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My Governor is More Progressive than Yours! MN's Gov holds HMO Accountable

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annm4peace Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:07 AM
Original message
My Governor is More Progressive than Yours! MN's Gov holds HMO Accountable
Today Governor Dayton announced ground breaking new steps to protect public health care and hold HMOs accountable.

MN had 8 years of Timmy the the Tool Pawlenty who gave tax breaks to Corporations and the very Wealthy.

But now we have a Progressive Governor but we also have a GOP controlled Senate and House so he has a uphill battle.

State health care contracts were being awarded to HMOs with little transparency, and thousands of nurses and other care providers were struggling with a system designed by and for HMOs, not patients. So together with like-minded allies we launched a campaign to take back our public health care programs.

Here is what Governor Dayton's reforms will accomplish:

* State contracts for public health care will be subject to competetive bidding. HMOs won't receive state health care dollars without showing how they will use them to best serve Minnesotans.
* The state will audit HMOs annually, "create comprehensive annual reports of all administrative expenses and premium revenues", and data on the plans and contracts will be available on a public website.
* State government will initiate a process to pilot new models of care delivery, with stakeholders that "work directly with people to improve their health," not just the same old HMOs.
* HMOs will be expected to return "excess reserves and profits" to the state - opening the door for the first time to a discussion of what reasonable reserve limits should be


http://mn.gov/governor/newsroom/pressreleasedetail.jsp?...

St. Paul, MN For the first time, the State of Minnesota will have a competitive bidding process for providers of state health care and focus its payments for health care on outcomes instead of procedures. Governor Mark Dayton also today signed an Executive Order requiring regular audits of health plans, and demanding full public disclosure of the profits, reserves, and administrative expenses of state contracted health care providers. These changes, announced today by Governor Dayton, Human Services Commissioner Lucinda Jesson, Commerce Commissioner Mike Rothman, and Health Commissioner Ed Ehlinger represent a fundamental shift in how the state provides and pays for health care in order to better serve taxpayers.

For far too long, uncompetitive contracts have favored managed care plans at the expense of taxpayers. Just last week, Governor Dayton called upon the states public health plans to donate back to the state their excess earnings and reserves. Commissioner Jesson is in active discussions with health plans providing public insurance to request contributions, following a voluntary $30 million donation from one of the states current contracted providers, UCare. If on April 1st, when plans are required to make their annual reports public, they are holding excess reserves, the Administration will ask them to return the appropriate amount to the taxpayers of Minnesota.

Under the Pawlenty Administration, state managed care contracts have gone largely unchecked, basing health plan payments on previous years costs. The 2010 Legislature authorized the Department of Human Services to begin demonstration projects to develop more cost-effective ways to provide care. The previous Administration failed to take action. This status quo approach, along with a provider payment system that focused on procedures rather than outcomes, has contributed to health care becoming one of the major cost-drivers in the states budget. Managed health care currently costs the state more than $3 billion annually to cover more than 500,000 Minnesotans. Over the past ten years, these costs have increased dramatically from five percent to eleven percent of the state budget. The Dayton plan to introduce competitive bidding into the process will finally rein in costs on one of the states biggest and fastest-growing expenditures.

Daytons reforms also include a statewide Request For Proposal (RFP) process. This RFP process invites providers to develop new ways to cover people, focused on outcomes rather than procedures. The RFPs will reward providers that work directly with people to improve their health. This is another significant reform in the way the state buys and provides health care.

The health care industry has modernized, but the way the state manages health care has not kept pace, said Commissioner Jesson. For far too long, health care plans have simply been paid based on whats been done before. Through full, public disclosure of plan expenses and premiums, competitive bidding, and with a focus on outcomes instead of procedures, we can modernize our approach to health care. Todays reforms are the first of many steps we will take to get a better value for the taxpayer, and better results for those who receive care.

These reforms represent a fundamental change in the states approach to contracting and paying for health care:

Competitive bidding in managed care: State contracts will be subject to competitive bidding to ensure the state gets the best value for taxpayer dollars;

Executive Order on disclosure and accountability: The Governor today issued an Executive Order requiring regular audits of the managed care plans, creating a comprehensive annual report on all administrative expenses and premium revenues, and making data on the plans and contracts open to full public disclosure via a newly created website. These audits will be conducted by the Department of Commerce;

A return for taxpayers: Following a voluntary contribution of $30 million by UCare from its excess reserves, the Administration will continue to call upon the states current contracted providers to return its own excess reserves and profits, with the industrys most recent numbers to be disclosed as required on April 1; and

Efficient and effective care: The Department is issuing a Request for Information (RFI) today that will kick-start the development of efficient and effective health care delivery by connecting patients directly with hospitals, clinics, and community health providers and holding providers accountable for quality of care. This statewide initiative will create more competition and test innovative ways to improve health care while lowering costs.

In addition to the steps announced today, the Governors budget includes proposals to lower plan costs and establish performance measures and incentives to reduce patient hospital readmissions.


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Jackpine Radical Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:09 AM
Response to Original message
1. Rub it in, why dontcha?
Here's our guy.

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Hepburn Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:12 AM
Response to Reply #1
3. That pic, unfortunately, applies to a lot of states! n/t
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Jackpine Radical Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:28 AM
Response to Reply #3
10. I just now realized how much I hate your sig pic.
This one:
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Pharaoh Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:11 AM
Response to Original message
2. I love my HMO
Will insurance company's and drug company's be required to return excessive profits?

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annm4peace Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:12 AM
Response to Original message
4. Oh Yeah! forgot to mention. He campaigned on: TAX THE RICH
Just want to put the word out for the Govs who are working for the people.

the bad Govs are given so much attention.. lets give some focus on the good ones.


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Hotler Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:13 AM
Response to Original message
5. kicking n/t
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Bucky Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:16 AM
Response to Original message
6. Yeh, but MY governor has gooder hair

Gooder hair than God
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ChoppinBroccoli Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:20 AM
Response to Original message
7. Oh Yeah? Well, MY Governor Is A Bigger IDIOT Than Yours!!!
And I can say that to ANY resident of ANY State and still be right. I live in Ohio.
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Jackpine Radical Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:28 AM
Response to Reply #7
11. Mine's a bigger psychopath.
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LaurenG Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:22 AM
Response to Original message
8. My governor is a slimeball. A true teabag sucking moran! - Top that! nt
Edited on Thu Mar-24-11 09:23 AM by LaurenG
on edit: whoops typo
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Jackpine Radical Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:29 AM
Response to Reply #8
12. Jeez--I didn't know you're a Cheesehead too. (nt)
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Motown_Johnny Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:24 AM
Response to Original message
9. No Fair!!! Newt Gingrich is more progressive than my Gov.
This wasn't a fair fight.


Why didn't we do this back when I/we had Grandholm in office?????
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cali Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 09:32 AM
Response to Original message
13. Nah. He's not. My Governor is more progressive than yours
I've got Pete Shumlin. He's the guy bringing single payer to this country.
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annm4peace Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 12:57 PM
Response to Original message
14. Palllleeeezzeee only mention the Progressive Gov's and what they are doing
we know there are a lot of slimeball, carpetbagging, greedy, idiot Govs out there.. but want to know what our Progessive Govs are doing and to get some attention on them.

Hey, Gov Jerry Brown! why isn't anyone posting about you???? what happened to you ? You used to be a Progressive ??
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hifiguy Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Mar-24-11 01:14 PM
Response to Original message
15. We are so lucky that we dodged the bullet of a
Governor HEmmerHead. Otherwise we would look like WI OH and NY.
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