Capitol Fax.com - Your Illinois News Radar » Rauner says state audit of managed care program was “fundamentally inaccurate” and “misinformation”
SUBSCRIBE to Capitol Fax      Advertise Here      Mobile Version     Exclusive Subscriber Content     Updated Posts    Contact
CapitolFax.com
To subscribe to Capitol Fax, click here.
Rauner says state audit of managed care program was “fundamentally inaccurate” and “misinformation”

Friday, Feb 2, 2018

* January 24th Chicago Tribune

The state agency responsible for overseeing Medicaid in Illinois failed to properly monitor $7.11 billion in payments made to and by managed care organizations, according to a report issued Tuesday by the Illinois auditor general. […]

According to the report, the Department of Healthcare and Family Services could not provide auditors with complete or reliable data that the agency was required to collect under its agreements with the 12 [Managed Care Organizations] it contracted with in 2016. The agency wasn’t able to provide data on paid claims MCOs made to providers; the claims denied by MCOs; administrative costs and coordinated care costs incurred by MCOs; and what percentage of each MCO’s premium income goes to health care and quality improvement as opposed to marketing and other costs, which is information required by federal law.

The report also found that the agency may have made duplicate payments to the MCOs to the tune of $590,237.

* Today…



Raw audio is here.

* Transcript

I think those are fundamentally inaccurate. Those are erroneous. I don’t believe that those, uh, those figures or the, the concerns are valid and we’ll have the truth come out with you guys and others here in the near future… I think there’s misinformation and misunderstandings. I think our teams in these departments are handling our, our managed care program and our Medicaid program very well. There’s been a lot of fraud and abuse and mismanagement in the past, we’re correcting it. And I think the teams are doing a fantastic job. And I think these concerns that somehow there’s not oversight or that there are some missing dollars or whatever, I think, I just don’t think that’s right, that’s erroneous.

* Except, if you click here, you’ll see the Department of Healthcare and Family Services concurred with five out of six of the auditor general’s recommendations. And while DHFS only partially concurred with a sixth recommendation, it said it was addressing the problem a different way.

And this is how the department responded to reporters’ questions

According to DHFS spokesperson John Hoffman, the department is already implementing changes suggested in the audit. Hoffman says many of these adjustments were made prior to the audit being issued.

“We are confident that HealthChoice Illinois will provide quality, whole-person care for millions of residents while saving taxpayer dollars and operating with vigorous accountability throughout. In addition, the Department contracts with an independent, third party, nationally recognized actuary to assist in this process. We will continually work to improve this program, fiscally and programmatically,” says Hoffman.

- Posted by Rich Miller        

20 Comments »
  1. - Highland Il - Friday, Feb 2, 18 @ 2:05 pm:

    Bruce just called this fake news…..


  2. - Anonymous - Friday, Feb 2, 18 @ 2:05 pm:

    Asked for evidence, Rauner said “I just strongly believe their numbers are wrong.”


  3. - Anonymous - Friday, Feb 2, 18 @ 2:11 pm:

    “Misinformation” is Rauner-speak for “fake news”


  4. - Norseman - Friday, Feb 2, 18 @ 2:15 pm:

    Sounds like the same attack Blago made when the Auditor’s dinged CMS.


  5. - Henry Francis - Friday, Feb 2, 18 @ 2:17 pm:

    Yah, I “heard” something about $7B of tax payers funds not being managed properly. But I didn’t ask any questions about it. I was too busy trying to squeeze more than a 300% return on a $5M personal investment.

    -Honest Bruce Rauner (fictional of course)


  6. - Oswego Willy - Friday, Feb 2, 18 @ 2:18 pm:

    My favorite “Raunerite” fall back word…

    … after baloney, corrupt, broken/pineapple…

    … fundamental(ly)

    Man, Rauner and Raunerites love that.

    If Rauner knew “fundamentals” of governing or politics, he’d never have half of the messes he created.

    Maybe the Rauner Word Jumble is fixed, I dunno…


  7. - IllinoisBoi - Friday, Feb 2, 18 @ 2:19 pm:

    Yes, Bruce, if you deny it often enough it’ll all just go away.


  8. - BIG R. Ph. - Friday, Feb 2, 18 @ 2:27 pm:

    Here is this weeks example of what a sham this “Managed Medicaid” is:

    6 year old with Leukemia. Rx for an oral anti-fungal. Cost to the pharmacy $600. Reimbursement by the MCO $150.

    They expect me to take a loss of $450 and stay in business??


  9. - Gruntled University Employee - Friday, Feb 2, 18 @ 2:27 pm:

    This must be the waste, fraud and abuse that Bruce keeps harping about. Sheesh


  10. - Sense of a Goose - Friday, Feb 2, 18 @ 2:27 pm:

    Nothing is true anymore unless you hear it from me. Can’t deal.


