When the state starts the process of turning over $2 billion in public money to private insurance companies to execute the state’s Medicaid program, the reins will be largely in the hands of Gov. Bobby Jindal — and the Legislature won’t see much in the way of the program’s details or potential complications.
A compelling column published in The Baton Rouge Business Report reveals that the new Coordinated Care Networks system, the braindchild of Jindal that dates back to his state Department of Health and Hospitals days, will entrust the health care of 850,000 Louisiana residents (mostly children) to five private insurance companies. The administration has estimated $135 million in annual savings through privatization, which begins early next year. Eventually, the state’s 1.2 million Medicaid recipients will all be managed by the private sector.
There were very few, if any, legislative gadflies that stood in Jindal’s way when he pushed for his plan’s passage. As The Business Report explains below, one lawmaker who criticized the plan was silenced by the legislative process. And when the Legislature approved a bill that would allow the state to terminate the private health care contracts after three years if the program wasn’t delivering, Jindal vetoed it:
Ordinary citizens who pay for part or all of their health insurance have to deal with private companies, so why should Medicaid patients be different? Lawmakers may have accepted that reasoning, if they were asked, but they weren’t.
In the 2010 session, one outspoken critic of privatization, Sen. Joe McPherson, D-Woodworth, had a provision inserted in the appropriations bill in committee to require legislative approval of a final healthcare plan.
When the bill reached the floor, a large set of what were supposed to be clean-up, technical amendments were offered for one up-or-down vote. According to Senate minutes, McPherson complained that, on short notice, there was no way of knowing what was in the many pages of amendments. Senate Finance Committee Chairman Mike Michot, R-Lafayette, assured him all the changes were technical.
After the bill passed, McPherson discovered that in that stack of allegedly technical changes, his amendment requiring legislative approval had been deleted and one sentence was added, authorizing the administration to establish and write rules for “Coordinated Care Networks” for Medicaid.
Privatization marches forward, and the babies will lead the way.
One hopes for the best for them. The likelihood, however, of the sweeping transition taking place without complications, mistakes and unintended consequences is as remote as no political indictments being handed down in the next year.
Read more here.
MAY 20 This post by blogger CB Forgotston draws parallels between Gov. Bobby Jindal and two individuals he probably doesn't want to be aligned with: President Obama and former governor Edwin Edwards. CB says Jindal's trying to jack up the debt ceiling (an Obama play, according to CB) and buy votes from GOP leges who normally wouldn't go for that (an Edwards play, CB says).
MAY 20 Here's a post in the Baptist Message from an alumnus of Louisiana College. The author, Larry Burgess, calls on the leadership of the private school to take care of some pressing problems. Physical plant issues are critical and unaddressed, some faculty make so little they need government health care, and there is an atmosphere that does not encourage honest discussion, he writes. It's time to get things back in order, he says.
MAY 20 This post in Gambit tells of a benefit concert scheduled to raise money for the 19 people shot during a Mother's Day second line on Frenchmen Street in NOLA. Among them was Gambit blogger Deb Cotton, who spoke frequently about violence in the city and reported on the city's second line culture. Gambit's foundation, along with other NOLA non-profits, also is selling t-shirts to raise money for the victims.
MAY 20 Blogger Robert Mann is critical of the personal interest some legislators take in their work here, sharing the comments one NOLA solon made in explaining his decision to vote against a bill that would require people to stop discriminating against female workers. His wife might lose some salary, so he was going to have to vote against the equal pay bill, Conrad Appel said. Appel and everyone who heard him should have been ashamed, but they weren't, and that's what is wrong in that building, Mann argues.
MAY 20 American Press columnist Jim Beam writes about the budget again here, urging kudos for the House and its efforts to try to fix the budget as opposed to passing on a flawed and messy rubber-stamped document as it usually does. The Senate already is poo-pooing the effort, but instead Senators should be trying to find a way to improve it as well, Beam argues. He also has some predictions in here from LABI and CABL.
MAY 20 Here's a link to the photo gallery from Tulane's graduation this past weekend. Dr. John and Allen Toussaint played together and received honorary degrees. The Dalai Lama was so entranced by their performance he got up from his seat and walked across the stage to stand next to them. He even participated in a second line with his own personal, saffron-colored umbrella. To the graduates, he urged them to think about creating a peaceful, hopeful life and society.
MAY 20 This Picayune story questions the rhetoric of NOLA officials who say the city, aside from having a "murder problem," is safe. The talking points generally are that the criminals are killing each other, but everything else is OK. The police chief there says that even Lafayette is more dangerous than NOLA. But crime experts interviewed here say that NOLA's numbers indicate one of two things: either people are so used to violence they don't report it, or somebody's "fudging the numbers."
MAY 20 The Advocate's Mark Ballard writes about some of the background maneuvering that took place during the development of budget alternatives in the Legislature. From Rep. Joel Robideaux being called a "tax and spend liberal" to robo-call influence, Ballard lets us in on some of the work that happens behind the scenes but usually doesn't make it into the Advocate's daily coverage of the session.
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