Former Republican gubernatorial candidate Carl Paladino is not happy about the Medicaid proposals adopted yesterday by the Gov. Andrew Cuomo's team of Medicaid Crusaders. Paladino alleges that the proposals ignore billions of dollars in waste, continue a flawed system and were reviewed in a secretive manner.
"Did anyone in the press notice the theater being played out by Andrew Cuomo and Sheldon Silver regarding Medicaid reform. They don't want the Medicaid spigot turned off," wrote Paladino on his Facebook page, echoing the style of failed Republican Sarah Palin.
He suggested that the commission had avoided addressing $5 billion to $10 billion in waste and fraud that are allowed to continue without reforms likes means testing, to ensure that only needy people are receiving Medicaid.
Part of the shortcomings in the proposals, according to Paladino, was that Cuomo had culled members from the wrong places. "There was no one on the commission for the taxpayers," he argued. "Cuomo's Medicaid guy was the chair."
Additionally, Paladino described Thursday's proceedings as a sham. He described the scene this way, "They showed up Thursday afternoon and were given 79 recommendations to study and then told to vote to approve all the issues at 4:00. There was no discussion, vetting or transparency. The commission of stakeholders was intimidated into voting for broad-brush recommendations for legislation to allow bureaucrats wide discretion to set out new rules."
Before ending his post, presumably to upload facebook pictures and play farmville, Paladino took parting shots at the media and Senate Republicans:
"The press just wants to hug and cuddle with him and the Republican Senate apparently just can't find the words. Will they stand tall and pursue spending and tax cuts to save jobs and start to turn the state around? Will they speak up and expose Cuomo's budget for the fraud that it is?"
This is the view on Albany from the nearby city of Schenectady. We may not have a bureau in the Capitol, but that won't stop us from blogging. (Remember, this is an experiment, which doesn't reflect the views of the newspaper, isn't tied to the newspaper and our official news is at www.dailygazette.com)
Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts
Friday, February 25, 2011
Thursday, February 24, 2011
New Taxes Won't Heal Medicaid
Businesses are already voicing their opposition to one of many proposals recommended by the Medicaid Redesign Team today.
Proposal 264, which would apply an HCRA surcharge to Physician Office Based Surgery and Radiology Services, has been targeted as enemy #1 by Unshackle Upstate and the Business Council of New York State. Proponents of the plan characterize it as an elimination of government barriers to quality improvement and cost, while Brian Sampson, the exec director of Unshackle Upstate, labeled the surcharge as "a tax on insured New Yorkers."
He argued that it, "has absolutely nothing to do with reforming Medicaid and will only add to the overwhelming tax burden on insured New Yorkers."
These sentiments were echoed by Heather Briccetti, acting-president & CEO of The Business Council of NYS. "This is a bad idea that has been considered and rejected before. It is simply a cost-shift to the private insurance market rather than a redesign of Medicaid," she concluded.
The Medicaid team estimates that the tax would save (or more aptly raise) $57 million in the next fiscal year and $99 million the next year.
Advocates of this plan argue that physicians have been taking away business from hospitals as the result of surcharge obligations, so this proposal would provide some equity to the competition.
Proposal 264, which would apply an HCRA surcharge to Physician Office Based Surgery and Radiology Services, has been targeted as enemy #1 by Unshackle Upstate and the Business Council of New York State. Proponents of the plan characterize it as an elimination of government barriers to quality improvement and cost, while Brian Sampson, the exec director of Unshackle Upstate, labeled the surcharge as "a tax on insured New Yorkers."
He argued that it, "has absolutely nothing to do with reforming Medicaid and will only add to the overwhelming tax burden on insured New Yorkers."
These sentiments were echoed by Heather Briccetti, acting-president & CEO of The Business Council of NYS. "This is a bad idea that has been considered and rejected before. It is simply a cost-shift to the private insurance market rather than a redesign of Medicaid," she concluded.
The Medicaid team estimates that the tax would save (or more aptly raise) $57 million in the next fiscal year and $99 million the next year.
Advocates of this plan argue that physicians have been taking away business from hospitals as the result of surcharge obligations, so this proposal would provide some equity to the competition.
Friday, January 7, 2011
Cuomo Drafts Medicaid Redesign Team
Governor Andrew M. Cuomo today announced the members of his Medicaid Redesign Team, which was announced at the state of the State address for the purpose of finding ways to save money within the Medicaid program for the upcoming state budget for the 2011-12 Fiscal Year.
"This team is tasked with the challenge of reversing a decades' long crisis of overspending and waste in our Medicaid system," said Cuomo. "We need to come together to find solutions to bring costs down without compromising care for New Yorkers and that is exactly what this team is going to do."
The Team must submit its first report with findings and recommendations to the Governor by March 1 for consideration in the budget process. The Team shall submit quarterly reports thereafter until the end of Fiscal Year 2011-12, when it disbands.
New York State Medicaid Director Jason Helgerson will serve as the Team's executive director and the state Budget Director will serve as a non-voting member.
The rest of the team includes:
• Michael Dowling, President and CEO of North Shore LIJ Health system.
• Dennis Rivera is the former Chair of SEIU Healthcare and is currently the Senior Advisor to the International President of SEIU.
• Kenneth E. Raske is the President of the Greater New York Hospital Association.
• George Gresham is the President of 1199 SEIU United Healthcare Workers East.
• Dan Sisto is the President of the Healthcare Association of New York State.
• Frank Branchini is the President and COO of EmblemHealth.