  11. - Anonymous - Friday, Feb 2, 18 @ 2:32 pm:

    If you’re going to run the government like a business, you’d think that you’d start with bringing out of control vendors to heal. Just impossible to understand why Rauner keeps carrying the MCOs’ water, even though lives are at stake.


  12. - Prairiedog13 - Friday, Feb 2, 18 @ 2:34 pm:

    This guy is clueless. November can’t come soon enough.


  13. - 360 Degree TurnAround - Friday, Feb 2, 18 @ 2:35 pm:

    “Misinformation”=Facts


  14. - Anon221 - Friday, Feb 2, 18 @ 2:39 pm:

    For Immediate Release

    Governor Rauner’s Office Presents the First Ever “This I Don’t Believe” Essay Contest. Bonus points will be given to essayists who use the terms “outrageous”, “frustrating”, “erroneous”, “corrupt”, and “Madigan” more than five each times in their 500 word submission. Waste, fraud, and abuse are highly encouraged. Winners will receive a free upgrade of their home and school computer systems by DoIT. Judging will be done by DeLoitte.

    (snark, people, snark)


  15. - Arthur Andersen - Friday, Feb 2, 18 @ 2:46 pm:

    He fills his messkit every time he goes to Decatur, I swear.


  16. - Hoping for Rational Thought - Friday, Feb 2, 18 @ 3:02 pm:

    Wow the Governor sinks lower still. Misinformation? HFS agreed with the findings! I guess its a nice change from “It’s Madigan’s fault!” HFS is not doing its job and not collecting the data to monitor MCOs. How does that square with Gov saying they are going after fraud and mismanagement? How do you know there is fraud if you don’t have data? How do you know there are savings if there is no data?


  17. - Worse than Blago - Friday, Feb 2, 18 @ 3:14 pm:

    Our Governor is more like Blago every day - except Rauner has brought the fiscal damage to greater scope and scale.


  18. - Anonymous - Friday, Feb 2, 18 @ 3:14 pm:

    Hoping for Rational Thought, statements like yours give him wriggle room, because you make it sound even worse than it is. You said repeatedly there is no data, instead of saying the data is incomplete and much of what came in in FY 2016 was suspect. I agree HFS was deficient, HFS agrees it was deficient, but I’ve seen articles that say HFS has no idea what MCOs spent, that HFS can’t account for ANY of the $7 billion, which is not what the audit says. Incomplete data is not “no data”. And HFS has started fining MCOs for not sending in good, complete encounter data, here’s the sanctions against FHN: https://www.illinois.gov/hfs/MedicalProviders/cc/Pages/FamilyHealthNetwork.aspx

    That being said, I have no idea what the gov is talking about here. They were deficient.


  19. - CCP Hostage - Friday, Feb 2, 18 @ 4:59 pm:

    Those of us working within this system know well that the findings are accurate, but we’re all too busy trying to survive it to make much noise about it. The details in the media are boring and murky and not sound byte worthy for the general public. Meanwhile, lying Governor Junk has a rapt audience that publishes whatever he says. Guess what’s going to be believed.


  20. - Smitty Irving - Friday, Feb 2, 18 @ 5:15 pm:

    Didn’t Blago make similar comments about Bill Holland after the CMS Audit?


TrackBack URI

Post your comment... And please take a half second to come up with a nickname. It makes following the posts easier for everyone... Thanks

In other words, do your best to be civilized and smart.


* *** UPDATED x2 *** How independent is Madigan's new independent counsel?
* Fourth Legionnaires’ case confirmed at Quincy veterans' home
* Biss endorsed by Sierra Club
* Question of the day
* Two Metro East GOP primaries take sharp turns toward weirdness
* Rotheimer becomes issue in Rep. Hammond's primary
* Agencies a no-show for Senate hearing on Quincy veterans' home
* SUBSCRIBERS ONLY - Supplement to today's edition and other campaign news
* Rauner on pension cost-shift's impact on property taxes: "It'll help bring them down"
* *** UPDATED x4 - Cassidy explains - Madigan responds - Mendoza, Bustos and Ammons issue statement - Sen. Bush echoes demand *** Rep. Cassidy wants independent probe into "culture that appears to pervade the organizations led by Speaker Madigan"
* Ives, Kennedy up with two new ads
* Raoul donates Decremer contribution to TIME’S UP Legal Defense Fund
* Candidates lash out at Pritzker after WCIA cancels debate
* More on Gov. Rauner's budget proposal
* *** LIVE *** Session coverage
* SUBSCRIBERS ONLY - Today's edition of Capitol Fax (use all CAPS in password)
* *** UPDATED x1 - Madigan responds *** Madigan operative removed from campaigns after complaints, Biss demands resignation of party chairmanship
* *** UPDATED x1 *** Rauner slammed from the right over Janus case
* *** UPDATED x3 - IDCCA clarifies - Biss buy - Quinn responds *** Holiday Monday quick takes: Rotering's new ad slams Quinn; Biss is up on Downstate TV; Pritzker reloads; Daily Journal endorses Ives; IDCCA unveils zero-tolerance policy and pledge
* Konkol out at Chicago Reader after "tumultuous ten days"
* Madigan asks Bustos, Mendoza and Ammons to "develop a plan for elevating the status of women in the party"
* Saturday quick hits: Mendoza wants Quincy veterans moved; Biss and Raoul report big bucks; Reader cover fallout intensifies
* Yesterday's stories

