Medicaid | KCUR

Medicaid

Jim McLean / Kansas News Service

Several members of a task force formed by Kansas Gov. Jeff Colyer to address the opioid crisis claim his refusal to consider Medicaid expansion undermines their work.

A contract dispute that could disrupt the health care of more than 400,000 Kansans enrolled in the state’s privatized Medicaid program has landed in court.

Amerigroup, one of three companies that since 2013 has managed the delivery of care to low-income, elderly and disabled through KanCare, is contesting a recent decision by state officials to replace it with Aetna when new contracts take effect in January.

file photo / Kansas Public Radio

Kansas Gov. Jeff Colyer says he will continue to push for a Medicaid work requirement despite a recent court order blocking a similar policy in Kentucky.

Last week, U.S. District Judge James Boasberg, an Obama appointee in the District of Columbia, questioned whether the Trump administration had adequately considered the consequences of Kentucky’s work requirement before reversing longstanding federal policy to approve it.

Cskiran / Wikimedia Commons

Segment 1: The latest in state and Kansas City politics.

Jason Kander announced on Monday his candidacy for mayor of Kansas City, making him the ninth person to enter what's sure to be a closely-watched race. Today, our panel of pundits shared their take on the coming mayoral elections, the Kansas primaries, and the Missouri Senate race that is garnering national attention.

Rural hospitals are more likely to close in states such as Missouri that have not expanded Medicaid.

A recent report from the pro-Affordable Care Act organization Protect Our Care analyzed 84 rural hospital closures since 2010. It found 90 percent of those hospital closures were in states that had not expanded Medicaid coverage. Missouri remains one of the 14 states that hasn’t amended its program to cover people who earn up to 138 percent above the poverty line.

Susie Fagan / File photo/Kansas News Service

Kansas Gov. Jeff Colyer’s proposed Medicaid work requirement would create a “catch-22” for some low-income Kansans, according to a report released Tuesday.

The report, from the Center for Budget and Policy Priorities — a nonpartisan research organization that supports Medicaid expansion — said work requirements could jeopardize their coverage.

2017 KANSAS AND MISSOURI CONSUMER HEALTH ACCESS SURVEY

A quarter of Kansas working-age adults and a third of the state’s children live in households dealing with medical debt.

That’s one of the takeaways from a new report commissioned by five Kansas and Missouri health foundations, believed to be the largest survey to date of health consumers in the two states.

In Kansas, about 2,600 adults and minors were included. The survey answers point to problems with access to dental and mental health care, among other services.

file photo / Kansas News Service

The company that processes applications for Kansas’ privatized KanCare Medicaid program faces potentially steep fines if it doesn’t fix problems, responsible for massive backlogs, by the end of this week.

Maximus, a Maryland-based company that specializes in managing “human service programs” for states and the federal government, has operated the “KanCare Clearinghouse” since 2016.

There have been problems from the start.

Celia Llopis-Jepsen
Celia Llopis-Jepsen / KCUR/Kansas News Service

Five-year-old Ridley Fitzmorris sits at a picnic table in his backyard in Lawrence, one leg dangling and the other tucked beneath him. His eyes are focused on a row of Hot Wheels that his therapist asked him to count.

“One, two, three,” he says in a whisper, his finger hovering over each toy car until he reaches the last one. Turning to an iPad that he uses to communicate, he clicks an icon. “Eight,” the computerized voice announces.

“Good job!” cooes therapist Ashley Estrada, a specialist in treatment for children with autism. “You did it by yourself."

file / bigstock.com

The Trump administration has nixed Kansas’ idea of a three-year lifetime cap on Medicaid benefits.

Gov. Jeff Colyer had wanted to include the limit in a remake of the state’s privatized Medicaid system, KanCare. He also wants work requirements for non-disabled KanCare beneficiaries.

Late last month, he walked back his stance on pursuing a lifetime cap, while sticking by the work proposal. Both ideas had faced criticism from health care advocates who fear they would reduce poor people’s access to doctors and medication.

