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Cutty Sark 
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Recent Comments

Re: “Framework for governor's Medicaid "bill of rights" originated from managed care company Centene, concerning some lawmakers

What's suspicious is that Charlie Collins and John Burris (Centene) are very close friends, and that the Governor appointed Collins to be the chairman of the Healthcare Task Force. What's unlawful was the lobbying that Burris did at the state capitol before the "cooling off period" was over. What's unfortunate is that our Governor is bought and paid for with campaign contributions from these companies. He is dead set that managed care be a part of Arkansas Works, despite the fact that it throws patients and providers under the bus. He needs to realize that Centene cannot vote for him, but these providers and patients can vote AGAINST him. One-and-done.

1 like, 1 dislike
Posted by Cutty Sark on 04/04/2016 at 9:27 AM

Re: “Health Reform Legislative Task Force split over managed care

Dolgotta, the person I excused from the conversation did not "deign" to disagree with me. That person displayed an ignorance of the subject matter. Your asking me to explain the behavior of a judge who was bought off and a nursing home owner who bought him is ridiculous. Does not pertain to the subject at hand. Had nothing to do with me. You are excused from the conversation.

Posted by Cutty Sark on 12/16/2015 at 7:50 PM

Re: “Health Reform Legislative Task Force split over managed care

You're damned right it's about money! The hybrid model will lead to hundreds of millions of dollars of federal and state revenue leaving the state into the hands of Centene for management fees. The DiamondCare model will result in more money in the hands of providers within the state of Arkansas- money that will create Arkansas jobs. Money that will be taxed over-and-over by the State of Arkansas as it exchanges hands time and time again from wealthy nursing home owners down to minimum wage nurse's aids who are struggling to feed their children. The additional money that Arkansas providers will receive will be based on health targets being met for patients and beneficiaries. This is the ultimate goal of this entire process, not the enrichment of an out-of-state managed care company that makes their profits by denying necessary services to beneficiaries and limiting benefits to the deserving citizens of this state. DiamondCare is a good faith effort by concerned republicans and democrats working together and should be looked upon by readers of Arkansas Times with an open mind as an alternative to managed care, which is hated by providers and beneficiaries alike. Think about it, Republicans are usually derided as wanting to save taxpayers as much as possible by limiting benefits. This model strikes a balance between saving as much as possible while improving the health of our citizens by incentivizing performance-based reimbursement rather than "how many patients can you see in a day" reimbursement under the current fee-for-service model. There is a reason that Democrats in both the House and Senate are behind this plan.

5 likes, 1 dislike
Posted by Cutty Sark on 12/15/2015 at 9:37 PM

Re: “Nursing homes and long-term care providers set to cut deal to avoid Medicaid managed care

And to "couldn't be better" . . . Patients in nursing homes cannot be cared for in home health settings. They have advanced beyond that point and are well-vetted by multiple government agencies before admission to a long-term care facility. These facilities are a necessary evil. And the last thing you want is a nursing home, run on thread-bare budgets already, to be placed under managed care. Long term care facilities have come a long way since the middle of the last century, partially due to excessive regulation, partly due to having a consistent and reliable payor source that allows the homes to be able to reinvest that income into adequate staffing and amenities. The legislators on the task force understand this problem much better than you. And I understand it better than they. To suggest that the legislators have been "bought" by the lobbyists for the long-term and semi-acute care industry is ridiculous and untrue, and shows an underlying ignorance of the subject coupled with an obvious slant toward the people trying to solve this problem in a mature manner. You are excused from the conversation.

3 likes, 2 dislikes
Posted by Cutty Sark on 12/15/2015 at 12:49 PM

Re: “Nursing homes and long-term care providers set to cut deal to avoid Medicaid managed care

Managed care is not best for the patient. It is basically paying another company, who by the way expects to make a profit, to take 20% off the top to say "no" to patients and physicians and hospitals and nursing homes and home health and pharmacists and nurse practitioners and physical therapists. You get the picture. It removes hundreds of millions of dollars of state and federal income tax revenues from the state economy. In every state that the Task Force has studied, when managed care is allowed into one slice of the pie, managed care has taken over the entire industry in the state within a few short years. Not because it works, but because they hire ex-representatives to lobby for them and they have millions of dollars of your tax monies to pay lobbyists.

9 likes, 0 dislikes
Posted by Cutty Sark on 12/15/2015 at 12:02 PM

Re: “Nursing homes and long-term care providers set to cut deal to avoid Medicaid managed care

Centene and it's new "consultant", ex-Representative John Burris need to be investigated. Burris is Rep. Charlie Collins' best friend. Collins is the chair of the Health Care Task Force. Collins is pushing hard for managed care. Hmm. Burris has been actively lobbying the task force for managed care. Problem is that that is illegal. He is a "consultant" and not a "lobbyist". He cannot lobby at this time according to Arkansas annotated code as he is still in the prohibited window after leaving the legislature. Crooked as hell, both of them.

9 likes, 1 dislike
Posted by Cutty Sark on 12/15/2015 at 11:50 AM


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