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  1. #1
    I am that guy RandomGuy's Avatar
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    ospital and physician associations warn that the governor's Medicaid privatization scheme has failed to deliver and threatens the program's existence.

    Kansas Gov. Sam Brownback's $56 million cut to the privatized KanCare Medicaid program is facing blowback from healthcare providers.
    In a media release detailing the cuts, Brownback said KanCare's 4% reductions to providers, which take effect on July 1, would exempt home- and community-based services and almost 100 hospitals defined as rural, densely settled rural, frontier and critical access hospitals.

    After identifying KanCare as one of "the three main drivers of budget growth," Brownback said "we are working to slow the growth of government spending and our projected FY 2017 expenditures are less than FY 2015 actuals. Kansans cannot afford the explosive growth of state government spending that occurred in the past."

    In a sharply worded open letter last week, however, Kansas Hospital Association President and CEO Tom Bell threw the baloney flag and accused the governor of attempting to obfuscate the scope of the cuts, which were part of more than $80 million in reductions to the overall state budget.

    "There has been a flurry of inaccurate or incomplete information, and we need to set the record straight. Despite comments to the contrary, there simply is no 'rural' exemption from the proposed cuts," Bell said.

    "Every part of the state will feel the effect of the cuts through reductions in payments to physicians, nursing facilities, home health agencies, hospitals or other caregivers."

    More than 30 of the state's 107 rural hospitals are in danger of closing, and Bell said the ongoing effect of the KanCare cuts has become "obvious."

    "Almost every comment made about this new proposed policy warns that KanCare reimbursement cuts will seriously jeopardize access to care," he said. "We've now seen concrete examples of hospitals in different parts of the state struggling under the current system, and these cuts will only exacerbate those struggles for all providers."

    Kansas remains one of 19 holdout states that reject Medicaid expansion and the money that comes with it under the Affordable Care Act. As a result, Kansas has lost an estimated $1.2 billion in federal matching funds.

    Brownback privatized KanCare in 2013 with assurances that the leaner and more efficient program would improve access to care.

    So far, those promises have not materialized. Providers and patient advocates hate it, and commercial payers aren't happy with it either. The Witchita Eagle reported last week that KanCare's health plans, Sunflower, UnitedHealthcare and Amerigroup, reported losing $52 million in Kansas in 2014.

    Bell accused the governor of reneging on promises made to providers.

    "When KanCare was announced, the Administration repeatedly stated that the program would improve access to healthcare and allow the state to avoid cutting provider rates," Bell said.

    "And encouraged by these promises, healthcare providers have been good partners regarding KanCare. This despite the fact that the program pays them less than the cost of providing care; despite the growing financial pressure facing those providers; and despite increasing evidence that KanCare isn't working as promised."

    The Kansas Medical Society has also weighed in on the cuts, warning that physicians are already providing KanCare services for about half the payment of commercial plans, and that further reductions "are likely to adversely impact access to care, and will inevitably result in higher overall costs to the program."

    "If the cuts cause physicians to drop out of the program, or place strict limits on the number of Medicaid patients they are able to see in their offices, more care will be delivered in hospital emergency departments, which are considerably more expensive settings than a physician clinic," KMS said in a statement.

    http://www.healthleadersmedia.com/co...medicaid-cuts#

  2. #2
    I am that guy RandomGuy's Avatar
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    I’ve made the decision. As of July, I have decided that Pathfinder Health Innovations will be moving our corporate office from Kansas to Missouri.Brownback
    There are a lot of things that factor into this decision. For one, the company has outgrown our current space. There are no seats left, and we have new employees coming on every month. The state of Missouri is also helping us with some tax incentives, but these are minor considerations.

    More importantly, there’s a motivation of conscience that factors into it, too. It’s not so much that I’m moving the company to Missouri as I’m moving it away from Kansas.
    Please note – this is a personal blog post, reflecting my views on the performance of the Kansas government, and specifically Governor Brownback. It should not be interpreted as the views of the company, our investors or employees other than me.
    In recent years, Kansas has become a battleground for conservative ideals. Traditionally, Kansas was a moderate state, with the governorship switching every other election between Democratic and Republican governors. But the election of hyper-conservative Sam Brownback as governor heralded a new age of far right wing ideology.

