SUBSCRIBE to Capitol Fax      Advertise Here      Mobile Version     Exclusive Subscriber Content     Updated Posts    Contact
CapitolFax.com
To subscribe to Capitol Fax, click here.
There. Fixed it.

Monday, Mar 31, 2014

* Bruce Rauner and US Sen. Mark Kirk were interviewed yesterday on Rick Pearson’s increasingly important WGN radio talk show. One topic was Medicaid…

Rauner suggested the federal government wouldn’t pay for the bulk of the Medicaid expansion “for many more years.”

“When the federal government steps back to its traditional role of a being a 50-50 (payment) partner with states, Illinois will be facing a massive budget problem, a massive hole,” Rauner said.

That “when” should’ve been “if.” The feds currently pick up the entire cost, but the match isn’t ever scheduled to revert to a 50-50 split

Under the health-care law, the federal government will pay 100 percent of the cost of expansion in 2014, 2015 and 2016. Then the federal match is pared back to 95 percent in 2017, 94 percent in 2018, 93 percent in 2019 and then 90 percent in 2020 and beyond. It would stay at the 90 percent level unless the lawmakers change or repeal the legislation.

So it would take congressional action and a presidential signature to slash those reimbursement rates by that much.

* Sen. Kirk

“The basic political trick of Obamacare is to claim that Medicaid is a health insurance and we all know many, I would say most, doctors don’t take Medicaid,” Kirk said at a news conference in Greektown.

“The question is, is their family actually going to be covered? And the answer is no — that when you show up and find out the doctor says, ‘No I don’t take Medicaid because the…payments are too slow and the state of Illinois is too incompetent to run this,” Kirk said.

“Payments are too slow” probably should be “too low.” I asked the comptroller’s office for the current Medicaid payment cycle…

We have $635 million in Medicaid bills at the Comptroller’s Office, dating back to Jan. 21, 2014.

That does not include what is still at DHFS, which we estimate to be an additional $800 million (the agency should be able to give insight on how far back those go).

The governor’s office says all bills are submitted for payment within 30 days.

So, the bill backlog isn’t nearly as bad as it once was.

Also, Illinois has one of the least costly cost-per-patient ratios for all of Medicaid. Why? Our provider reimbursements are very low. So low, that docs are reluctant to participate.

* Back to Rauner

But when asked if the state should roll back the expanded eligibility rules, Rauner said more investigation of fraud needs to be conducted and that the state should move Medicaid further into a managed care system.

Translation: I’m trying to run as a neo-liberal. Quit asking questions like that, Rick.

- Posted by Rich Miller        


24 Comments
  1. - Obamas Puppy - Monday, Mar 31, 14 @ 10:30 am:

    Has he answered one policy question? The only policy I have heard is that I hate teacher unions and they should be exterminated (so I can exploit the profession and make money off of my charter schools). Did I say that?


  2. - circularfiringsquad - Monday, Mar 31, 14 @ 10:31 am:

    Good to see Mitt “I AM a whimp” Rauner back in IL and demonstrating how little he knows about any part of government. Even Billboards Cross will tell you over $5 billion has been cut…Fed pays 100% of expansion before it goes back to 90%…
    Still waiting for anyone to ask WHAT WOULD DO MITT? Anyone ask how fishing in FL was?


  3. - Downstater - Monday, Mar 31, 14 @ 10:33 am:

    =Under the health-care law, the federal government will pay 100 percent of the cost of expansion in 2014, 2015 and 2016. Then the federal match is pared back to 95 percent in 2017, 94 percent in 2018, 93 percent in 2019 and then 90 percent in 2020 and beyond. It would stay at the 90 percent level unless the lawmakers change or repeal the legislation.

    So it would take congressional action and a presidential signature to slash those reimbursement rates by that much. =
    So what happens if the Feds just stop paying at the higher levels? Do the state’s sue? We have already seen the Obama administration has change key components of the law, without legislative approval.


  4. - Jorge - Monday, Mar 31, 14 @ 10:35 am:

    Downstater….what if pigs fly tomorrow?


