Healthcare

New Health Plan Deliberately Excludes High Cost Hospitals & Other Providers

March 21, 2012 Economics

By Robert Weisman from the Boston Globe: Harvard Pilgrim Health Care is teaming up with more than 50 hospitals and 16,500 doctors across the state to offer Massachusetts employers and their workers a 10 percent savings on health insurance by forming what they call a “focused network’’ of medical care groups that excludes Partners HealthCare […]

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Bits & Pieces

March 16, 2012 Economics

Today’s Grab Bag More “Winner Take All” Economics Sports star economics comes to the law profession. Dewey & LeBoeuf, the result of a 2007 merger of Dewey Ballantine and LeBoeuf, Lamb, Greene & MacRae. Star economics was the subject of Robert Frank’s 1995 book, the Winner Take All Society. Frank’s argument was that partly because […]

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County Operated Health Services & How We Got Here

February 16, 2012 County

County operated nursing homes have a long history. They haven’t kept up with the changing environment. So even if a bit oversimplified, it’s worth taking a long view. First Generation. Non-Medical, Primarily County Funded Long before Medicare and Medicaid were established in the mid-1960s, county government provided classic public health and backstop services. Indeed, long […]

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Home Care Workers to be Assured of Minimum Wage, Overtime and Pay for Travel Time

December 15, 2011 Federal Government

SInce 1974, based on their characterization as “companions,” much like babysitters, home care workers have been exempt from provisions of Federal Labor Law regarding minimum wages, overtime and travel time. Evelyn Coke, a home care worker Long Island sued her employer regarding these, ultimately her case reached the US Supreme Court. (Here’s a video from […]

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Don’t You Really Want to Reconsider? Big Mistake Averted at Least for the Time Being

November 17, 2011 County Government

Today, the Committee charged with reviewing applications for health facility construction projects for New York’s Public Health and Health Planning Committee took up Albany County’s certificate of need application to build a new nursing home. After considerable discussion and an emotional appeal by a patient’s family member and one County Legislator, the Committee voted to […]

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What Albany County Long Term Care Could Use More of Instead of New Nursing Home Capacity

November 17, 2011 Expenditures

The Administrator of a non-profit nursing home in Albany County reminded me yesterday that what the area really needs is more assisted living, residential capacity. Right now there is only one facility in the County that accepts Medicaid for Assisted Living, a less patient restrictive, more homelike, and much less expensive type of program than […]

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Another County Nursing Home is Being Sold

November 17, 2011 County Government

Thanks to an alert reader for pointing out that there’s another New York county nursing home on the agenda of New York’s Public Health & Health Planning Council. Unlike Albany’s, this one, in Fulton County, is being sold. We talked earlier here about the large number of counties seeking to offload their nursing homes (and […]

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Left Hand/Right Hand Continued #2. Perspective From Another Nursing Home

November 16, 2011 Budget

Heard from the Administrator of another nursing home (by reputation, a good facility) who pointed out that she runs a nursing home of about the same size as Albany County and … The projected deficit for a new Albany County Nursing Home is about the same size as their entire annual budget. It must be […]

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Unfunded Mandates?

August 2, 2011 Budget

A major complaint of counties in New York, even before the State imposed a cap (porous, but a cap) on increases in property taxes, the constant refrain was that the State mandated a host of requirements that generate costs, but which the State doesn’t pay at least part of it. However, about 40 counties operate […]

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