Archive for Tuesday, March 26, 2013

Letter: DD services

March 26, 2013


To the editor:

There is a bill before the Kansas Senate this week (Senate Substitute for HB 2155) that will, in effect, disallow local nonprofit organizations from performing essential eligibility and needs-assessment functions and paves the way for large for-profit managed care health insurance companies (MCOs) to take over those key functions.

Even scarier, it allows those very same mega-corporations to operate as case managers for persons with intellectual disabilities, thereby shifting control of services to the very same MCOs who are incentivized to save money for the state by siphoning off their cut of the spoils. What was once a warm handoff into services ushered by a locally built and state-supervised service system will turn into to a “1-800-ON HOLD to a help desk — location unknown.”

Individuals with intellectual disabilities and their families have been promised repeatedly that the locally driven system would not be dismantled and that case management for persons with intellectual disabilities would not change! Yet this bill could not have gained momentum without the tacit approval of the Brownback administration. Up until now, the local Community Developmental Disability Organizations have been able to mostly shield individuals we serve from the messy and disruptive effects of KanCare because I/DD services have been “carved out.” Unless we retain these local functions, stave off badly intentioned, profit-driven legislation and remain “carved out” of KanCare, the blade that is carving up and gobbling up taxpayer dollars is going to hurt our most vulnerable citizens.


just_another_bozo_on_this_bus 5 years, 3 months ago

Brownback's prime motivations are A) to cut services as much as possible, and B) make sure that corporations take their slice off the top for any services that do get rendered.

tomatogrower 5 years, 3 months ago

Brownback is just part of the new business model. If it's not making a big profit it's not worth doing. Even if that means lousy service and products. The customer and the workers are just irritating necessities. The only focus is to make a few people lots of money.

buffalo63 5 years, 3 months ago

Promises, Promises? What is that? I guess not part of reality in Brownbeck's world!

BigDog 5 years, 3 months ago

Don't worry Jill .... there will still be a job for you at Cottonwood.

If you are going to write this stuff at least be honest enough with the public to disclose that you work for one of the CDDOs who will lose the ability to control the DD system in Lawrence area.

It isn't so much about the people as it is these large non-profits losing the power and control in the system.

BigDog 5 years, 3 months ago

Also Jill ..... The MCOs DO NOT conduct functional assessments for the aging or physical disability population now nor do they establish eligibility for financial, these functions are kept outside the MCOs and overseen by the state.

The same would be set for this population. By the way the state sets the rate that MCOs must pay. And the needs assessment conducted by the MCOs is much more comprehensive than the CDDOs have ever used.

jafs 5 years, 3 months ago

Source for that claim?

From what I know, once the state gives the money to the MCO's, it's up to them how they spend it (or don't). In the Medicaid system, there's little state or federal oversight. Why would it be any different with DD services?

Do you really believe that inserting a for profit insurance company into the chain will result in anything other than fewer services and lower payments to providers? Where else will those profits come from?

Larry_Local 5 years, 3 months ago

If you are going to speak in support of large For-Profit corporations that have already proven their intentions on the medical side of things (denied prescriptions, lack of communication, delayed payments, etc.), I wouldn't identify yourself as "BigDog". That's exactly the problem with this whole KanCare system. It's strictly to benefit the "Big Dogs". The local Non-Profits are speaking out as advocates for the people who can't advocate for themselves. They have been doing so for DECADES! This isn't about power, silly dog.

Larry_Local 5 years, 3 months ago

Also BigDog... why don't you be "honest enough" with those reading your comments about who you work for? I can only guess...

BigDog 5 years, 3 months ago

larry_local .... Go ahead and guess, I am betting you will be wrong. I worked in the system for 12 years ... 5 years for an advocacy organization

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