  5. - Ducky LaMoore - Monday, Mar 31, 14 @ 10:36 am:

    So, Rauner knows there are problem in the state government. He is wrong about what the problems are, and isn’t sure how to fix them. But, darn it, we have just got to do something.

    What I hear is, “We need to destroy Obamacare the same way it was created, with reckless abandon and no foresight for consequences.”

    Good plan


  6. - VanillaMan - Monday, Mar 31, 14 @ 10:36 am:

    We will be screwed. There is no “ifs” about it. Believing that the Federal government will not be forced to cut back sooner than planned, should be the plan.

    We will be on our own. Maybe not today, but it will happen regarding this unsupportable federal government program.

    There are no magical unicorns pooping gold to pay for this - at any government level.


  7. - shore - Monday, Mar 31, 14 @ 10:37 am:

    To his credit Rauner’s come a long long way in dealing with the press and interviews since a few years ago when he went on chicago tonight and anders lindall ran circles around him. If Democrats want to get him tied up in a Braley/farmer, macaca or 47 percent comment moment they better move fast because he’s really come on and I thought dealing with the press/public speaking would be one of Quinn’s advantages.

    There are a bunch of good chicago journalists like Pearson getting into the podcast/radio game this spring-natasha korecki does a decent job with that thing the sun-times is experimenting with too. It’s a refreshing change from the national garbage spewed on cable news.


  8. - langhorne - Monday, Mar 31, 14 @ 10:38 am:

    rauner said previously he was going to “overhaul medicaid”……..waiting………waiting……


  9. - wordslinger - Monday, Mar 31, 14 @ 10:39 am:

    I would hope Sen. Kirk would have a little more empathy for those on Medicaid.

    Lord knows the taxpayers have provided him with the best health care money can buy. And it has cost, and continues to cost, a bundle.

    Regarding Medicaid, two-thirds of all spending covers seniors and people with disabilities. Thirty percent of Medicaid spending is for nursing home and long–term-care services.

    I’d be interested in where the “fraud” is, as enrollees never see a dime. The money goes directly to providers. What are talking about, Dr. Feelgoods’ writing Oxy prescriptions?

    http://www.cbpp.org/cms/index.cfm?fa=view&id=2223


  10. - Timmeh - Monday, Mar 31, 14 @ 10:41 am:

    == We have already seen the Obama administration has change key components of the law, without legislative approval. ==

    I’m doubting that it will come from Obama. More likely, a Republican administration would cut some of the overall costs of ACA and shift more of the costs onto the states. Slightly less likely (at least over the short term) is that a different Democratic president/congress would see this as a way to easily trim budgets by shifting more of the costs to the states. Either way, I doubt it will come to 50-50 any time soon.


  11. - illinifan - Monday, Mar 31, 14 @ 10:41 am:

    Love Rauner’s plan for Medicaid to move to managed care….he is a little late to the show. Over the next 2 years 50% of persons on Medicaid are being moved to managed care. Due to the Affordable Care Act there are additional initiatives for health groups to form Accountable Care Entities and we as a state were approved for Medicare Medicaid Alignment Initiative to see if health costs can be lowered for persons who are dual enrolled if they get more comprehensive case management services.

    Rauner needs to get a better research team so they can come up with a new idea.


  12. - Rolling Meadows - Monday, Mar 31, 14 @ 10:47 am:

    “Also, Illinois has one of the least costly cost-per-patient ratios for all of Medicaid. Why? Our provider reimbursements are very low. So low, that docs are reluctant to participate.”

    It really sucks to be on this.


  13. - VanillaMan - Monday, Mar 31, 14 @ 10:48 am:

    The guy elected in November probably won’t have the Obamacare catastrophe costs falling on Illinois during the next four years. So Rauner should have gone with the Democrat’s game plan on it by pretending that the magic unicorns will be able to poop gold to pay for it all - and punted on this question.

    Rauner won’t be able to prepare Illinois financially to face the Obamacare meltdown if he is elected. We won’t even be high on the list of states to bail out on it. So Rauner should probably focus more on other issues than this one.

