The federal Department of Health and Human Services announced last week that Ohio has been approved to undertake a pilot project to better coordinate care for 114,000 Ohioans who are eligible for both Medicare and Medicaid (Source: "State gets OK to alter Medicare, Medicaid," Columbus Dispatch, Dec. 13, 2012).
Video: What Are The Ohio Medicaid Eligibility Guidelines
Boosting home care options under Medicaid: Balancing Incentive Payment Program, Community First Choice Option
 Anna Rich, e-mail of 12/13/2012: “I think that an additional important point to make on CFCO is that implementing it in combination with the duals demo is really perfect timing, because the state is (we hope) already thinking through issues like how plans will do assessments, care plans, etc—that thinking could be combined with implementation of CFCO requirements like the person-centered service plan, so as not to require extra work. Also, the experience in California was that CMS was definitely willing to work with the state to make the transition to CFCO from our current personal care services option as seamless as possible, keeping the administrative burden minimal and maximizing the benefit of the increased match. From the beneficiary perspective, the transition has been easy. I also don’t think Ohio should be scared by the fact that it is a statewide state plan benefit rather than a capped waiver benefit because your waivers are so underenrolled. Also, Medicaid expansion or so-called “woodwork effect” should not scare the state off because CFCO is for people who need an institutional level of care—they are likely already on Medicaid.”
Ohio Medicaid Program Raises Stakes For Nursing Homes
States such as Colorado, Georgia, Kansas, Nevada, Oklahoma, Utah and Vermont have tried to change that by awarding a small bonus (from 60 cents to $6.16 per day) if facilities achieve various standards. But industry representatives say those incentives are insufficient to generate significant enthusiasm for altering the status quo, according to Nicholas Castle, who has surveyed nursing home administrators and is a professor of health policy at the University of Pittsburgh.
Ohio Democratic Chairman Chris Redfern’s Statement on Romney VP Selection of Paul Ryan, Embrace of Republican Plan to End Medicare As We Know It
“Paul Ryan got his start in politics, as a young staffer just out of college, working for then-Congressman John Kasich’s Budget Committee. Ryan cut his teeth working long, tireless hours for Kasich, helping him slash programs for working families, grinding progress to a halt, and laying the groundwork to shut down the federal government.
Medicare Changes for Seniors in Ohio
Governor John Kasich of Ohio announced a medicare medicaid transformation plan with cost saving measures to consolidation of care for Seniors on Medicare. Kaisch and the State of Ohio had their plan approved the the Centers for Medicare and Medicaid. What the plan does is coordinate care for Seniors qualify for medicare that are on Medicaid meet low income guidelines.
Ohio's Proposed Budget
The Executive budget will place greater responsibility on managed care plans to administer quality improvement programs. For example, it proposes to create a pay-for-performance program, continues to require accountability for preventive services (e.g., well-child visits and prenatal care), and establishes a withhold of one (1) percent of the capitation payment for plans to earn back as an incentive payment tied to performance. The Executive budget proposal assumes that expansion of managed care to include children with disabilities (a transition component of establishing pediatric accountable care organizations) will allow health plans to spread their administrative expenses across more lives.
Prescription Drugs: A Look at Pharmacy Services Administrative Organizations
An expert on Medicaid, Medicare, and health reform, Kip Piper, MA, FACHE, is a consultant, speaker, and author. Kip Piper advises health plans, hospitals and health systems, states, and pharma, biotech, medical device, HIT, and investment firms. With 30 years’ experience, Kip is a senior consultant with Sellers Dorsey, top specialists in Medicaid and health reform. He is also a senior advisor with Fleishman-Hillard and TogoRun. For more, visit KipPiper.com. Follow on Twitter @KipPiper, Google +, Facebook and connect on LinkedIn.
Gov. Kasich Will Support Medicaid Expansion in Ohio
Since the Supreme Court made Medicaid expansion optional it has created a real divide among Republican governors. Many, like Texas Gov. Rick Perry, have rejected the Medicaid expansion in an effort to continue opposing Obamacare and hopefully cripple the new law. A handful of Republicans governors though believe that as long as it is the law of the land not accepting the money would be detrimental to their states.
Competing Plans For The Federal Budget
Blueneck BillyBob, Thanks. Your Ohio approach (aka Kasich-Kommando) is interesting to say the least. Next door in Indiana, the vaunted “Blade” Mitch Daniels created his own Franken-Budget approach and now he is the President of Purdue U rather than running for POTUS. He successfully persuaded the Republican controlled legislature to put a cap on property taxes – in the state constitution. So, when it came time to fund education and pay teachers, the cupboard was bare. To boot, he “misplaced” half a billion thru various “computer glitches” until after the budgetary process clamped down on every conceivable public service that was not privatized (e.g. he sold the state highway toll roads to offshore companies). That created a large surplus, but he was not finished. Now that he has moved on to old PU, it’s assessment time and the homeowners (not businesses of course) are finding their homes are suddenly assessed at 120% to 150% of the prior assessed value. Presto, the property taxes for homeowners are skyrocketing. His successor Mike Tea Party Pence is trying to cut education further by dangling the prospect of an income tax cut of 10%. A local TV station has exposed the bogus job creation record of Daniels too – only 30% of the jobs his flag waving department claimed they had brought to the state actually materialized – while the tax abatements and goodies for businesses as lures remained in place.
Ohio GOP Gov. Kasich Rejects Partisan Extremists, Extends Medicaid Benefits to 578,000; Action Shows Obamacare Is Here to Stay
“While Republican governors like Bobby Jindal of Louisiana and Rick Perry of Texas are playing games with people’s lives to throw red meat to the extremists in their party, Gov. Kasich applied common sense, economics and simple math. If Arizona Gov. Jan Brewer can stop wagging her finger at Obamacare, and even Kasich can shed his partisanship to do the right thing, other GOP governors should follow suit.”