Support CapitolFax.com
Visit our advertisers...

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

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

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

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

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


Loading


* Tom Kacich | 3 Libertarians think they're bette.....
* Slowik: Assessor candidate Kaegi calls for more.....
* Gubernatorial candidate Jeanne Ives defends ‘ed.....
* Morning Spin: Candidate kicked off ballot, but .....
* SIU chancellor, facing probes for hiring family.....
* Madigan’s leadership becomes Democratic primary.....
* Duckworth promises to work for federal aid for .....
* Democrats take the capital city stage for gover.....
* Duckworth promises to work for federal aid for .....
* Duckworth promises to work for federal aid for .....


* Duckworth promises to work for federal aid for veterans home
* No bond for man who broke judge's window with snowball
* Woman sues Twitter, Facebook, Google over 2015 Paris attacks
* Storm system brings flooding, freezing rain, snow to Midwest
* The Latest: Weather officials: 3 twisters hit North Texas
* Chicago-area woman sues social media sites over Paris attack
* Illinois to pick state's '200 greatest' to mark bicentennial
* Appeals court reinstated jury award in fatal police shooting
* Illinois sees flood warnings as snow melts, heavy rains fall
* Senate plan would require rear-facing car seats until age 2

* Madigan's leadership becomes Democratic primary litmus test amid handling of harassment complaints
* (No heading)
* Another Legionnaires' case found in Quincy as lawmakers meet
* Illinois Senate plan would require rear-facing car seats until age 2
* Gov. Rauner accused of politicizing Janus union dues case
* Democratic candidates for governor debate Wednesday at UIS
* Madigan parts ways with second operative after female lawmaker alleges 'abuse of power'
* Opponents: Rauner insurance changes would hurt state workers, retired teachers
* Can middle-class candidate Daniel Biss defeat millionaires in Illinois?
* Speaker Madigan: 'I take responsibility' for not doing enough on sexual harassment issue

* Tax overhaul sideshow: Long on gimmicks, short on solutions
* Man bites dog: A CEO who rejected a higher offer for his bank
* Loyola health system CEO takes job out west
* Hospital accounting error adds up to $92 million
* Rite Aid was Albertson's last best hope


* Peter Oswald’s ‘Mary Stuart’ takes on timely new meaning
* Resurrecting David Bowie — New tour features original band members in tribute
* Dispelling the stigmas: Changing the way we look at dementia
* Rev. Billy Graham is dead at 99; ‘America’s pastor’ had roots in Chicago
* Stomach, digestive system health: What’s your gut telling you?
* Purple line trains to Loop operating with residual delays
* Smallmouth, rock bass, perch: Prospecting on Illinois record fish around Chicago
* 2-Minute Drill: Hoiberg rewrites script; wear it, Pitino; and, Vonn gets bronze
* Woman, 19, suffers graze wound in Lake View
* Man shot in South Austin


* A nice idea for Blackhawks fans angry over the racist treatment of Devante Smith-Pelly
* Blanked by the Czechs in a shootout, U.S. men's hockey team is out of the Olympics
* After record rainfall, icy roads for morning commute
* Bradie Tennell 11th after shaky starts for U.S. women in short program
* Florida shooting survivors in capital, demand action on guns: 'We're what's making the change'
* Renowned evangelist Billy Graham dies at his home in North Carolina at 99
* Mark Cuban 'embarrassed' by allegations of 'corrosive' Mavericks workplace culture
* White Sox's Eloy Jimenez a big hit in any language
* U.S. women win 1st-ever Olympic gold medal in cross-country skiing
* 'Criminal activity' by key informant doomed drug ring case against ex-Schaumburg cop, prosecutors say