    It wasn’t just that Brownback was conservative; it was that he is seen as a tool of the Koch brothers and ALEC, a conservative think tank and lobbying organization. Brownback used his influence and funding to eliminate “moderate” republicans from the Kansas legislature and install his hand-picked conservative cronies. He couldn’t do the same with the Kansas Supreme Court, which has ruled a number of the conservative legislature’s laws as uncons utional, so Brownback’s administration decided to threaten to cut off funding to the court system and is actively pursuing legislation to impeach the Supreme Court.

    Kansas has become a test center of “trickle down” economics, espoused by economist Arthur Laffer during the Reagan years. Nowhere has there been as thorough an implementation of Laffer’s policy recommendations… and nowhere has there been as dramatic a failure of government.

    Under Brownback’s direction, Kansas implemented an unprecedented tax cut in 2012, eliminating taxes for LLCs and professional firms (for full disclosure, PHI is a C Corporation) and making the largest cuts in the highest tax brackets. He shifted taxes to create a heavier burden on property and sales taxes, which typically represent a larger burden on lower income brackets. Brownback declared that this tax cut would be a “shot of adrenaline” for the Kansas economy, but the reality is that the tax cuts have had the opposite effect. Kansas lags neighboring states in job growth. For 11 of the last 12 months, Kansas has dramatically missed revenue targets, falling deeper in debt and facing another round of degraded bond ratings.

    The worst part is that the burdens for the shortfalls rest on the shoulders of those who can least afford it – children and the developmentally disabled.

    One of Brownback’s first actions was to close the Lawrence office for Kansas Social & Rehabilitation Services (SRS). This agency provided services for low-income children and the developmentally disabled, and access to the Lawrence office was critical for people in that community to receive services. Their only option was to try to figure out how to get transportation to the Topeka SRS office, thirty miles away. Not an easy task. The closure of the Lawrence office was supposed to save the state $400,000 per year.

    At the same time, Brownback decided to pursue a personal vendetta against the Kansas Bioscience Authority, an organization created to spur the economic development of bioscience companies in Kansas. Brownback was convinced that funds were being misused, so he decided we needed to spend over $400,000 (conveniently, the same amount that could have kept the Lawrence SRS office open) on lawyers and auditors to pour over the KBA books. In the end, they found a total of $5,000 in misused funds, which the former KBA president repaid with a personal check. It all came down to priorities – pursue a personal vendetta at the expense of the disabled.

    The developmentally disabled continued to suffer when Brownback’s administration pushed a program to privatize the state’s Medicaid program KanCare while at the same time refusing millions of dollars in federal support to expand Medicaid services. Now, three insurance companies administer KanCare as a profit center, and the results are dramatic – significant delays in determining eligibility, inexplicable loss of coverage, caseloads increased, providers struggling to get paid.
    At the beginning of 2016, over 17,000 Medicaid applications were waiting for approval, 8,000 of which were well beyond the federally mandated 45-day threshold for processing. Pregnant women, who would have received services by default under the previous Medicaid plan in Kansas, were now waiting 4+ months for services, often exceeding the term of their pregnancy by the time services were authorized.

    The funding problems got so bad that Osawatomie State Hospital’s mental health ward had to significantly cut staffing. Over 40% of their staff positions were dormant, leaving the remaining staff overworked and unprepared. This understaffing resulted in an improperly released patient murdering a 61-year-old man, and a hospital worker was raped, having to rely on other patients to save her. In January 2016, the Osawatomie State Hospital lost its certification to provide mental health services, cutting off federal funding that counted for roughly half of the hospital’s revenue. It is unclear what will happen to the patients and staff at Osawatomie State Hospital, leaving the fates of the patients in limbo.

    The state’s public education system, once considered one of the best in the nation, hasn’t been spared, either. You’ll hear claims from Kansas officials that funding to education is at an all time high, but it’s just an accounting trick – they chose to shuffle money for special education and retirement funds through the schools so it could appear as an increase on the books. Salary freezes, underfunding to the point of being ruled uncons utional, laws allowing teachers to be imprisoned for introducing potentially “offensive” content, cuts and delays in $100 million in payments to the state-run retirement fund, and legislation specifically targeted to cripple the Kansas teacher’s union are all part of an ongoing effort to undermine the public education system in Kansas. Instead, the Brownback administration plans to offer vouchers to encourage families to send their children to private and religious schools.

