Tag: CCOs

Why Oregon’s Health Care Lost Its Way—and Can It Recover?

Why Oregon’s Health Care Lost Its Way—and Can It Recover?

Show Summary: It was only six years ago that Oregon had one of the health care systems and markets in the nation. But then Democrats “fixed it” with their zeal for universal health care. A look back—and can it be fixed?

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Air Dates: Nov 9 & 10, 2019 | Lisa Lettenmaier

There’s a scene in Star Trek III when the crew of the Enterprise have stolen the ship and they’re being pursued by the Excelsior, the newest, fastest ship in the Federation fleet. The Enterprise goes to warp and the Excelsior prepares to give chase—only to have the engines grind to a halt and come to a dead stop. Scotty turns to Dr. McCoy, hands him some bolts, and says, “Here, Doctor. From one surgeon to another. The more they overhaul the plumbing, the easier it is to stop up the drain.”

And that’s pretty much what happened to Oregon’s health care.

Oregon’s Health Care: What Happened?

What happened? In a word: Democrats. In their zeal to push Oregon into “universal health care,” also known as “single payer.” Or, more accurately, “socialized medicine.”

A Look Back at Oregon’s Health Care

This week, we’re joined by Lisa Lettenmaier, the owner and operator of Health Source Northwest. Lisa is our go-to expert for health care, especially the “unique aspects” of Oregon’s health care market, given our lurch toward socialized medicine.

It’s open enrollment time. Do you have an insurance plan? The deadline is Dec. 7th for Medicare and Dec. 15th for individuals. See HealthSourceNW.com

Oregon’s Health Care System Transformation

In 2013, then-Oregon-Governor John Kitzhaber, a huge proponent of single-payer/universal health care/socialized medicine introduced a grand plan for Oregon’s health care. It was generally known (in typical socialist lingo) as “Oregon’s health system transformation.”

Kitzhaber convinced Obama to spend billions on this new innovative health care system that was going to transform health care as we know it: improve care and lower costs. You read that correctly. We spent billions to lower costs.

It introduced regional monopolies known as “coordinated care organizations” (CCOs). This,  despite studies that repeatedly shown that ACOs (associated care organizations, as they are known in Obamacare) do not save money. And do not improve care.

Oregon’s Coordinated Care Organizations

To set up these monopolies, they introduced legislation to bypass antitrust laws, violating the free market. The Oregon Health Authority (nice name, Nazis!) became the overseer of all things health. And the bureaucracies. Multiple layers of bureaucrats between you and your doctor. All of whom end up on Oregon’s PERS. A global budget that removed the ability to track monies allocated per patient. (Because that wouldn’t ever lead to abuse, grift, and corruption.) And a never-before seen cap on Medicare and Medicaid.

Basically, CCOs violated every free-market principle that would lower costs and improve care.

And, sadly, Oregon Republicans helped pass it. Yes, Republicans. How did this happen?

Useful Idiots: Oregon’s Republicans

Basically, the transformation was sold to gullible Republicans under the guise of “saving money” and “local control.” After the fact, they were “surprised” that this turned out to be a big giant push toward socialized medicine.

In reality, it shouldn’t have surprised any of them. Why? Because on the first page, the first paragraph of the bill it clearly said, “It is the intention of the Legislative Assembly to achieve the goals of universal access.” Yes. Universal health care. Single payer. No private health care. The finest that Venezuela has to offer.

Bill language from Oregon's health care transformation

True Stories of Socialized Medicine

Here’s a reminder: no democrat running for president has ever lived under socialism. Not one.  That’s right. None of them have ever lived under universal health care. And yet Bernie and Warren and several others are pushing for both socialism and universal health care.

Know what’s funny? Have you noticed that when people in those universal health care systems run into trouble, they go to where there isn’t a universal health care system? Instead, they come here to the U.S. rather than waiting weeks or months for treatment.

Well, not everyone. Just the rich. And the politicians.

When you run into trouble in a universal health care system, you go to where there isn’t a universal health care system

Want some true stories from people who have lived under socialized medicine? See this thread on Twitter from Carlos Osweda.

Podcast Version

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The Final Countdown – Obamacare Slavery vs Freedom

The Final Countdown – Obamacare Slavery vs Freedom

Show Summary: This is it. The final countdown. And if there’s one issue that sums up this entire race for the presidency, if there’s one issue that truly defines the difference between Hillary Clinton and Donald Trump it is Obamacare. It is a choice between Obamacare slavery or the freedom of repeal and replace. Tune in to find out why Obamacare is not—and never has been—just about health care.

