Capitol Fax.com - Your Illinois News Radar » There. Fixed it.
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.


Sorry, comments for this post are now closed.


* Because... Rauner and Trump!
* A few pension ideas to chew on
* Redacting data, not requiring change
* SUBSCRIBERS ONLY - Campaign news and other stuff
* Because... Madigan!
* The new gilded age
* Sabato moves Illinois governor's race to "Likely Democratic"
* More government, education jobs drive up payroll numbers
* Question of the day
* Rauner to receive lifetime achievement award from National Black Chamber of Commerce, gets shout-out in new Chance single
* AFSCME claims for every worker who dropped membership, 10 have become full members
* Rauner launches another anti-Madigan TV ad
* Despite Rauner praise, Illinois hasn't sent any data to Crosscheck since last year
* There are upsides to having your own billionaire
* *** LIVE COVERAGE ***
* Yesterday's stories

Support CapitolFax.com
Visit our advertisers...

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

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

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

...............
<


Loading


* Gov. Rauner's DC allergy successfully treat.....
* Gov. Rauner receives Fletcher Award..
* Why Your Pension Is Doomed..
* Moody's gives Illinois finances a 'stab.....
* Illinois gets some breathing room from Moody's..
* Moody's has some good news on Illinois credit..
* Village recommends tax incentive for Elk Grove .....
* Gun rights advocate see Pritzker as a committed.....
* As rents soar, Democrats push new policies on a.....
* Because… Rauner and Trump!..


* Judge in court as a defendant in misdemeanor gun case
* Report: Lake oil spill in Michigan would cost nearly $2B
* Police: Parents claimed girl possessed, kept her in basement
* 2 Illinois IHOP franchises settle harassment suit for $975K
* IHOP franchises to $975,000 settlement for harassment
* Illinois nursing home fined $50K in resident’s death
* Waukegan to use loan in $8.6M payment in wrongful conviction
* Lincoln nursing home fined $50K in resident’s death
* Peoria officer fatally shoots 19-year-old after traffic stop
* After hearing the verdict, this defendant stabbed himself in court, Illinois sheriff says

* Marginal amounts of legionella detected in Stratton Building
* Moody's gives Illinois finances a 'stable' outlook
* Illinois Army National Guard soldiers return home
* Marginal amouts of legionella detected in Stratton Building
* Under the Dome Podcast: Gun bills, Quincy, Trump-Putin reaction
* Incumbents hold big fundraising leads in central Illinois legislative races
* Springfield man wins Illinois State Police logo contest
* Rauner 'deeply troubled' by Trump's Helsinki comments
* Rauner signs bill to ease physician assistant hiring
* Bill taking Illinois out of voter registration system vetoed

* Northwestern cuts back amid budget shortfalls
* FTD shakes up leadership as it mulls sale
* China sinks money into U.S. hyperloop startups
* FDA plans to ease OTC approvals for some prescription drugs
* Hospitals are flirting with Medicare for All


* State bond rating worst in nation — but at least maybe we bottomed out
* Gov. Rauner’s DC allergy successfully treated: Here for award, Trump tariff talk
* Nevada’s path forward unclear after twice-delayed execution
* The Beatles’ ‘All You Need Is Love’ adapted for picture book
* Judge unhappy with pace of DCFS investigation 11 days after boy, 3, dies in fire
* A patient died after he performed surgery. Now Brazil’s ‘Dr. Bumbum’ is in jail
* Akiem Hicks, Kyle Fuller, Bears’ D looking to Trubisky & Co. for helping hand
* Faced with real thug, blowhard Trump crumbled
* Healed from knee woes, Bears WR Allen Robinson ‘ready for this time right here’
* Man, 23, fatally shot in Chicago Heights


* Dolphins could suspend players who protest during national anthem up to four games
* Mom of aspiring restaurateur after man convicted in son's 2012 murder: 'Every day of my life. I’m completely changed'
* Roquan Smith absent as Bears report to training camp: 'We’re optimistic he’s here soon'
* Officials don't think massive fire at Prospect Heights residential complex was intentionally set
* Chris Chelios leaving Red Wings, moving back to Chicago
* Aldermen to consider $3 million settlement for families of two people killed by man fleeing police
* Outcry in Zion over video of dead dog in trash and reports that police shoot dogs as form of euthanasia
* White House invites Putin to Washington for fall meeting
* Beware the wild parsnip: Flowering plant found throughout Illinois can cause 2nd-degree burns
* Bears betting a more grueling training camp will pay off during the season


» Berwyn Homeowners Squeezed By School District Miscalculation
» How Conservatism Won In Wisconsin; Illinois Election Security; Special Olympics 50th Anniversary
» Illinois Prison Officials Accused of Abusing Transgender Inmate
» Money Machines: Billionaires Rain Cash — With Strings Attached?
» July 18, 2018 - Full Show
» Fast Food ‘No Poaching’ Clauses; Trade Wars & Farmers; Small Town ‘Brain Gain’
» 'Carnaval’ Festival To Highlight Latinx Stories In Theater
» The Cook County Sheriff Is Launching A Podcast On Opioid Addiction
» July 17, 2018 - Full Show
» Rauner Vetos 'Crosscheck' Ban — Illinois' Participation Already On Hold