    To double down on these policies, Brownback is now ignoring the $250 million shortfall predicted for 2016, instead opting for headlines about closing Kansas to refugees and blaming the “liberal media” for the state’s economic woes.
    In the end, I believe the goals of the Brownback administration are going exactly to plan – starve the state of resources to the point where it just makes sense to turn over critical government functions to for-profit en ies.

    I can’t, in good conscience, continue to give our tax money to a government that actively works against the needs of its citizens; a state that is systematically targeting the citizens in most need, denying them critical care and reducing their cost of life as if they’re simply a tax burden that should be ignored.

    It’s because of these moves that I have decided to deny Kansas revenue from Pathfinder’s taxes by moving our company to Missouri. Sure, our company taxes are a drop in the bucket, but I do not, in any way, support the Brownback administration’s actions.

    I believe that it is the responsibility of business owners and people with some voice in society should speak up against these destructive policies. And I believe it is far past the time that Sam Brownback and his cronies admit the damage they’ve caused to the people of Kansas and resign in the shame they deserve.
    I feel sorry for the citizens of Kansas being subjected to what amounts to a series of failed social experiments on the part of its Governor.

    The priorities here seem to be giving money to rich people, cutting health services, cutting education, and union-busting for the sake of union-busting.

    Democrats waged a war on poverty, and the Republican/conservative response seems to be a War on the Poor.

  3. #3
    Mr. John Wayne CosmicCowboy's Avatar
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    That's like moving across the street. It's still Kansas City, just on the other side of the bridge..

  4. #4
    ex Hornets78 Pelicans78's Avatar
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    Medicaid is pretty useless overall. Doesn't pay for much, reimbursements suck, and 1/3 of patients on them are on drugs. Better than having no insurance, but less and less doctors are seeing medicaid patients because of the lack of reimbursements and medicaid not wanting to pay for certain tests and prescriptions.

  5. #5
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    Medicaid is pretty useless overall. Doesn't pay for much, reimbursements suck, and 1/3 of patients on them are on drugs. Better than having no insurance, but less and less doctors are seeing medicaid patients because of the lack of reimbursements and medicaid not wanting to pay for certain tests and prescriptions.
    Medicare for all, and govt-run, gov-staffed medical care (no investors, no scamming top mgmt, no profits) are the solutions, but BigInsurance and BigDoctor will block all solutions.

  6. #6
    ex Hornets78 Pelicans78's Avatar
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    Medicare for all, and govt-run, gov-staffed medical care (no investors, no scamming top mgmt, no profits) are the solutions, but BigInsurance and BigDoctor will block all solutions.
    It's not the solution. Government cant be trusted with running everything especially the federal government which is broke.

  7. #7
    I am that guy RandomGuy's Avatar
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    It's not the solution. Government cant be trusted with running everything especially the federal government which is broke.
    You would prefer the whole thing entrusted to insurance company executives with financial incentives to deny coverage when it gets too expensive?

    You do know what the leading cause of personal bankruptcies is, right?

  8. #8
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    It's not the solution. Government cant be trusted with running everything especially the federal government which is broke.
    It's the solution in all other industrial countries, who haven't been poisoned, like you, by the VRWC, against government.

    And what's your solution? to American overspending by $1T every year on health care?

    btw, VA budget is less than $200B.

  9. #9
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    ‘Resign in shame’: Fed-up Kansas CEO flees GOP governor’s disastrous reign

    A tech CEO blamed Kansas Gov. Sam Brownback and his ultra-conservative policies for his decision to move his company — and its jobs — to another state.

    “It’s not so much that I’m moving the company to Missouri as I’m moving it away from Kansas,” said Jeff Blackwood, CEO of Pathfinder Health Innovations.


    Blackwood, whose privately held company provides software to autism therapy centers, wrote a blistering attack of Brownback and the Republican-dominated legislature — which he said had destroyed the state’s economy with failed conservative policies.


    “Kansas has become a test center of ‘trickle down’ economics, espoused by economist Arthur Laffer during the Reagan years,” Blackwood wrote in a personal post on the company’s blog. “Nowhere has there been as thorough an implementation of Laffer’s policy recommendations — and nowhere has there been as dramatic a failure of government.”