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Air Dates: Nov 5 & 6, 2016 | Lisa Lettenmaier

It all comes down to this. Will America choose Obamacare slavery? Or freedom through repeal and replace?

Single-payer, universal health care.  It’s been Hillary’s dream for decades and now she is on the verge of fulfilling her dream to make America slaves again. Because Obamacare is not just about health insurance. That’s just how you pay for health care. The reality of Obamacare is how it gives the government permission to control nearly every aspect of your life. Because when you give the government control over your health, it’s an open door.

This belief of total government control stands in stark contrast to Trump’s wish of repealing and replacing. It’s about freedom vs. Hillary’s all-intrusive “health care.”

Obamacare Slavery

Exactly how would that affect us?  We talk with Lisa Lettenmaier, who clues us in how Oregonians are already feeling the intrusion of big government. For those who are in CCOs (Coordinated Care Organizations) here in Oregon, in-home inspections are occurring where medical staff go to the home to make suggestions on “lifestyle changes.”

This is the crux of what we’re facing: what happens if there is a single payer system combined with an all-too-powerful government? It is the proverbial “slippery slope.” In just a few years, we could literally be opening the door to government intrusions as voluntary assessments become mandatory. And government bureaucrats will be making decisions for you. Think about that. What if they determine you’re mentally unfit because you’re an “intolerant Christian” and find guns in your home?  What if they determine you shouldn’t be parenting because of your faith’s “biases”?  If the expansion of government is bad now what can happen if Obamacare becomes a single payer system under a Hillary presidency?

Our guest, Lisa Lettenmaier, truly opens the door to expose what is going on in the health care world, and gives us insights into why insurance costs are escalating and what we can be looking at if Obamacare expands even further.  So many promises of savings and better care have never materialized. This week we take a look at Obamacare and, in the last of our series of shows to compare Hillary and Trump, we compare their two very different health care plans.

If you or someone you know is still on the fence, this week’s show will push them over. Don’t miss it!

Donald Trump’s Gettysburg Address

Be sure to watch Donald Trump’s “Gettysburg Address” — his contract with America, where he outlines his first 100 days in office.

[embedyt] http://www.youtube.com/watch?v=OJniAA4m7Bo[/embedyt]

The Candidate’s “Closer” Ads

Compare Trump’s closer ad “Argument for America” to Hillary’s closer, “Roar“. What do you think? Which is better? And why? Let us know what you think in the comments, below.

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Thanks Democrats! Oregon’s Train Wreck

Thanks Democrats! Oregon’s Train Wreck

Show Summary: After a decade of one-party rule (just like China!), Oregon is headed for a financial train wreck. From the disastrous Obamacare-Kitzcare deal to insurance companies fleeing the state to state agencies on a spending spree  to counties going bankrupt. And despite this, one particular segment of health care has billions in profits—at taxpayer expense.

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Air Dates: April 30 & May 1, 2016 | Lisa Lettenmaier & Scott Jorgensen

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Oregon is in a world of hurt thanks to Democrat policies. Brace yourself for the coming train wreck.

We start off by talking with Lisa Lettenmaier of Health Source NW. Lisa is our “in house” expert on the insurance industry and the broader aspects of health care. She has been following the disastrous (for consumers) roll-out of Obamacare and its ugly stepchild, Oregon’s Health Care Transformation.

Tune in to hear her shine the light on Oregon’s insurance industry and why customers can expect to see huge rate increases in the next year.  There are some parts of the healthcare industry that are benefiting from Obamacare but it’s not the insurers as they face steeper and steeper declines in revenues.  Oregon has lost two more insurers in Oregon and another one on a national level.  Listen as we unpack the reasons they are leaving the state and what’s happening behind the scenes.

Oregon and Its Free-Spending Ways

Scott Jorgensen, the chief of staff for State Senator Whitsett, then joins us to share insights into the consequences of government attempting to push policies that force expensive programs (think Medicaid without federal funding).

The Oregon Democrat Leadership’s answer is to continue to raise taxes to pay for the spending spree.  Ask most Oregon voters and they’ll tell you that by our own state constitution we’re supposed to have a balanced budget; which, to many, means we don’t spend more than we take in. Well, not under Democrat leadership. It’s “balanced” because we borrow huge amounts to make it balanced.

