N.C. Lawmakers Agree On Plan To Privatize State’s Medicaid Program
In other Medicaid news, the Los Angeles Times reports on balance billing within Medi-Cal, and some Democrats in the Iowa legislature ask for federal assistance in blocking a plan by Gov. Terry Branstad to privatize the health insurance program for low-income people. In Pennsylvania, the state human services department will put out $17 billion in Medicaid business for bid to private companies.
WRAL:
Compromise Reached On How To Privatize Medicaid
North Carolina will remake the system that provides health care for the poor and disabled under a compromise bill filed with the Senate clerk's office Thursday afternoon. Both the House and the Senate plan to take votes putting the $14 billion state-run program in the hands of private health insurers next Tuesday. Gov. Pat McCrory says he supports the bill. (Binker, 9/17)
Raleigh News & Observer:
North Carolina To Privatize Medicaid
Legislators have agreed to privatize North Carolina’s $15 billion Medicaid program, a change that doctors and hospitals have been fighting for months, but which some Republican legislators have championed as a remedy for unpredictable spending. Under House bill 372, three insurers would be given contracts to offer statewide Medicaid managed care plans. The state would have up to 10 contracts with “provider-led entities,” or groups of doctors and hospitals, that would enroll patients in regional managed care networks. (Bonner, 9/17)
Los Angeles Times:
More People Are Being Illegally Billed For Charges Not Paid By Medi-Cal
Balance billing is particularly prevalent among a vulnerable subset of Medi-Cal recipients — those who also qualify for Medicare, the federal health program for seniors and disabled people. Folks who qualify for both are referred to as dual eligibles. A recent report by the federal Centers for Medicare and Medicaid Services revealed a nationwide trend of healthcare providers illegally billing these individuals for charges not covered by either type of insurance. In California, Lee said, the call volume on her organization's help line doubled in the last year in large part because of complaints about balance billing among people with Medi-Cal. (Zamosky, 9/18)
Des Moines Register:
Democrats Ask Feds To Block Medicaid Privatization
Two leading Democratic legislators are asking federal administrators to block Gov. Terry Branstad’s plan to turn the state’s Medicaid program over to private companies. Sens. Amanda Ragan and Liz Mathis contend that Branstad is trying to make the shift too quickly and that he has not shown how it will save money and help poor Iowans. (Leys, 9/17)
The Philadelphia Inquirer:
State To Open Bidding On $17B In Medicaid Business
The Pennsylvania Department of Human Services on Wednesday took steps to put $17 billion worth of Medicaid business out for bid to private companies. At a time when the insurance industry considers goverment programs a growth sector, the moves are expected to attract new national competitors to Pennsylvania, where home-grown firms, such as AmeriHealth Caritas, have dominated for years. (Brubaker, 9/17)
