections quite soon. And she's not quite sure at this point is she going to try and pay is she going to try and protest at the Bill is still hanging out there about eight months after she had this bike accident. But this is a pattern in many ways throughout the country. I mean, he's high emergency Bill rooms, you write about a young woman in Hoboken. Jessica. Pelle by name who gets about a five thousand dollar Bill for going in and getting a nice back in a bandage. Yeah. That certainly is true that you see these surprise bills and a lot of places across the country the situation. That's more typical is that you have an out of network doctor who is working at an in network hospital. So you think you're safe? You know, the emergency room is is network. But then it turns out radiologist or surgeon yusei actually isn't in your network. I think what's unique about this case with San Francisco General is the fact that the emergency room itself is out of network. I've talked to experts about this who have a lot of your billing data. They estimate that fewer than one percent of your visits happening out of network hospitals. But it is happening constantly at San Francisco. General other network simply means again, there's no bargaining with private insurance plans. Why is that the case Burke from your research? So that's one question. I actually wasn't fully able to answer, you know, I have talked to spokespeople from Haas. Spital they say that their mission is to serve the uninsured. And they and in the under served, so they are accepting public insurance. They accept medical California's state Medicaid program, they accept Medicare. But they say that they need to focus on that population. And that requires not negotiating rates with private insurers. I think the thing that is kind of surprising confusing to me there is other public trauma centers, for example, the one that you UC Davis runs in San Francisco. The one in Portland, Oregon, you do they also are public hospitals, but they tend to accept private insurance. So it is a different decision. They've made and one that I don't fully understand. Well, it's the city's only top tier trauma center, and it's also the largest public hospital you've quoted some research by professor named garments Christopher Garmon, who's a health economist. And this doesn't quite equate. I mean, in terms of the majority of hospitals are in network, aren't they? Yeah. And usually when you think about it from the hospital's perspective. It's easier to be a network you're going to get when hospitals in network. They kind of sit down with an insurance company, and they negotiate prices for everything from a primary care visit to an our trip to a surgery, and that means that the hospitals reliably going to get payments for the services it provides. If you look at what's happening at sucker Burke, San Francisco, General, they are charging higher prices that an insurance company would likely agree to but they're also having to chase down patients. You know, they don't have that reliable insurance company has the payer instead, they're dealing with someone like Nina who was there. Eight months ago still hasn't paid the Bill now they're going to have to deal with debt collection. So you could see it as a way to increase the amount you're.
"state medicaid program" Discussed on The Takeaway
"Pleasure. This week, the Trump administration named Mary Mayhew as head of the national Medicaid program and the children's health insurance program also known as chip previously Mayhew served as Maine's health Commissioner overseeing the state Medicaid program. But throughout her tenure, she's lead up to prevent Medicaid expansion. Championing narrower eligibility standards, leaving fewer people with access to coverage here to talk about what may use appointment means is Dan diamond health care reporter for politico, Dan, thanks for joining us on the takeaway. Glad to be her. So let's talk a little bit about Mayhew's history with Medicaid in Maine. What were some of the reforms that she put in place specifically that restricted access to medicate Mayhew under Paula page, longtime, ally of Donald Trump. He's the main governor worked to cut down eligiblity for Maine, residents sign up for Medicaid with that means is folks who. Had incomes that previously were able to qualify for Medicaid, that threshold was lowered. She also rolled back eligibility for drug subsidies for elderly patients in at the same time, did other reforms to the food stamp program. As a result, there were thousands and thousands of people eighty thousand people, in fact, on Medicaid who moved off the program while she was in charge her, defenders would say, that's great. She was getting people off of state program. She was reducing spending, but her critics and that includes many patient advocates that I've spoken with would say that she put vulnerable patients further at risk and those arguments that I keep hearing now takes his job in Washington. What about Mainers had it Mainers take to that decision? I don't think they liked it very much. You could see that both in the popular opinion polls about what was happening in Maine as well as the fact that Mayhew herself ran for governor. This year. She finished third in the Republican primary casting herself as a successor to. Paul la- page the measures that point to ten measures like hunger went up while while may he was even rolling back the food stamp program. And that's the kind of tension that has really concerned the advocates on the ground that I've spoken to and what are we see nationally because she's overseeing Medicaid nationally. Do you think she'll be able to implement those types of restrictions at the national level, it's telling to look at both what she has said in the past as well as what the Trump administration has already put in place. So I was reading letter that Mayhew set to the Trump administration about a year and a