Tune in to hear how much every man, woman, and child—all 4 million of us—are on the hook for under this new model of funding Oregon’s government.  And guess what? It’s only going to go up. Did you know we borrow money against Oregon Lottery Revenue? Talk about a gamble!

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Oregon’s health care transformation

Oregon’s health care transformation

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Air Dates: Month Oct. 10 & 11, 2015 | Lisa Lettenmaier

Remember those crazy, heady days of just being able to go to the doctor when you want and then just paying for their services? Yeah, that’s going to change. And it’ll change here in Oregon first.

And remember the good ol’ days when Obama promised savings of $2,500 per family per year?

This week, we take the pulse of the effects of Obamacare on the system. And it’s not pretty.

Tune in to find out what most of Oregon’s elected officials ought to know: how to connect the dots when it comes to Oregon’s health care transformation. And that includes at least one Republican candidate currently running for governor, who came out in favor of Oregon’s CCOs.

John McCain meets with ISIS
What does John McCain meeting with ISIS have to do with health care transformation? Listen to the show!

Democrats are already funneling billions of taxpayer dollars to Democrat-friendly “non-profits” who help get Democrats elected, who then funnel even more money to Democrat-friendly “non-profits” (like the $500 million in federal funds to Planned Parenthood or the $22.2 billion from global warming). Just wait until they start siphoning off from the $1.2 trillion we spend on health care.

Highlights from this week’s show:

  • Examples of fraud in the system
  • Potential areas for fraud
  • How  Oregon’s CCOs are incentivized to stop people from going to the doctors and why they’ll do it
  • How much health care is about to go up
  • What the transition from fee-for-service to “outcome based” health care will mean for you and your health

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Show 5-25 Obamacare vs Healthcare

Show 5-25 Obamacare vs Healthcare

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Air Dates: June 20 & 21, 2015 | Grace-Marie Turner

The Supreme Court will decide soon what to do about the Obamacare subsidies, which some say are the backbone to the entire law. What will it mean for the healthcare system if Obamacare is, to use Obama’s words, “fundamentally transformed”? We talk with Grace-Marie Turner of the Galen Institute about what the Court’s potential rulings could mean.

Obamacare advocates like to say we need to keep Obamacare because the Republicans haven’t come up with any plans to replace it. But this is a straw man arguement because a bad “comprehensive” plan is not inherently a better situation than a series of plans. It implies the healthcare system must be run by the federal government without stopping to ask whethere it should be meddling in your health care in the first place.

One aspect of Obamacare that many people haven’t heard of — including Oregonians — are School Based Health Centers. These “health clinics” are not what they seem. Like so much of the tripe pushed by the radical Left, what they claim is different, very different, than what they are. We talk with Nancy Traherne of the Rogue Vally Republican Women, which invited Mark Anderson to speak at their June 24th luncheon. (Note: If your organization would like Mark to come discuss how to fight back against SBHCs, please contact Karla Davenport for booking information.)

Links Mentioned

Show 5-15 | April 11 2015 Healthcare Checkup

Show 5-15 | April 11 2015 Healthcare Checkup

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Air Dates: April 11 & 12, 2015

We are fast approaching the 3rd year anniversary of Obamacare getting the green light from the Supreme Court. In the days leading up to that decision, Oregon’s now former-Governor Kitzhaber sweet-talked the Obama administration into funding an accelerated version of Obamacare, in his grand “health care transformation” using Coordinated Care Organizations also known as CCOs. (In Obamacare, they’re referred to as “ACOs”or “Accountable Care Organizations”.)

What has been the outcome of that closed-door deal with Obama?

Remember how the fiasco of Cover Oregon’s blown $300 million means Oregon may have to refund $300 million to the feds? It turns out we may also be on the hook for another $1.9 billion.  Yes, billion. As it turns out, the sweet-talking may have been misleading and the CCOs are not meeting Medicaid standards nor meeting stated outcomes, putting us in danger of refunding some or all of that $1.9 billion.  Tune in to hear about global budgets, lack of transparency, and Oregon’s response to the federal government about the feds concerns over the CCO model.  Be prepared because there’s a financial cliff that Oregon is about ready to jump over.


