A LOOK AT THE REAL WORLD OF OBAMACARE AND MEDICAID EXPANSION IN LOUISIANA

From an excellent letter to the Advocate newspaper by David Hood, former secretary of the Louisiana Department of Health and Hospitals, Baton Rouge.

Several Louisiana health insurance companies have announced that they want to raise premium rates for some policies next year. Opponents of the Affordable Care Act are using this to again attack the law and its impacts on health insurance. But consumers — and voters — should keep a clear head and ask some basic questions.
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The ACA requires companies to publicly justify rate increases of over 10 percent, and requires 80 percent of premium dollars be spent on health care, not administrative “overhead.” Consumers are better off because of those provisions, though some states like Louisiana have not allowed the law’s full benefits to be implemented.

Given that Louisiana has the third-highest rate of uninsured people in the nation, and that we rate 49th in poor health outcomes, we should support “Obamacare,” not fight it.

David Hood replaced Bobby Jindal as head of the Louisiana Department of Health and Hospitals during the administration of Gov. Mike Foster, when Jindal was drafted by the Clinton administration as a bipartisan showpiece to serve as Assistant Secretary of the US Department of Health and Human Services.  Hood serves as Senior Healthcare Analyst for the Public Affairs Research Council and knows whereof he speaks.

Here's the link to a video of David Hood speaking great good sense about Jindal's refusal to accept federal funds for Medicaid expansion, which would provide health insurance for up to 400,000 uninsured citizens of Louisiana.  "What are we waiting for?" The funds that Jindal refuses go to other states.

Photo from Louisiana Public Square.

THE MIRACLE OF PRIVATIZATION

The total operating expense associated with the privatization of nine LSU hospitals will hit $1 billion during the new fiscal year, Commissioner of Administration Kristy Nichols said Thursday.

That’s more than is in the current year’s budget — $955 million — for the state to operate the charity hospitals.

And more than the $626 million Gov. Bobby Jindal proposed for private companies to operate the public hospitals in the fiscal year that begins July 1.

Nichols said the administration would submit amendments to the state Senate Finance Committee to close the funding gap, recommending using some money from hospital leases as well as other state and local revenues.

Kristy Nicholls says that the state will benefit in the long run, but I'll hold my applause until a source outside the Jindal administration breaks down the figures. As you may or may not know, in Jindal's plan to ditch personal and business income taxes and make up the difference in sales taxes, the math did not compute. I'm not sure what method the administration uses, but the numbers don't always pan out as presented.  When Jindal realized that his tax plan was DOA in the Legislature, he withdrew the mess at the last minute.

Further on Medicaid expansion:

Even though governors and lawmakers in five Deep South states oppose a plan to cover more people through Medicaid under the health care overhaul, 62 percent of the people in Alabama, Georgia, Louisiana, Mississippi and South Carolina support expanding the program, according to a new poll.

Read more here: http://www.kansascity.com/2013/05/21/4248364/public-in-deep-south-supports.html#storylink=cpy

The level of support for expanding Medicaid – the state and federal health insurance program for the poor and disabled – ranged from a low of 59 percent in Mississippi to a high of 65 percent in South Carolina, according to the poll by the Joint Center for Political and Economic Studies, a leading research and public policy think tank that focuses on African-Americans and other people of color.
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But the five states in the poll, all led by Republican governors, have decided not to participate. Ironically, Mississippi and Louisiana rank dead last among all states in the overall health of their residents, according to America’s Health Ranking, an annual report by the United Health Foundation, a nonprofit arm of the insurer UnitedHealth Group.

There you have it.  The voice of the majority does not prevail, and many of the citizens of Louisiana and Mississippi will go without health insurance, because their governors are ideologues who do not put the welfare of the citizens first.  Of course, when the governor has national ambitions, he has to keep one eye on the Tea Party and the other on Grover Norquist, with no third eye to look at the hardships he inflicts on the residents of his own state.

Thanks to Ann for the link to the poll.

Read more here: http://www.kansascity.com/2013/05/21/4248364/public-in-deep-south-supports.html#storylink=cpy

CHICKENS COMING HOME TO ROOST?

The Jindal administration on Thursday announced it has canceled a controversial contract that has come under scrutiny by a federal grand jury.

Commissioner of Administration Kristy Nichols issued a prepared statement announcing the decision affecting a $185 million-plus contract to process Medicaid claims with CNSI, a firm with ties to state health Secretary Bruce Greenstein.
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Greenstein’s office directed media inquiries to Nichols’ office.
Gov. Bobby Jindal declined a request to be interviewed on Greenstein’s job status. Jindal’s office released a prepared statement from Paul Rainwater, the governor’s chief of staff, that said: “We have confidence in Bruce.”

The development occurred just hours after news broke that a federal grand jury was investigating the administration’s award of the contract.

Still the administration is not yet ready to say goodbye to Bruce. 

The company got the contract for Medicaid claims processing in 2011 amid some complaints that the firm “low balled” the price and made erroneous assumptions in its proposal.

Nothing to see here. Move along.

The CNSI contract has been amended once since it was signed, increasing its $185 million cost by about $9 million. A second contract amendment proposed by DHH that would have added another $40 million was sidelined recently by the state Division of Administration.

Oops!

The Jindal administration functioned for years with virtually no checks and balances.  Jindal and his closed circle of advisers operated in secrecy; the legislature went along with Jindal's proposals with little scrutiny; and Jindal brooked no dissent from the administrators of the various agencies.  Dissent publicly, and you're out.

The local press is given little access to the governor and his inner circle, but Jindal rarely refuses a request by national media for interviews and appearances.  Since the local press know more about what's happening in the state, they might ask hard questions, but the national media view Jindal as the new face of the Republican Party, possibly even presidential material, and the governor is eager to encourage the impression.