    Same with Quinn. I don’t know how Illinois is going to be able to avoid the fiscal destruction that the ACA is going to heap upon it as it fails. It is probably going to need a special bailout on a federal level anyway.


  14. - yo - Monday, Mar 31, 14 @ 10:52 am:

    can’t wait ’til the ACA fails, as V-Man prognosticates. Single payer here we come, baby!!


  15. - Wensicia - Monday, Mar 31, 14 @ 10:53 am:

    Rauner continues to display his ignorance on state matters. Who on earth could trust this guy to do the job and vote for him?


  16. - Walker - Monday, Mar 31, 14 @ 10:59 am:

    VMan: You’ve got your crap-colored goggles on again. Your scenarios just don’t wash.

    Your own Medicaid solution? And no “cut fraud and waste” nonsense. That’s blaming the victims, when those who commit such fraud, like the current Governor of Florida, make millions by cheating the taxpayers.


  17. - Cassandra - Monday, Mar 31, 14 @ 11:05 am:

    Yes, Rauner continues to make stupid factual mistakes (federal reimbursement for Medicaid)
    which are particularly annoying given his ability to pay good salaries to researchers. Or, he could just use the Google himself.

    Mistakes like this lead to wondering about whether he understands anything about state government–sure, it can be shaken up, but you have to understand what you are shaking. Or is this just arrogance-I won’t bother looking it up, I know everything, I don’t have to study. Typical CEO behavior.

    No way am I going to vote for Quinn after the $54 million non-violence grant boondoggle. He has no respect for taxpayers, whatever he says. It’s all about him.

    But Rauner is looking iffy too, to this undecided voter.

    Is there a Green candidate?


  18. - The Doc - Monday, Mar 31, 14 @ 11:16 am:

    ==We will be screwed. There is no “ifs” about it==

    You have been warned by master prognosticator/healthcare expert/foremost economics authority.

    Any attempt to refute this measured and pragmatic response from VanMan, particularly if based on data and facts, will not be tolerated.


  19. - Demoralized - Monday, Mar 31, 14 @ 11:18 am:

    ==wondering about whether he understands anything about state government==

    I’m quite certain he doesn’t understand it. Unfortunately, those that back him think that is a good quality.


  20. - dave - Monday, Mar 31, 14 @ 11:24 am:

    Do Rauner and Kirk know that IL’s law that expanded Medicaid expansion also includes language that sunsets the expansion if the reimbursement below 90%?

    Also… is Mark Kirk saying that he would vote to reduce the reimbursement rate? I’d like to see Kirk’s plan to get to 60 votes in the Senate to reduce the reimbursement rate.

    There is absolutely no path, any time soon, for a Congress and President to approve a lower reimbursement percentage.


  21. - 47th Ward - Monday, Mar 31, 14 @ 11:57 am:

    ===That “when” should’ve been “if.”===

    I think Kirk meant when the GOP retakes the Senate this year and the White House in 2016. As in, that’s when the federal government will reduce the Medicaid reimbursement rates.

    More unintentional honesty from Senator Kirk, who thankfully didn’t have to rely on the federal government when he got sick.


  22. - too obvious - Monday, Mar 31, 14 @ 12:11 pm:

    Does anyone realize Rauner companies have had all kinds of Medicare/Medicaid related problems?

    I do hope someone eventually decides to vet Rauner. Preferably before he becomes governor. At least that would be my preference.


  23. - LBJ - Monday, Mar 31, 14 @ 1:32 pm:

    Its interesting that a guy who ran a very aggressive primary campaign would make such a glaring mistake. Has he re-tooled his staff for the general election?

    If he can’t understand elemental fiscal issues…


  24. - DuPage Dave - Monday, Mar 31, 14 @ 5:55 pm:

    The SMART Act for Medicaid reform was passed two years ago in the spring session. Millions have been spent on consultants as well as hiring new state workers to ferret out fraud. The effectiveness of these efforts is in dispute, but it has been a legitimate, serious effort to remove ineligible people from the list.