Links mentioned

  • Host Mark Anderson will be on Patti Milne’s TV Show, “People, Places, and Politics” on CCTV in Salem, Ore., discussing more about CCOs and Oregon’s health care transformation. It is currently set to air Wed. Apr 15 (6:00 pm), Thurs. Apr 16 (8:00 am), Sat. April 18 (8:00 pm), and Sun. Apr 19 (8:00 am). Here’s a link to CCTV’s schedule.
  • The Portland Business Journal article discussing Lynn Saxton’s response to CMS
  • Senator Doug Whitsett’s newsletter discussing the $1.9 billion Oregon could potentially be on the hook for — and it’s just the start
  • Sign up for Doug’s weekly newsletters (look for the link on the right-hand side to “e-Subscribe”)

Some of Mark’s Articles on CCOs

Additional Info


CCOs: Forced Compliance

CCOs: Forced Compliance

(A version of the following article originally appeared in Northwest Connection, vol 6 (no. 68), under the title “CCOs: Not just Wrong but Evil”.)

In late July, I made a guest appearance on the Jeff Kropf Radio Show (KUIK-1360am) to talk about the Coordinated Care Organizations that were to officially kicked off on August 1. Jeff had asked me to come on to talk about SB1580, which officially birthed CCOs.  During that appearance, I said, “This is an evil bill.”

I’ll stand by that statement. And I think by the end of this article, you just might agree with me.

You may have seen something recently that was circulating on Facebook—a form straight from the Oregon Health Authority that allows a child as young as 15 to be sterilized without parental permission or even their knowledge.

As shocking as it is, this isn’t new.  Back in 1995, the age of “informed consent” for sterilization was set at 18. Sometime over the next six years, it was changed and by the 2001 version of the Oregon statutes, the age of consent was dropped to 15 (ORS 436.225).

As of this writing, we haven’t been able to determine when, why, or how this was changed but apparently our leaders came to believe this sort of permanent, life-altering decision was something a 15-year-old can make. And do it without parental knowledge.

What it does reveal, however, is the mindset behind those in the Oregon Health Authority and their attitude toward life, parent-child relationships, parental rights vs. minor rights, and human sexuality.

Combined with the CCOs, it’s reflective of top-down, do-as-you’re-told, authoritarian thinking with the State firmly in charge. The exact opposite of what our Founding Fathers intended. It’s about gaining more power over more of our lives with the expansion of the Oregon Health Authority (and don’t you just love the blatant overtones of communism in that agency name?).

And make no mistake about it: that is their intention. The CCOs start with Medicaid recipients, move to swallow Medicare, then on to public employees, teachers, and the rest of us. In fact, the Public Employee Benefits Board recently announced they were looking for a new provider—one that would fit with the CCO model—and severing ties with Providence, which had previously used the model of allowing you to choose your plan and your doctor (Statesman-Journal, August 23, 2012).

Not anymore. Now it’s what the State dictates. This includes greatly expanding mental health. Keep this in mind, because mental health is a major focus of all of this healthcare expansion. But it begs the question: who is determining mental health? Can they say, “Gee, as a Catholic, you’re pretty rigid and judgmental—you need to be more tolerant”?

In 1938, Austria voted to join Germany—and by 99.7% of voters. From the outside looking in, Germany seemed ideal—especially for Austria, which was still suffering high unemployment and a stagnated economy due to the Worldwide Depression. But in Germany, nearly everyone had a job and everyone had access to healthcare. So they voted to unify with Germany.

And then one of the first things the Germans did was to take over the schools and drive a wedge between children and parents. Kids spent more and more time at schools, with more and more of their life revolving around the state-controlled schools, so they saw them as a home away from home.

And all children were forced to go off to Nazi Youth Camps. Except these weren’t about earning merit badges; it was state-sponsored indoctrination. Girl and boy camps were located close to one another and they were given plenty of opportunity, both formal and informally, to mingle. Many of the girls came home pregnant.

Why? Because the State knew that breaking that last taboo of innocence makes them less likely to respect the authority of their parents. Kids now see themselves as adults. And by extension the State provides access to all the good things in life, including jobs, health care, and opportunity itself. Parents and parental relationships mean less and less until it means nothing more than its sentimental value.

I mention all this because the ability of a 15-year-old to sterilize themselves is really just the tip of the iceberg. The Oregon Health Authority is currently and actively pushing to move into schools and have already laid massive plans to do so.

