Is this another “it’s looks good on its face”….but on the other hand……
PPH reports “Maine has hired the controversial former welfare chief of Pennsylvania to conduct a $925,000 review of its Medicaid program and the potential effects of expanding it through the federal health care law.
The Department of Health and Human Services announced Tuesday that it has contracted with The Alexander Group of Rhode Island to bolster ongoing “program integrity” efforts.”
The contract is worth $925,200, according to a copy of the document, and will employ the services of Gary D. Alexander, the former welfare chief in Pennsylvania who was criticized for policy initiatives that dramatically cut the state’s Medicaid rolls, eliminating health care coverage for 89,000 children.
DHHS Commissioner Mary Mayhew said in a media statement that Alexander’s firm brings much-needed expertise to evaluating social services that cost Maine $3.4 billion a year.
The emphasis on fraud has increased the number of prosecution referrals to the state Attorney General’s Office, from 10 cases in 2010 to 45 in 2012. The number of successful prosecutions has increased more gradually, from eight in 2010 to 15 in 2012. The amount of restitution that courts have ordered increased from $92,339 in 2010 to $104,341 in 2012.
The administration is also pursuing anti-fraud initiatives that it hasn’t publicly disclosed. Documents obtained by the Portland Press Herald show that the state has launched a special investigation that targets Maine’s approximately 500 licensed elver fishermen.
According to the contract, about $455,000 will be paid from the state’s general fund, and about $276,000 is “special revenue.” About $193,000 is federal matching funds.
In her media statement, Mayhew said the DHHS is “excited about the opportunity to work with such a knowledgeable group of experts.” It will be extremely helpful to have someone with significant Medicaid experience lending a hand to our program reform efforts,” she said.”
Rep. Jeff McCabe, D-Skowhegan, the assistant House majority leader, is concerned with “another gimmick to deny and delay health care for tens of thousands of Mainers, including nearly 3,000 veterans.”
“Alexander’s work has been hailed by conservatives who have called for a reduction in Medicaid rolls and a crackdown on fraud.
Sam Adolphsen, a former policy analyst for the Maine Heritage Policy Center, will oversee “programmatic aspects” of the contract. Adolphsen works for the DHHS as the strategic development director.”
“Republicans applauded the contract. House Minority Leader Kenneth Fredette, R-Newport, said in a prepared statement that he is glad to see the LePage administration “take yet another important step in bringing accountability.” Read more, click here.
There were repeated requests for a full investigation into Medicare and Medicaid payments that were paid out in excess for prescription drugs, that were not needed, medical equipment that was not needed all at the expense of the taxpayers. The refusal of Maine’s Attorney General, and elected officials, to seek an investigation is a disgraceful PUBLIC SCANDAL. How many more got away with it?
In her media statement, Mayhew said the DHHS is “excited about the opportunity to work with such a knowledgeable group of experts.” It will be extremely helpful to have someone with significant Medicaid experience lending a hand to our program reform efforts,” she said.”
How much “expertise” must one have to recognize “fraud, waste and abuse”? Apparently, this lacks within Maine government. How competent is Maine’s Attorney(s) General?
Notice and Demand to A.G. Janet Mills, click here. No response was received.
If nothing was done in the past, is the future any brighter? Will there be “accountability” at the expense of nearly $1 million dollars?
Most people know not to believe mainstream media. The full accounts of their reports are grossly flawed and misleading. You are getting the “rest of the story”.
Is this another slight of hand at our expense?
Related:
Contradiction To Conversation With Governor John Baldacci, click here.
Maine Partners with Former Health and Human Services Leader for Medicaid and Program Integrity Improvements, click here.