    The CEO blasted an unprecedented tax cut enacted in 2012, which Brownback promised would be a “shot of adrenaline” to the state’s economy, but instead has cost Kansas jobs, revenue and its bond rating.

    http://www.rawstory.com/2016/06/resi...astrous-reign/



  10. #10
    I play pretty, no? TeyshaBlue's Avatar
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    It's not the solution. Government cant be trusted with running everything especially the federal government which is broke.
    Some undertakings can only be handled by a Government en y. Gov is the single, best integrated solution set.

  11. #11
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    Some undertakings can only be handled by a Government en y. Gov is the single, best integrated solution set.
    Have fun arguing with ideologues. Gubmint bad ya hear!

  12. #12
    I play pretty, no? TeyshaBlue's Avatar
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    Have fun arguing with ideologues. Gubmint bad ya hear!
    You're right. My bad.

  13. #13
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    You're right. My bad.

  14. #14
    Veteran Th'Pusher's Avatar
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    That's like moving across the street. It's still Kansas City, just on the other side of the bridge..
    You understand that it is a different state, with a different governor and different economic, social and tax policy, right?

  15. #15
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    The GOP is a lot like the board conservatives here in regards to trickle down theory.

    It's been trotted out by them since before Hoover. It's failed spectacularly each time yet a few years to a decade passes and there they are again trying to pass it off again blaming the poor. What's particularly distressing are the legions of mouthbreathers that continue to buy it.

  16. #16
    I am that guy RandomGuy's Avatar
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    The GOP is a lot like the board conservatives here in regards to trickle down theory.

    It's been trotted out by them since before Hoover. It's failed spectacularly each time yet a few years to a decade passes and there they are again trying to pass it off again blaming the poor. What's particularly distressing are the legions of mouthbreathers that continue to buy it.
    but, but, but "JOB CREATORS"

    and

    "DEATH TAX"

    One has to hand it to the wealthy for creating the propaganda machine to make it seem to those legions like their interests, and those of the useful poor idiots are the same.

    They aren't, but getting those useful idiots to vote against their self-interests time and time again is somewhat appalling to me. I wish we were smarter about it, collectively.

    , the billionare class isn't even trying to ing hide it.

    Romney and Trump, both billionaires, both spouting the "job creator" myth.

  17. #17
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    but, but, but "JOB CREATORS"

    and

    "DEATH TAX"

    One has to hand it to the wealthy for creating the propaganda machine to make it seem to those legions like their interests, and those of the useful poor idiots are the same.

    They aren't, but getting those useful idiots to vote against their self-interests time and time again is somewhat appalling to me. I wish we were smarter about it, collectively.

    , the billionare class isn't even trying to ing hide it.

    Romney and Trump, both billionaires, both spouting the "job creator" myth.
    Divide and conquer. Fear the different and the outsider.

  18. #18
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    What happened after California raised taxes and Kansas cut them

    The state of California made some headlines last week when the latest economic data found that the Golden State’s economy is now the sixth largest on the planet, passing France and Brazil. It was a striking milestone just in terms of California’s sheer economic might.

    But there was something else about the news with some political salience: when California raised taxes on the wealthy in 2012, creating one of the highest marginal tax rates in the country, conservatives were certain the state’s economy would take a severe hit. How’d that work out? TheWashington Post reported the other day:

    California grew just fine in the year the tax hikes took effect… California’s economy grew by 4.1 percent in 2015, according to new numbers from the Bureau of Economic Analysis, tying it with Oregon for the fastest state growth of the year. That was up from 3.1 percent growth for the Golden State in 2014, which was near the top of the national pack.

    At the same time, Kansas Gov. Sam Brownback (R) slashed taxes, leading conservatives to predict great things for the state’s economy. And yet, here we are.

    The Kansas economy, on the other hand, grew 0.2 percent in 2015. That’s down from 1.2 percent in 2014, and below neighboring states such as Nebraska (2.1 percent) and Missouri (1.2 percent). Kansas ended the year with two consecutive quarters of negative growth – a shrinking economy. By a common definition of the term, the state entered 2016 in recession. […]


    Kansas’s gross domestic product is still less than it was at the end of 2011, said Menzie Chinn, an economist at the University of Wisconsin-Madison, who has been following Kansas’s economy. Meanwhile, the economy in the rest of the country continues to expand.

    In case it’s not obvious, California and Kansas don’t have much in common, and they have very different populations and industries. It wouldn’t be fair to evaluate the two solely on the basis of size.


    But it is fair to note that conservatives’ predictions weren’t even close to being correct about these two states – though it hasn’t caused much in the way of introspection.