    Rauner is showing once again how uninformed he is about how the state operates, and what efforts are being carried out to do exactly what he says he will do if elected.

    He should say what’s wrong with the fraud finding efforts of the last two years, and how he would change those to be more effective.


TrackBack URI

Sorry, comments for this post are now closed.


* Tax issues are bipartisan because they work
* Adventures in tracking
* Thompson says namesake building "looks like a scrap heap"
* Rauner takes page from Oberweis playbook
* Today's must-read
* Fanning the flames
* *** UPDATED x2 - Quinn responds to Rauner - Rauner responds *** The assault weapons front opens wider
* Teh crazy spreads
* Yesterday's blog posts

Support CapitolFax.com
Visit our advertisers...

...............

...............


Search This Blog...

Search the 98th General Assembly By Bill Number
(example: HB0001)

Search the 98th General Assembly By Keyword

          
        * Rural 2G in Texas set to be upgraded to 4G over the coming months
        * OS X Yosemite public beta arrives
        * The case for skins: why stock may be anti-Android
        * SilverPush Says It’s Using “Audio Beacons” For An Unusual Approach To Cross-Device Ad Targeting
        * Imoji For iPhone Lets You Turn Any Image Into A Custom Emoji
        * AnTuTu Q2 surprises: Snapdragon 800, Nexus 5 at the top
        * New Sony Xperia Z3 pics leak, consistent with earlier shots

        * iOS Engages ‘Do Not Disturb’ Mode When You Are Active
        * Pinterest explains how it runs a souped-up version of Hadoop
        * The Most Common Hidden Hotel Fees (and How to Avoid Them)
        * Fish Look All Set To Drive
        * Deals: Polk Audio Soundbar, Timbuk2 Bags, OTA TV Streaming Box
        * Oculus begins shipping its next generation developer kit
        * Visa invests in wireless credit card maker LoopPay

        * Few could damage a pitch like 'Big Hurt'
        * Reading Room: Tigers pony up for closer by trading for Joakim Soria
        * Royals 2, White Sox 1: Series ends with a thud
        * After pitching duel, mishap at plate stings Sox
        * After pitching duel, catching error stings Sox
        * Sox turn to Noesi to open four-game set in Minnesota
        * Top Sox pick Rodon debuts in Rookie League


        Main Menu
        Home
        Illinois
        YouTube
        Pundit rankings
        Obama
        Subscriber Content
        Durbin
        Burris
        Blagojevich Trial
        Advertising
        Updated Posts
        Polls

        Archives
        July 2014
        June 2014
        May 2014
        April 2014
        March 2014
        February 2014
        January 2014
        December 2013
        November 2013
        October 2013
        September 2013
        August 2013
        July 2013
        June 2013
        May 2013
        April 2013
        March 2013
        February 2013
        January 2013
        December 2012
        November 2012
        October 2012
        September 2012
        August 2012
        July 2012
        June 2012
        May 2012
        April 2012
        March 2012
        February 2012
        January 2012
        December 2011
        November 2011
        October 2011
        September 2011
        August 2011
        July 2011
        June 2011
        May 2011
        April 2011
        March 2011
        February 2011
        January 2011
        December 2010
        November 2010
        October 2010
        September 2010
        August 2010
        July 2010
        June 2010
        May 2010
        April 2010
        March 2010
        February 2010
        January 2010
        December 2009
        November 2009
        October 2009
        September 2009
        August 2009
        July 2009
        June 2009
        May 2009
        April 2009
        March 2009
        February 2009
        January 2009
        December 2008
        November 2008
        October 2008
        September 2008
        August 2008
        July 2008
        June 2008
        May 2008
        April 2008
        March 2008
        February 2008
        January 2008
        December 2007
        November 2007
        October 2007
        September 2007
        August 2007
        July 2007
        June 2007
        May 2007
        April 2007
        March 2007
        February 2007
        January 2007
        December 2006
        November 2006
        October 2006
        September 2006
        August 2006
        July 2006
        June 2006
        May 2006
        April 2006
        March 2006
        February 2006
        January 2006
        December 2005
        April 2005
        March 2005
        February 2005
        January 2005
        December 2004
        November 2004
        October 2004