• Eli Feldman is the President and CEO of the Metropolitan Jewish Health System as well as the Chairman of the Continuing Care Leadership Coalition.
• Carol Raphael is the President and CEO of the Visiting Nurse Service of New York.
• Linda Gibbs is the Deputy Mayor of New York City for Health and Human Services.
• Ed Matthews is the CEO of the United Cerebral Palsy of New York City as well as the President of the Interagency Council.
• Dr. Nirav Shah is the newly nominated Commissioner of Health.
• Mike Hogan is the Commissioner for the Office of Mental Health.
• James Introne is the Deputy Secretary for Health and the Director of Healthcare Redesign.
• Max Chmura is the Acting Commissioner of the Office for People with Developmental Disabilities.
• Arlene Gonzalez-Sanchez is the newly nominated Commissioner of the Office of Alcoholism and Substance Abuse Services.
• Lara Kassel is a Coordinator at Medicaid Matters New York.
• Karen A. Ballard is the President of the New York State Nurses Association.
• Stephen J. Acquario serves as the Executive Director of the New York State Association of Counties.
• Dr. Jeffrey A. Sachs is the Co-Chair of the JFK Jr. Institute for Work Education at City University of New York.
• Ann F. Monroe is the President of the Community Health Foundation of Western and Central New York.
• Steve Berger is the former Chairman for the Commission on Health Care Facilities in the 21st Century and a board member for the Partnership for New York City.
• Dr. William Streck is the Chair of the New York State Public Health and Health Planning Council.
• Elizabeth Swain is the CEO of the Community Health Care Association of New York State.
• Senator Kemp Hannon is the former Chairman of the Senate Committees on Health and Housing. Senator Hannon was appointed by the Majority Leader of the Senate
• Senator Tom Duane is the former Chairman of the Senate Committee on Health, 2009-2010. Senator Duane was appointed by the Minority Leader of the Senate.
• Assemblyman Richard N. Gottfried serves as the Chairman of the Assembly Committee on Health. Assemblyman Gottfried was appointed by the Speaker of the Assembly.
• Assemblyman Joe Giglio of the 149th Assembly District currently sits on the Medicaid Waste, Fraud and Abuse Task Force. Assemblyman Giglio was appointed by the Minority Leader of the Assembly.
"This team is tasked with the challenge of reversing a decades' long crisis of overspending and waste in our Medicaid system," said Cuomo. "We need to come together to find solutions to bring costs down without compromising care for New Yorkers and that is exactly what this team is going to do."
The Team must submit its first report with findings and recommendations to the Governor by March 1 for consideration in the budget process. The Team shall submit quarterly reports thereafter until the end of Fiscal Year 2011-12, when it disbands.
New York State Medicaid Director Jason Helgerson will serve as the Team's executive director and the state Budget Director will serve as a non-voting member.
The rest of the team includes:
• Michael Dowling, President and CEO of North Shore LIJ Health system.
• Dennis Rivera is the former Chair of SEIU Healthcare and is currently the Senior Advisor to the International President of SEIU.
• Kenneth E. Raske is the President of the Greater New York Hospital Association.
• George Gresham is the President of 1199 SEIU United Healthcare Workers East.
• Dan Sisto is the President of the Healthcare Association of New York State.
• Frank Branchini is the President and COO of EmblemHealth.
• Eli Feldman is the President and CEO of the Metropolitan Jewish Health System as well as the Chairman of the Continuing Care Leadership Coalition.
• Carol Raphael is the President and CEO of the Visiting Nurse Service of New York.
• Linda Gibbs is the Deputy Mayor of New York City for Health and Human Services.
• Ed Matthews is the CEO of the United Cerebral Palsy of New York City as well as the President of the Interagency Council.
• Dr. Nirav Shah is the newly nominated Commissioner of Health.
• Mike Hogan is the Commissioner for the Office of Mental Health.
• James Introne is the Deputy Secretary for Health and the Director of Healthcare Redesign.
• Max Chmura is the Acting Commissioner of the Office for People with Developmental Disabilities.
• Arlene Gonzalez-Sanchez is the newly nominated Commissioner of the Office of Alcoholism and Substance Abuse Services.
• Lara Kassel is a Coordinator at Medicaid Matters New York.
• Karen A. Ballard is the President of the New York State Nurses Association.
• Stephen J. Acquario serves as the Executive Director of the New York State Association of Counties.
• Dr. Jeffrey A. Sachs is the Co-Chair of the JFK Jr. Institute for Work Education at City University of New York.
• Ann F. Monroe is the President of the Community Health Foundation of Western and Central New York.
• Steve Berger is the former Chairman for the Commission on Health Care Facilities in the 21st Century and a board member for the Partnership for New York City.
• Dr. William Streck is the Chair of the New York State Public Health and Health Planning Council.
• Elizabeth Swain is the CEO of the Community Health Care Association of New York State.
• Senator Kemp Hannon is the former Chairman of the Senate Committees on Health and Housing. Senator Hannon was appointed by the Majority Leader of the Senate
• Senator Tom Duane is the former Chairman of the Senate Committee on Health, 2009-2010. Senator Duane was appointed by the Minority Leader of the Senate.
• Assemblyman Richard N. Gottfried serves as the Chairman of the Assembly Committee on Health. Assemblyman Gottfried was appointed by the Speaker of the Assembly.
• Assemblyman Joe Giglio of the 149th Assembly District currently sits on the Medicaid Waste, Fraud and Abuse Task Force. Assemblyman Giglio was appointed by the Minority Leader of the Assembly.
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