Alabama is admittely stupid

SUMMARY: This final rule will implement provisions of section 10201(i)
of the Patient Protection and Affordable Care Act of 2010 that set
forth transparency and public notice procedures for experimental,
pilot, and demonstration projects approved under section 1115 of the
Social Security Act relating to Medicaid and the Children's Health
Insurance Program (CHIP). This final rule will increase the degree to
which information about Medicaid and CHIP demonstration applications
and approved demonstration projects is publicly available and promote
greater transparency in the review and approval of demonstrations. It
will also codify existing statutory requirements pertaining to seeking
advice from Indian health care providers and urban Indian organizations
for section 1115 demonstration projects, and for the first time impose
as regulatory requirements tribal consultation standards that were
previously only published as guidance documents.http://www.gpo.gov/fdsys/pkg/F...7/html/2012-4354.htm

May 17, 2013

Cindy Mann, Director

Centers for Medicare & Medicaid Services

7500 Security Boulevard

Mail Stop: S2-26-12

Baltimore, MD 21244-1850

RE: Alabama 1115 Waiver Concept Paper

Dear Ms. Mann:

The Alabama Medicaid Agency is ready to begin discussions with CMS regarding development of

an application for a Section 1115 demonstration project that will implement a new care delivery

model to address fragmentation in the State’s delivery system, support quality care, and increase

transparency and fairness in the Medicaid reimbursement system. The demonstration project

arises out of the recommendations of a multi-stakeholder Medicaid Advisory Commission that

was convened by Governor Bentley in October 2012. Per our discussion earlier this year, we

understand that you will assign a technical assistance team to support these efforts. Enclosed is a

concept paper which provides a high level description of the proposed demonstration.

The point of Agency contact for scheduling conference calls for this project will be Kathleen

Hudson at 334-242-5600 or

Kathleen.Hudson@medicaid.alabama.gov.

Sincerely,

If old Squirrelly Dawg would depart to Mississippi, he would simultaneously raise the average IQ of both states. 

You misspelled admittedly, genius.

what has that got to do with what quaildog said?

until yesterday Alabama had only one statewide healthcare provider. Guess who? you guessed it. Blue Cross. Now there are two. Whoop-t-doo we have two thieves who will fix prices for Bentely's kick-back. Now the dammm fool has divided the state up into a pie for REGIONAL CARE ORGANIZATIONS which will pass through Bentley's muster of crooks after him and the lawmakers admittely don't know how to operate a health-care system.

why its a 1115 demonstration project I hope the feds shoot it down and frog-walk bentely to the penitentiary.

Now the same fools are going to streamline Medicare by cherry picking those who qualify for Medicare and assure RCO's of getting paid for Medicare cases that are non traumatic and cost very little to the RCO's but can bill for it at a extremely high margin of profit.

•

Change in governing board [of RCO's]

– Board actions no longer require consent of at least one primary

care physician

t-I told you. Doctors are 2nd class citizens now. lol

impeach benteley and the Alabama tbags

Al unemployment up to %7 and rising.

– Primary care physicians previously selected by caucus of county

boards of health, now selected by MASA

T, are you a member of Medical Associates of the State of Alabama?

....if Doctors are not members I guess they can't get paid. RCO's will black-list Doctors who don't play the game.

• Financial success for Alabama’s RCO effort depends on federal

approval of an 1115 waiver which will inject additional funds needed

for investment in reform.

• 1115 Waiver is a federal program used to test new ways to deliver

and pay for Medicaid health care services that:

– Improve care, increase efficiency and reduce cost

• Use of 1115 federal investment Dire see if you can get your hands on this balance sheet

– RCO Investments

– Quality of Care Pool

– Provider Transformation Payment Transition Pool

• Next steps:

– Public comment period ended April 4; 400+ comments

– Formal waiver submitted to CMS – May 2014

– Waiver negotiations – likely to take 6 – 18 mths

Well well, the RCO's whip physicians in line with threats of anti-trust laws

Medicaid Regional Care Organizations – Turning the Clock Back Twenty Years

John T. Mooresmith and April Mc

Kenzie Mason

http://www.masalink.org/govaffairs.aspx?id=4704 Note read last article titled: Medicaid Regional Care Organizations - Turning the Clock Back Twenty Years

The next articles in this series will discuss what physicians need to do to get into compliance with the Medicaid Regulations so that they can receive the antitrust immunity provided by the statute for negotiating with the RCOs as well as maintaining compliance in the future.

"Welcome to Sweet Home Alabama"