        Blog*Spot Archives
        November 2005
        October 2005
        September 2005
        August 2005
        July 2005
        June 2005
        May 2005

        Syndication

        RSS Feed 2.0
        Comments RSS 2.0
        WordPress

        Loading


        * Politicians' illusions add insult to injury - C.....
        * "There were 36 states where Republicans who wer.....
        * Cook County calls for ballot referendum on assa.....
        * Anti-fracking group claim legislators put oil, .....


        * Man robbed by fake police on Illinois highway
        * Skydiver dies during WWII-style jump in Oklahoma
        * Man held in 1992 strangling death of Illinois teen
        * United Airlines posts 2Q profit, reversing 1Q loss
        * Chicago police arrest man in 11-year-old's death
        * UMinn reaches milestone with neutrino detector
        * 4-year-old boy dies in suburban Chicago house fire
        * Caterpillar 2Q profit rises, revenue declines
        * Police: Man found shot dead in East St. Louis
        * Illinois 7-year-old dies after bike, car collision

        * Libertarian, Green Party politicians seeing blocks by established parties
        * S&P drops Illinois' credit rating to 'negative'
        * Prosecutors respond to new Blagojevich argument
        * Former governor Thompson: Namesake building 'a scrap heap'
        * Search salary information for state, city, county employees
        * Quinn signs legislation to combat flooding
        * GOP group targets Democratic supermajority in Illinois
        * Emails raise questions of politics in Quinn's anti-violence program
        * Illinois Manufacturers' Association backs Rauner for governor
        * Illinois patients to docs: 'What about marijuana?'

        * Dunkin' Donuts now pushing cashiers to 'upsell' in afternoons
        * Don't tell anybody about this story on HFT power jump trading
        * Cook County to cut buildings' carbon emissions
        * Chicago lawyer named ambassador to Czech Republic
        * Mars follows Hershey in raising candy prices


        * Billionaire Ken Griffin, chief of Citadel, files for divorce
        * Man charged in shooting death of Shamiya Adams
        * Citing irreconcilable differences, Billionaire Ken Griffin, chief of Citadel, files for divorce
        * BGA lawsuit aims to lift veil on IHSA finances
        * Northbound lanes reopen after fatal accident on Bishop Ford Freeway
        * Man arrested in 1992 murder of Skokie teen, mother of victim says
        * Driver appears in court on charges in fatal I-55 crash
        * Person of interest questioned in shooting death of 11-year-old; family seeks donations for funeral
        * Bike-shop mechanics help cops nab bicycle thieves


        * Teen charged in Shamiya Adams' slaying
        * Mundelein grad who had brain tumor returning to stage
        * Suspect in '92 slaying of Niles West student held in Los Angeles
        * Council to vote on graffiti violation fines
        * Council to vote on graffiti violation fines
        * New Rauner attack ad relies on made-up headlines
        * 2 dead, 3 critical in overnight shootings
        * Family opens up about Chicago police officer killed in crash
        * Chief judge came close to shutting Chicago's federal court during government shutdown last fall


        * Board of Education approves "stop-gap" budget for 2015
        * Illinois' Credit Prognosis: Negative
        * Questions raised about Daley's health
        * Losing school librarians in Chicago Public Schools
        * Durbin Files Legislation Reacting To Hobby Lobby Decision
        * "The Civil War" Becomes A Downtown Musical
        * Republican Attorney General Candidate: Pension Changes Unconstitutional
        * Winners of WBEZ’s Student Stories
        * Court OKs FutureGen Financing Plan
        * Trucker Questions: Are Police Above Illinois' Traffic Laws?