    Mother Jones’ Kevin Drum noted the other day,

    “This, of course, has caused conservatives to think long and hard about their contention that cutting taxes on the rich and slashing bloated budgets will supercharge the economy.

    Haha. Just kidding.

    What they’ve actually done is either (a) ignore Kansas or (b) spend lots of time trying to dig up reasons that Kansas is a special case and would have done even worse if Brownback hadn’t stepped in. These reasons tend to be pretty ridiculous, but so far they’ve been good enough to keep the rubes in line. And that’s what matters, right?”


    http://www.msnbc.com/rachel-maddow-s...d=sm_fb_maddow



  19. #19
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    Kansas Gov. Calls for Prayer, Fasting To Solve Budget Crisis

    http://bizstandardnews.com/2016/06/1...budget-crisis/





  20. #20
    Veteran SpursforSix's Avatar
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    Kansas Gov. Calls for Prayer, Fasting To Solve Budget Crisis

    http://bizstandardnews.com/2016/06/1...budget-crisis/




    I've passed this on to Diaw.

  21. #21
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    Another red/slave Repug state governed with awe-inspiring, exemplary efficiency, proving yet again that govt IS NOT the problem

    Kentucky Pension Fund: “Like a 3rd World Country with 2 Different Governments Claiming Power”

    The Kentucky Retirement System may wind up illustrating William Gibson’s observation: “The future is already here – it’s just not evenly distributed.”

    It’s rapidly escalating from dysfunction and corruption at the fund level to disregard of the law at the executive level, even if supposedly to deal with the disaster more effectively.

    Is this sort of “might makes right” theory of political action on its way to becoming the norm in America in response to hopelessly partisan politics?

    Or to put it another way, are we to expect more and more Detroit-bankruptcy-style abrogations of democracy in the name of the supposed urgency of dealing with financial train wrecks?


    By way of background, the Kentucky Retirement System is the worst funded in the US, with assets at only 19% of its projected needs.


    http://www.nakedcapitalism.com/2016/...ing-power.html



  22. #22
    I am that guy RandomGuy's Avatar
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    “This, of course, has caused conservatives to think long and hard about their contention that cutting taxes on the rich and slashing bloated budgets will supercharge the economy.

    Haha. Just kidding.

    What they’ve actually done is either (a) ignore Kansas or (b) spend lots of time trying to dig up reasons that Kansas is a special case and would have done even worse if Brownback hadn’t stepped in. These reasons tend to be pretty ridiculous, but so far they’ve been good enough to keep the rubes in line. And that’s what matters, right?”[/FONT][/SIZE][/FONT][/COLOR]

    http://www.msnbc.com/rachel-maddow-s...d=sm_fb_maddow


    Rubes indeed. tlongII hasn't disowned Brownback yet, so it must be working still.

  23. #23

  24. #24
    I am that guy RandomGuy's Avatar
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    Interesting.

    It looks like the grown-ups have finally gotten wind of how the right-wing media has been lying to them about supply side economics.

    "laffer-curve and tax-cuts.... babble babble... job creators.... babble babble... "

    Might be too late to take the asylum back for the loonies. Sad that Kansas has to suffer the consequences of failure, but at the very least it proves that the GOP shouldn't be trusted with running things.

  25. #25
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    Interesting.

    It looks like the grown-ups have finally gotten wind of how the right-wing media has been lying to them about supply side economics.

    "laffer-curve and tax-cuts.... babble babble... job creators.... babble babble... "

    Might be too late to take the asylum back for the loonies. Sad that Kansas has to suffer the consequences of failure, but at the very least it proves that the GOP shouldn't be trusted with running things.
    KS, already in a deep Repug/Kock Bros ideological hole, re-elected Brownback.

    Repugs/VRWC ain't gonna change, their "redmap" strategy has immunized them against any voter revolts, and the Repug base won't EVER vote Dem.

    A Dem running in a red district or state would get destroyed by VRWC dark money.

    America is ed and un able. Any You People "hopin and prayin" for the pendulum to swing are beyond naive.

    Trash will crash BADLY, but the VRWC/CoC/NRA/Kock Bros spend $100Ms to secure and increase local, state, Fed down-ticket candidates.

    They know who writes and passes laws and regs and budgets, and they have more than enough to finance and buy whoever they need.

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