* Marginal amounts of legionella detected in Stratton Building
* Moody's gives Illinois finances a 'stable' outlook
* Illinois Army National Guard soldiers return home
* Marginal amouts of legionella detected in Stratton Building
* Under the Dome Podcast: Gun bills, Quincy, Trump-Putin reaction
* Bernard Schoenburg: Bourne, Clark clash over missed votes
* Our View: Access to Narcan key to combating addiction
* Our View: Dorsey right choice to lead SIU
* Incumbents hold big fundraising leads in central Illinois legislative races
* Springfield man wins Illinois State Police logo contest


* Chad Dyson tapped as new Davenport Parks and Rec Director
* Swimmer drowns in Cleveland quarry
* Odenkirk brothers may fill famous shoes
* Tardy passenger shares complaint with airport director, board
* Davenport biz launches way to walk in Nelson Mandela's footsteps — in virtual realty
* Bettendorf native Jake Wood wins ESPY award
* Five at 5: Army National Guard unit returns home and 4 other stories to see
* Doctors say Belleville food pantry director’s eyeball is ‘basically burst’ after attack
* Boy riding in tractor-trailer is killed in Southern Illinois crash
* Spotted: AWOL pig makes brief appearance near Delavan


* APNewsBreak: Dolphins anthem punishment includes suspensions
* How to best help Prospect Heights fire victims right now
* Bulls promote Blakeney to NBA roster
* Village recommends tax incentive for Elk Grove Technology Park
* State legislator plans to work in private sector after leaving office

* Desperate for a Midterm Election Strategy,...
* House Democrats bet on 'For the People...
* Two Illinois lawmakers named to Farm Bill ...
* 'For the People' Unveiled as House...
* House Democrats Pivot Away From 'Bette...
* MESSAGE MIX-UP: Democrats DITCH 2018 Campa...
* Democrats roll out their newest midterms s...
* House Dems unveil new midterm campaign slogan
* Expanded Job Training for Vets, GI Bill Ch...
* FIBRA Prologis Announces Second Quarter 20...

* Gov. Rauner's DC allergy successfully ......
* No, The Failed Ninth Circuit Court Nominat......
* The Senate Feels Need to Oppose Turning Ov......
* Anti-money laundering reform needs more Re......
* The Senate delivered a rare, unified rebuk......

* Sen. Tammy Duckworth on breast-feed......
* Landscapers advocate for H-2B during Legis......
* The Real Link Between the White House and ......
* She's back: Sen. Tammy Duckworth
*
Duckworth Announces $1.6 Million for the N......

* Do You Recognize This (Alleged) Package Thief? (Updated)
* Who or what is that on the Reader’s Pitchfork cover this year? Here are your answers.
* Cook County efiling: An incomplete review
* Chance the Rapper owns Chicagoist—now what?
* EXTRA: A 'rap' about the news?
* Chicago soul singer Christian JaLon wants you to know what love means to her
* Hitting Left with the Klonsky Brothers. Episode #74. Nate Marshall. Jennifer Klonsky. Alderman Ricardo Muñoz.
* Congressman Rodney Davis. Social justice is the litmus test.
* Thorner/Nelson: Conservatives to gather in St. Louis September 16-18
* How The Fight Against Affirmative Action At Harvard Threatens Wealthy Whites


* Summit for Success: IDOT providing tools, opportunity for disadvantaged businesses
* Illinois Payrolls Jump +18,100
* Liquor Control Commission Underage Compliance Report for Cook County
* Gov. Rauner receives Fletcher Award from National Black Chamber of Commerce
* Nursing Home Violations for Second Quarter 2018

  
* SoftBank and Leica invest $121 million in Light, smartphone coming by year's end
* Prime exclusive Moto G6 Play / Z3 Play are an Amazon power user’s dream
* Hawaiki subsea cable goes live
* Huawei working on smartphone with a display hole for the camera instead of a notch
* Watch the first trailer for Nightflyers, the George R.R. Martin space horror show
* Sony is making a limited edition ‘Amazing Red’ PS4 Pro for Spider-Man’s launch
* Cheaper Huawei phones are set for a big boost with Kirin 710 chipset

* Scouting report: White Sox vs. Seattle Mariners at Safeco Field
* Showing so far bodes well for Astros' road to repeat
* Seattle Mariners vs. Chicago White Sox - 7/20/18 MLB Pick, O...
* Don Cooper expects success, asks for patience in White Sox r...
* Super Stats Pack: Minors
* Super Stats Pack: Minors
* Chicago White Sox TV Ratings Suffer During Rebuilding Season


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

Archives
July 2018
June 2018
May 2018
April 2018
March 2018
February 2018
January 2018
December 2017
November 2017
October 2017
September 2017
August 2017
July 2017
June 2017
May 2017
April 2017
March 2017
February 2017
January 2017
December 2016
November 2016
October 2016
September 2016
August 2016
July 2016
June 2016
May 2016
April 2016
March 2016
February 2016
January 2016
December 2015
November 2015
October 2015
September 2015
August 2015
July 2015
June 2015
May 2015
April 2015
March 2015
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
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




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