        * Bernard Schoenburg: Stocks-Smith considers another run for mayor
        * GROW-IL Coalition: Illinois’ foot-dragging means lost dollars from fracking
        * Eugene Robinson: The downside of giving weapons
        * George Will: Goldwater 2.0
        * S&P drops Illinois' credit rating to 'negative'
        * Former governor Thompson: Namesake building 'a scrap heap'
        * Quinn signs legislation to combat flooding
        * Emails raise questions of politics in Quinn's anti-violence program
        * Illinois patients to docs: 'What about marijuana?'
        * State appeals court upholds FutureGen power agreement


        * East Alton man robbed after online phone sale
        * I-255 closed because of downed power lines
        * Traffic accident on bridge kills four in SW Missouri
        * Police: Fake officers gag, rob motorist along I-55
        * Man pleads guilty to robbing KFC store in Belleville in 2012
        * Two former Illini chasing the dream
        * Illinois 7-year-old dies after bike, car collision
        * Talks continuing on medical marijuana presence in Urbana
        * 'Illinois is NOT kentucky'
        * Official: Air Algerie flight 'probably crashed'


        * Friends mourn loss of advocate for suburban homeless
        * Woody Allen's 'Magic in the Moonlight' is just that
        * How much influence do parents really have on their children?
        * Official: Air Algerie flight ‘probably crashed'
        * United to resume flights to israel as other airlines plot return

        * Illinois Congresswoman Takes On Minimum-Wa...
        * Statement by Rep. Jan Schakowsky on Presid...
        * Atanus disputes email announcing withdrawa...
        * Statement by Rep. Jan Schakowsky on Tragic...
        * Statement by Rep. Jan Schakowsky on Suprem...
        * Statement by Rep. Jan Schakowsky on Suprem...
        * Schakowsky Joins Cicilline and other Lawma...
        * Rep. Jan Schakowsky Joins Rep. Cicilline a...
        * Rep. Jan Schakowsky Joins Rep. Grijalva to...
        * Officials push for funds to finish West Ch...

        * Durbin Puts His Mark on Defense Bill...
        * Durbin Puts His Mark on Defense Bill...
        * Durbin Puts His Mark on Defense Bill...
        * Chicago lawyer named ambassador to Czech R......
        * Chicago lawyer named ambassador to Czech R......

        * Hobby Lobby, Obamacare battle continues, n......
        * Israeli Airline With Missile Defenses Goes......

        * Gorman pushes Cook County referendum on mental health funding in Illinois
        * DC Court of Appeals deals blow to ObamaCare
        * Cook County to vote on non-binding assault weapons ban
        * Schneider continues to take heat over hidden tax returns
        * Schimpf accuses AG Madigan of loyalty to family over Constitution
        * Thorner: UN and its auspices bear responsibility for Global Warming Hysteria
        * Prepare yourself for the ‘Boomerang Buyers’
        * Sign up for Fall Conference to see the amazing Elizabeth Dozier
        * FLATS Chicago Developer, City Partnering On Affordable Housing
        * Illinois Congresswoman Takes On Minimum-Wage Challenge


        * Governor Quinn Signs Legislation to Help Combat Flooding in Illinois - Oak Lawn to Receive $12.7 Million in Stormwater Assistance as Part of New Law’s Expansion of Clean Water Initiative
        * Governor Quinn Statement on Cook County Board’s Additional Advisory Referendums - Cook County Voters Asked to Voice Their Opinions on Gun Safety and Mental Health Care on November Ballot
        * Governor Quinn Signs $1.1 Billion Capital Construction Bill - Shovel Ready Projects Will Create Thousands of Jobs and Drive Economic Growth
        * Governor Quinn Signs Legislation to Strengthen Ethics Provisions in County Government - Law Helps Increase Accountability for Public Officials in Illinois’ Collar Counties
        * Governor Quinn Signs Legislation to Help Ease Pain for Adults and Children with Seizures - New Law Adds Seizures to List of Debilitating Medical Conditions Under the Compassionate Use of Medical Cannabis Act




            Hosted by MCS SUBSCRIBE to Capitol Fax Advertise Here Mobile Version Contact Rich Miller