half ago. She laid out all the things that she wanted in Maine, her wishlist included work choirmaster for Medicaid beneficiaries essentially that healthy adults would have to get a job or show that they were pursuing one. She wanted to set lifetime limits of five years, five years on total Medicaid eligibility, and she wanted Medicaid beneficiaries to pay some premiums now that she's in this job, she will be receiving those sorts of applications from people across. The nation from state Medicaid directors, and she will be in position to either expedite them forward or pushback. There are people in the Trump administration of similar views to Mayhew current boss woman him. Seema Verma has also been very receptive to these sorts of requests, but the fact that they have added Mayhew will make it easier to move them forward. And are there briefly, are there concerns about the chip program as well? The children, health insurance program is tied up in this to the fact that there are funding issues for that program have generally been patched over by lawmakers in both parties, but there is significant fear that may he will look for ways to cut out to Dan diamond is a reporter for politico covering healthcare under the Trump administration. Dan, thanks so much for being with us. Thank you, Tim. Today's podcast is sponsored by babble people around the world are learning new languages with the Babbel language learning up, learn Spanish, French, Italian, German. Russians we'd ish and more with Babbel's ten to fifteen minute lessons. You'll learn through interactive dialogues speech recognition and fun trainers in quizzes. And in the few short weeks, you can be speaking new language with confidence and Babbel's availables nap or online. And right now you can try babble for free, go to babble dot com and download the app and try it for free. That's right. Babbel b. a. b. l. e. dot com or download the app to try it for free, that will dot com. We turn to Florida now and the aftermath of hurricane, Michael, whenever a natural disaster hits vulnerable, communities can often be forgotten or left behind, and the disabled community is no exception. Last week, Oscar winning actress Marlee Matlin who is deaf tweeted out of video of the storm's trajectory. With this comment. I wanted to share this video for the thousands of deaf and hard of hearing residents in the path of hurricane Michael, but unfortunately, it's not closed captioned. Access to info is vital. It's a life or death matter. So what can be done to improve on these communications failures for Americans with disabilities? Marcie Roth is the CEO of the partnership for inclusive disaster strategies. And she formerly served as FEMA director of the office of disability integration and coordination. Welcome MARCY. Thank you very much for having me. So MARCY in her tweet Marlee Matlin described the failure to provide closed captioning during Michael. What are the federal guidelines for how communication needs to share before during and after an emergency or natural disaster says, it's required that information is provided equally to people who have those legal protections of disability, which includes people who are gift people who are hard of hearing information must be provided during emergencies that is actionable and accessible to everyone. What do we know about how people with disabilities do during disasters? Are they more at risk they more likely to be left behind? Are they more likely to be discriminated against people with disabilities are two to four times more likely to be injured or to die in a disaster, and it's almost never because of their disability. It's because a failure to plan and. The inclusive of their needs and the needs of the community in accommodating everyone were obviously reporting on the aftermath of hurricane Michael. I'm wondering what was your assessment of the situation on the ground there for the disabled community says, so we are still very much at the front end of disaster response and circumstances for everyone have been dire- for people with disabilities. Circumstances have been specially difficult. The ability to get actionable information has been stymied because communication systems are down and people don't have television text messaging, thankfully is still working for many people. But if you don't have power than you don't have the ability to keep your phone charged. Unfortunately, we have heard that many people who have evacuated have not found that the shelters are prepared to meet their disability related needs. Forcing them to hospitals and hospitals are overcrowded and unable to meet basic needs for people who don't need acute healthcare. It puts people with disabilities in tremendous jeopardy, and it's a huge misuse of those very limited local community resources. You worked in the federal government as famous director of the office of disability integration and coordination. And I'm wondering given that experienced UC areas of improvement in emergency and disaster program management specifically for the disabled community. When I was at FEMA administrator, Fugate led a charge to build capacity for providing qu. Qualified disability experts on the ground to support the state and local response. We had been charged with bringing together two hundred eighty five qualified disability experts in and we were on the way to building that we had well over one hundred fifty folks since that time. We know that right now in Florida. There is only one disability integration adviser on the ground and in Georgia, there is no one specifically of working with the state of Georgia. So the ability to provide that qualified expertise is just not in place. Marcie Roth is the CEO of the partnership for inclusive disaster strategies. And she formerly served as the misdirector the office of disability integration and coordination mercy. Thanks for joining us. Thank you very much for having me. Fifty