Celia Llopis-Jepsen / Kansas News Service

Kansas lawmakers have struck a deal to end their session-long battle over Republican Gov. Jeff Colyer's plan to tighten eligibility for KanCare, the state’s privatized Medicaid program.

The compromise, detailed in the final budget bill of the 2018 session, blocks Colyer from implementing a work requirement and lifetime benefit cap as part of his planned “KanCare 2.0” makeover of the program. 

file photo / Kansas News Service

(This story has been updated.)

A high-stakes gambit initiated by Kansas lawmakers Thursday could prove to be the checkmate move that blocks Republican Gov. Jeff Colyer from imposing new Medicaid eligibility restrictions.

Jim McLean / Kansas News Service

A behind-the-scenes struggle over proposed changes to Kansas’ Medicaid program is coming down to the wire.

Republican Gov. Jeff Colyer has offered concessions. But he appears determined to stick with his proposal to make some non-disabled recipients work, or undergo job training, for their health care coverage.

Jon Hamdorf, the Kansas Department of Health and Environment official who oversees the state’s privatized Medicaid program known as KanCare, said the governor believes “very strongly that work is a pathway to independence.”

Brian Ellison / KCUR 89.3

The Missouri House has approved its budget for the 2018 fiscal year, and the ball is now in the Senate's court. It's no small thing getting all the numbers to add up to pay for transportation, K-12 and higher education, social services ... and everything else. But how does that work, especially when lawmakers don't share the vision of the governor, whose proposal is their starting place and who ultimately has to implement whatever priorities they set? Host Brian Ellison talks about the process and the results so far with Traci Gleason of the Missouri Budget Project and Rep.

File Photo / Kansas News Service

Kansas officials are moving to protect more than 800 vulnerable residents of 15 financially troubled nursing homes across the state.

The Kansas Department for Aging and Disability Services is seeking court orders to put the facilities — currently operated by a New Jersey company — into receivership.

Heartland Community Health Center

This story was updated at 3:22 p.m. on March 15 to include Jon Stewart's statement.   

The CEO of a safety net clinic in Lawrence, Kansas, has been suspended pending completion of a review of the organization's finances.

In a release Wednesday evening, the board of Heartland Community Health Center said it had suspended Jon Stewart and appointed the clinic’s chief operating officer as interim CEO.

The mere threat of launching debate on Medicaid expansion in Kansas has caged up a measure to suspend, rather than terminate, coverage for people while they’re locked up.

So legislators have created a policy work-around that doles out some extra money with direction to the state healthy agency to keep that coverage waiting for people when they get free.

flickr

Officials with the Kansas Department for Aging and Disability Services said Thursday that a staff member improperly disclosed personal information for 11,000 people in an email sent to multiple addresses.

Angela de Rocha, a KDADS spokeswoman, said the disclosure includes Social Security numbers, birth dates and other personal details of Medicaid recipients and potential recipients of the health care program.

Such personal details, particularly the combination of a Social Security number with a date of birth, can be all a criminal might need for identity theft.

file photo / Kansas News Service

Missouri and Kansas have joined 18 other states in seeking to have the Affordable Care Act declared unconstitutional following Congress’ repeal last year of the tax penalty associated with the individual mandate.

In a lawsuit filed late Monday in federal court in Texas, the coalition of 20 mostly red states claimed that the elimination of the tax penalty for those who don’t buy health insurance renders the entire healthcare law unconstitutional.

Missouri Legislature

Missouri’s general revenue spending on Medicaid has topped more than 2 billion dollars annually in recent years and its costs are rising.

That’s a problem for Republican State Sen. David Sater of Springfield. 

“It continues to be the biggest inflation that we have in state programs, and we have to do something,” Sater says.

The Springfield lawmaker is sponsoring a bill that would require Missouri to seek permission from the federal government to get what’s called a global waiver, basically allowing the state to create its own rules for operating Medicaid.