» Lawmaker Rips Rauner On Legionnaires' Response At Vets' Home
» Illinois Lawmaker Looks To Ban AR-15, 'Ghost Guns'
» After Husband's DUI, Supreme Court OKs Seizure Of Wife's Harley
» Setting the Record Not-So-Straight: Rights Group Pushes Inclusive History in IL Classrooms
» Mourners: Slain Chicago Officer Was 'One Of The Good Guys'
» Madigan Says He's Taking Steps To End Harassment, Abuse
» 2016 Report Put Quincy Plumbing Fix At $8M
» State Week: Governor Rauner Presents His Budget
» Rauner Budget Doesn’t Use 'Pixie Dust,' But It’s Fanciful Nonetheless
» Dem Candidates Dissatisfied With Madigan's Response To Sexual Harrassment Claims


* Madigan's leadership becomes Democratic primary litmus test amid handling of harassment complaints
* Our View: Illinois Democrats, tell Madigan to step aside
* (No heading)
* Another Legionnaires' case found in Quincy as lawmakers meet
* Ralph Martire: Rauner's budget proposal fails our schoolchildren
* Catherine Rampell: Don't blame 'Washington.' Blame the GOP.
* Marc Thiessen: Stop politicizing the Russia investigation
* Byron York: A non-alarmist reading of the Mueller Russia indictment
* Illinois Senate plan would require rear-facing car seats until age 2
* Gov. Rauner accused of politicizing Janus union dues case


* Unit 5, Olympia schools start 1 hour late; outages throughout area
* Forecasters warn of icy roads during metro-east commute
* Worth the wait
* DACC adds armed officer on campus
* DACC to discuss tuition increase
* Area under flood watch
* Owners of burned apartment building face almost 800 violations at multiple sites
* Area Calendar 2/21/18
* Fire calls
* Police reports


* The Latest: Dutch claim Olympic bronze in men's team pursuit
* UK jobless up for first time since Brexit vote aftermath
* Japanese father of 13 surrogate children veiled in mystery
* Dawn Patrol: Berlin explains dropping case against ex-Schaumburg cop
* National Weather Service issues ice advisory into Wednesday

* This RSS feed URL is deprecated
* Duckworth taps downstate principal as Stat...
* Reps Question DHS's Decision to Deny Asylu...
* House passes bill boosting funding to Illi...
* ELECTIONS 14TH CONGRESSIONAL DIST. Victor ...
* Members of Congress Advocate for Prisoners...
* Before the State of the Union, a chance to...
* Gun-rights groups giving to Illinois Repub...
* Endorsement: Underwood for the Democrats i...
* Letter: Gun debate prompts need to know yo...

* This RSS feed URL is deprecated...
* Duckworth promises to work for federal aid......

* This RSS feed URL is deprecated...
* Duckworth promises to work for federal aid......

* Have a happy Valentine's Day with the Venus II, the greatest masturbation machine ever invented in Illinois
* Early Man is an unexpected dud from the creators of Wallace and Gromit
* Former JJ Pepper Storefront Available For Lease
* CBS Chicago: Why Are CTA's Train Lines Color-Coded?
* Posting pictures at United Center entrances -- how else to ban them?
* Learn about Connections Between Health and Nature at ICA’s Mental Wellness & Uptown’s Coast
* "Coverage Where It Counts" -- In Uptown
* GoGrocer Coming To Imperial Towers
* Breitbart: ‘Black Panther’ Criticized for Lack of LGBT Representation
* Where is Tim Cunningham? #ATL #Morehouse #Blackandmissing


* Illinois Awarded Funds to Offer Advanced Training on Detecting Impaired Driving
* Illinois EPA Announces Upcoming Household Hazardous Waste Collection Events
* IEMA Highlights Emergency Preparedness for People with Access and Functional Needs in May - Ready Illinois website offers preparedness tips for people, caregivers
* First Lady Launches Illinois Family Connects
* Governor and Lt. Governor Unveil 2016 Journal of Local Government Shared Service Best Practices

  
* Qualcomm unveils Snapdragon 845 VR reference design, AI Engine and more
* 'Alto's Odyssey' Launches One Day Early on iOS and tvOS App Stores
* Galaxy S9 leaks some more in AR and hands-on pics, release date also confirmed
* Xiaomi ‘Blackshark’ benchmark and Mi 7 rumors include plenty of high-end features
* We may now know a number of Xperia XZ2 and XZ2 Compact specs, as well as prices
* Key Moto G6 Play specs confirmed in benchmark, G6 family codenames also revealed
* Apple in Talks to Buy Key Battery Ingredient Cobalt Directly From Miners

* The Game I’ll Never Forget: Chet Lemon
* New South Side Sox Instagram Account: @southsidesoxsbn
* If you’re a writer, and you see good writing, sometimes, or mostly,...
* Robert finding comfort zone at first spring camp
* All clubs to don Stoneman caps for ST openers
* All clubs to don Douglas caps for ST openers
* All clubs to don Stoneman caps for ST openers


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

Archives
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