Dana (C 4-5, 30 years post, 51, KC suburban Johnson County Kansas)
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Meanwhile the National Governors are also meeting in Des Moines Iowa and you
can bet Medicaid will be on the table again...
----- Original Message ----- 
From: "Bob Kafka" <[EMAIL PROTECTED]>
Sent: Monday, July 18, 2005 5:59 PM
Subject: Re: NY Times article on Medicaid


 Dear Medicaid Reform Advocates:

 Medicaid is being attacked from all directions.  The article below about
the
 abuses in the New York Medicaid
 program is a double edged sword.  On one hand the section on how much
 nursing home owners/operators rip off New York helps make our case for
 community services.  However the description of widespread fraud throughout
 the Medicaid system bolsters the arguement of  the advocates who want to
 totally dismantle Medicaid and want to block grant or cap the program.  The
 National Medicaid Commission has been named and must make their first
 recommendations by September 1st.  There first task will be to outline how
 $10 billion dollars might be saved in the Medicaid program.
 As advocates we have to be sure not to allow "the baby to be thrown out
with
 the bathwater" just because of some abuses.
 Though we despise nursing homes and other institutions we must remember
that
 Medicaid is also the biggest funder
 of home and community services as well as acute health services.  Though we
 don't like the medical model we must protect the necessary dollars in the
 community as we change how the Medicaid program is run.

 Here is the part of the article below you will like and can use to make the
 case for home and community services:


 > The Executives

 Among the biggest beneficiaries of the Medicaid program have been
 executives of the state's nursing homes and clinics, many of whom earn
substantial
 salaries and profits from the program.

According to records obtained from the Health Department under the Freedom
 of Information Law, 70 executives of nursing homes and clinics personally
 made more than $500,000 in 2002, the last year for which figures are
 available. Twenty-five executives made more than $1 million.

For the nursing home executives, that money was earned in salaries and
 profits, most of which came directly from the daily fee that Medicaid pays
for caring for each low-income patient, usually in the range of $200.
Salaries are earned by employees of the homes, and profit is earned by
owners, although owners are often executive directors or chief executives
of the homes, allowing them to benefit in both ways.

Consider three homes in the Bronx. The operator of the Laconia Nursing
Home, which receives 90 percent of its revenues from Medicaid, earned $3
million
in salary and profit. At the Grand Manor Nursing Home, also 90 percent
financed by Medicaid, the operator and three family members earned a total
of $2.4 million in salaries and profit. The owner and operator of the
Morris Park home, 75 percent financed by Medicaid, took in $1.5 million in
salary
and profit.

 ####################################

 Please alert us what is going on with Medicaid in your state.

 Don't Mourn...ORGANIZE!!!

 The ADAPT Community
 www.adapt.org

 THE FULL 7/18/05 New York Times ARTICLE entitled "New York Medicaid
Fraud May Reach into the Billions," can be found at:


http://www.nytimes.com/2005/07/18/nyregion/18medicaid.html?ex=1122350400&en=47e5077532b0afab&ei=5070&emc=eta1

NATIONAL ADAPT MAILING LIST - Adapt MiCASA List http://www.adapt.org

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