And as part of this push, they’re developing an army of organizations, agencies, and plans that will come between parents and children. Agencies like the CCOs, Healthy Kids, Healthy Kids Learn Better, and the Oregon School Based Health Care Network (SBHCN), to name just a few, and resources like Minor Rights and the Oregon Youth Sexual Plan.

To do all this, they’re working in close partnership with groups like W.I.S.E. (Working to Institute Sexuality Education) and Planned Parenthood.

Minor Rights is an interesting trek through the OHA mindset. The “resource” for educators lays out the rights minors have. That in itself is revealing, changing the dynamic between parent and child. The law protects you. You have rights. Everything we talk about is confidential—it’s the law—you don’t have to tell your parents anything.

Do you see how this immediately severs the child-parent relationship?

The vast majority of this little document is focused on children’s rights with little if any consideration for the rights of parents to be involved and to know what the hell State-sanctioned “providers” are telling your children.

In fact they have are specifically blocked parents from accessing information through a neat little maneuver. Normally, parents do have rights under the FERPA, the Family Educational Rights and Privacy Act. Except Oregon has maneuvered to place the School-Based Health Centers under HIPAA rules, which makes it far harder, if not impossible, to obtain disclosure.

That’s right. You can put your child on the bus in the morning and you have not a clue and barely any rights to know what happens to them when they get there.

In the Oregon Youth Sexual Plan, one of the strategies is to develop a “state-level coordination of youth sexual health promotion” (emphasis mine). “Develop” (meaning the state will train them) “and involve youth leaders… by engaging underrepresented group such as… lesbian, gay, bisexual, transgender, and questioning.” And this shocking statement: “Educate faith community leaders as ‘youth sexual health’ advocates.”

And then there’s also this from the OYSP: “Advocate and educate Legislature for universal health care.” Which pairs nicely with this from the School-Based Health Centers Network: “Ask your legislator to support the inclusion of SBHC’s in Oregon’s new CCO model.”

Why? Perhaps because CCOs are not beholden to public disclosure laws. And it’s a clear attempt to merge the Department of Education with the OHA. More power, and more direct control and influence over an even larger part of the population.

So is the CCO bill evil? For me, it’s hard to think that it isn’t. Not just because of what it most clearly is—the takeover of healthcare, putting more elements of society under government control, and removal of free-market principles—but because of what it can become. Remember, when you give control of your health to the government, they have a fiduciary responsibility to the taxpayer to ensure you cost the government as little money as possible. They can order you not to drink, not to smoke; to lose weight and even to force mental health counseling you. Own a gun? You can expect that “right” to be open for interpretation. And all of this opens the door for denial of service to our elderly and to indoctrination of our youth.

And don’t forget, we no longer have a state superintendent of schools. We gave that power to the governor.

Who also happens to directly control the Health Authority.

CCOs: Lurching into a County Near You

CCOs: Lurching into a County Near You

Mark Anderson

(The following post originally appeared in Northwest Connection, vol 6 (no. 65), June 2012.)

A Coordinated Care Organization (CCO) is Obamacare. Or it’s not. It only affects those on Medicaid—and only those on Medicaid. Except it doesn’t. But we have to do it and we have to do it now. Or maybe we could wait a year.

About the only thing that is for certain about CCOs at this point is that there are still a lot of questions about them.

In case you missed it, and most people did, healthcare is about to radically change in Oregon, thanks to Gov. Kitzhaber’s Healthcare Transformation. The same man who ushered in the Oregon Health Plan, which after two decades is widely recognized as at least a partial failure if not an outright failure, now brings you the Oregon Healthcare Transformation. But this time, it’s sure to work.

Here’s how it all happened. The CCOs were spawned into being in 2011 by HB 3650, which established the initial framework for the creation of coordinated care organizations. Then in 2012, in the shortened session, SB 1580 gave legislative approval to the Oregon Health Authority’s proposals for CCOs. What’s surprising is that SB 1580 passed with overwhelming support from House Republicans with 23 out of 30 of them voting for it, many of whom call themselves conservative.

All of this is an accelerated version of Obamacare. Under Obamacare, CCOs are known as “ACOs” — Accountable Care Organizations.

A CCO is responsible for providing fully integrated physical health services to provide coordinated care between all aspects of healthcare. Another, simpler way to think of it is ACORN running your healthcare. That, or its Obamacare arriving early in Oregon.

A CCO is a complete overhaul of how healthcare will be administered and institutes numerous new layers of bureaucracy between a patient and their doctor.

