Tag Archives: Medicaid

Rural hospitals closing

A state that forces hospital closings by refusing Medicare expansion while spending a billion dollars a year on locking up too many prisoners has its priorities wrong.

Tom Baxter wrote for SaportaReport yesterday, Ominous signs for rural Georgia as hospitals shut their doors,

Lewis forecast at the beginning of the year that five to six rural hospitals might be forced to close in 2013, and already there have been two. Calhoun Memorial Hospital in Arlington closed in February, and Stewart-Webster Hospital in Richland shut its doors last week.

That’s only a foretaste, Lewis says, of what’s going to happen when the Affordable Care Act next year eliminates the subsidies which have been key to the survival of many of these hospitals, and imposes new standards — for instances, penalizing hospitals for readmitting patients in less than 30 days — which will directly impact their bottom line.

“We will probably get hurt worse than any state in the nation,” Lewis said last week. “It’s not like we will be friendly faces to the feds, and they’re going to come in and do major damage to us. ” He’s certainly not an enthusiastic fan of Obamacare, but thinks the state has no choice but to accept the Medicaid expansion which was intended as compensation for what the new law takes away.

“With Obamacare coming down the pike, if we don’t get some kind of relief in (Medicaid) expansion, we will face certain death,” Lewis said last week.

Ah, so the problem isn’t ObamaCare: it’s Gov. Deal’s refusal to accept Medicaid expansion! The AJC warned us about that back in August:

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A bill for renewal of a fee on hospitals to pay for Medicaid

The Georgia legislature showed some responsibility for public health Friday, even though it did so through a shell game.

Gretchen noted that Aaron Gould Sheinin and Misty Williams wrote for the AJC Friday, ‘Bed tax’ clears final hurdle,

The state’s ailing Medicaid program benefited from critical care Friday, when the House overwhelmingly approved a bill that will make way for renewal of a fee on hospitals.

Senate Bill 24 will transfer the power to levy the fee — seen as necessary to avoid a loss of $700 million in funding for the medical care program that serves low-income Georgians — from the Legislature to the state’s community health care agency.

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Prisons as old age homes

Planning? Prisons aren’t for planning!

David Crary wrote for AP today,

In corrections systems nationwide, officials are grappling with decisions about geriatric units, hospices and medical parole as elderly inmates – with their high rates of illness and infirmity – make up an ever increasing share of the prison population.

At a time of tight state budgets, it’s a trend posing difficult dilemmas for policymakers. They must address soaring medical costs for these older inmates and ponder whether some can be safely released before their sentences expire.

The latest available figures from 2010 show that 8 percent of the prison population — 124,400 inmates — was 55 or older, compared to 3 percent in 1995, according to a report being released Friday by Human Rights Watch. This oldest segment grew at six times the rate of the overall prison population between 1995 and 2010, the report says.

“Prisons were never designed to be geriatric facilities,” said Jamie Fellner, a Human Rights Watch special adviser who wrote the report. “Yet U.S. corrections officials now operate old age homes behind bars.”

No, they were designed to be profit centers for prison profiteers.

Look at this sob story: Continue reading →