The Medicaid Gap

Feb 20, 2018

Kansas is one of a handful of states that have not expanded Medicaid. This has created a gap for patients who are too poor to afford insurance, but make too much money to be eligible for Medicaid. Advocates say that expansion could give coverage to these people, but with consistent legislative opposition, what are the odds of a bill passing this year?

Jim McLean / Kansas News Service

When it comes to packing Statehouse hearings, few groups fill a room more reliably than those pushing for Medicaid expansion.

What they’re less good at, at least so far, is convincing lawmakers and a governor to expand Medicaid eligibility to another 150,000 low-income Kansans.

They came close last year. Lawmakers passed an expansion bill, but came a few votes short of overriding then-Gov. Sam Brownback’s veto.

Richard Green / special to Kansas News Service

Amy Houston got the bad news — a diagnosis of Hodgkin Lymphoma — in 2009.

She started working 10-hour days in her corporate job to get Fridays off for chemotherapy. But that schedule no longer worked when the time came for daily radiation treatments. 

“I lost my job and therefore lost my medical insurance,” Houston said.

Madeline Fox / Kansas News Service

Troubles in the Kansas foster care system might stem in large part from a shortage of places that can help children in psychiatric crisis, say some lawmakers and child advocate groups.

Since 2013, the number of psychiatric residential treatment facilities in Kansas has dropped from 11 to eight, with 222 fewer available beds.

File Photo / Kansas News Service

Proposed changes to KanCare — the taxpayer-funded health care program that more than 400,000 poor, elderly and disabled Kansans depend on — face increasing resistance from key players in the Kansas Capitol.

A week ago, incoming Gov. Jeff Colyer promised to back off a plan that would have imposed a work requirement and benefit caps on some of the Kansans enrolled in the state’s privatized Medicaid program.

Yet the administration he’ll inherit, when he takes over for Gov. Sam Brownback this week, hasn’t retreated from its call for tougher eligibility rules.

file photo / Kansas News Service

Plans for KanCare 2.0, the proposal to keep management of the state’s Medicaid program in private hands for years to come while adding new eligibility restrictions, halted Wednesday.

At least that’s what Republican Gov. Sam Brownback indicated in a mid-day news release, which said the plan was being scrapped after lawmakers worried about cost increases nearing $100 million a year.

Madeline Fox / Kansas News Service

Today, when mentally ill Kansans land in a psychiatric hospital or behind bars, they lose Medicaid coverage. When they’re freed, the daunting chore of signing up for government health coverage starts from scratch.

Now, a push gaining steam among state lawmakers would merely pause that coverage, keeping care and critical medications ready for mental health patients when they get out.

Jim McLean / Kansas News Service

Nursing homes in Kansas find themselves in crisis, say the people who run them.

Where to fix blame or how to remedy things remain matters of debate.

A parade of nursing home operators and their lobbyists pleaded with members of a Kansas House health committee Thursday to fully restore cuts in Medicaid reimbursement rates. They also called for pressure on Gov. Sam Brownback’s administration to repair a long-broken Medicaid enrollment system.

file photo / Truman Medical Centers

A push by the Brownback administration to keep turning to private firms to run its Medicaid program for years to come faces resistance from key Republican lawmakers.

Those legislators have signaled they want existing problems repaired with KanCare — particularly application backlogs, delays in provider payments and disputes over services for Kansans with disabilities. Only then should the state go ahead with Gov. Sam Brownback’s plan to launch KanCare 2.0 and its new lifetime limits, work requirements and other policy changes.

KDHE

A lawyer who spearheaded Republican Gov. Sam Brownback’s efforts to block Medicaid payments to Planned Parenthood will take charge of the Kansas Department of Health and Environment next week. 

Darian Dernovish will become interim head of the agency on Jan. 8, Brownback’s office said Wednesday. He will replace Susan Mosier, who has held the job since December 2014. 

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