No longer will you just see your doctor. Instead, there will be multiple layers of non-medical personnel all making decisions about your healthcare. For example, there will be a Peer Wellness Specialist to assess your needs, a Personal Health Navigator to “enable” you to make decisions, even a Home Care Commission. Somehow all of this new bureaucracy is going to save money and provide better care, even though funds that could be spent on doctors is being spent on bureaucrats.

The stated goal of all of this upheaval is to save money and to put control of administering Medicaid on the local level. To pay for all this, the governor negotiated a $1.9 billion deal paid out over five years, with an initial down payment of $620 million for fiscal year 2013—on the condition that Oregon saves 2% on its Medicaid costs. Funny thing, that. Over those five years, Oregon is likely to spend about $22–$25 billion and 2% would come to $454–$500 million. So we’re spending $1.9 billion to save $500 million? Does no one in the governor’s office have a calculator?

In part, it will “save money” by instituting a hard cap on Medicaid spending. Each CCO will be given a global budget (made up of funding from various sources) but once the money runs out, that’s it.

Recently, Marion County became the first in the state to sign an operating agreement with a CCO when two out of three Republican commissioners voted to do so. Commissioner Patti Milne was the lone holdout.

Let’s get back to some of those questions. The proponents of this adamantly say, “It’s not Obamacare.” And that’s true—sort of. Aside from the obvious-to-everyone-but- the-proponents similarities between CCOs and Obamacare, there have been numerous articles and comments by public officials, including the governor himself, that show a clear connection. Health and Human Services Secretary Sebelius said of the CCOs, “We are proud to support… these efforts to coordinate care, which mirror our efforts at the national level, thanks to the Affordable Care Act.”

If it walks like Obamacare, quacks like Obamacare, looks like Obamacare…

But let’s look at some of the other statements by proponents of the CCO, such as, “It’s only going to affect Medicaid,” meaning it won’t affect the rest of us.

This is a curious thing to say, because on the very first page of the Agreement Marion County just signed, Paragraph B says, “CCOs will initially provide health services to Medicaid beneficiaries” (emphasis mine). Not only that but “H.B. 3650 also directs OHA to develop plans for CCOs to provide healthcare services to employees of the Public Employees’ Benefit Board and the Oregon Educators Benefit Board by contract.” Did they not read their own bill? (Again?) That, and there are plenty of publicized statements by Kitzhaber and others who all say this is designed to eventually capture all of us.

“We have to do it.” Isn’t it funny how a bill designed to give local control about healthcare doesn’t give counties an option? Aside from that, according to Sam Brentano, Marion County Commissioner, if the operating agreement doesn’t work out, “We’ll just opt out.” If that’s the case, then that invalidates his and others’ argument that counties have to do it in the first place.

“Medicaid already has a cap, so this is no big deal.” Except that’s not quite true either, because Medicaid only has a soft cap, which is how states end up with a hole in their budget when they over spend it. A true cap would prevent you from overspending that account. CCOs, however, do have a hard cap.

No less than the far-left Robert Woods Johnson Foundation says, “The total budget for each CCO would be capped at a set amount each year, a feature no other state currently offers… The idea of capping Medicaid spending is innovative and has never been approved by the federal government.”

And no one knows what happens once that money runs out. Does your grandmother simply do without?

What about liability for the counties? While Commissioner Brentano assured me signing the agreement doesn’t have any liability for the county (how does signing any agreement not incur liability?), according to the agreement, the county is a board member with “the authority to manage and conduct the [CCO]’s operations.” Not only that, the agreement puts the county in the position of a super majority. Both of those sure sound like potential liability nightmares if something goes haywire.

There are still plenty of unanswered questions beyond these. Like, what happens if the promised $1.9 billion doesn’t materialize? What’s the impact of allowing non-profit organizations the ability to participate in forprofit CCO? What will be the effect of having a taxing authority on the board of directors? Will they be forced to institute a health tax to fill the gap? Why is there a clause that seems to allow the CCO the ability to create its own insurance company? Or what happens if Obamacare is struck down?

Actually, we know the answer to that one. Oregon’s CCOs were specifically designed to continue whether or not Obamacare survives its court challenge. We are the test case.

I guess if you’re going to fall and break a hip, you better do it in the first half of the year.

© June 2012 by Mark Anderson. All Rights Reserved. Please use proper citations.