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re: So Jindal cut a contract with a company which cost us millions?
Posted on 3/11/17 at 10:07 am to TheCaterpillar
Posted on 3/11/17 at 10:07 am to TheCaterpillar
Correct. Louisiana is filled with mouth-breathing idiots, which is why the state will never amount to anything.
Posted on 3/11/17 at 11:15 am to Damone
I assume you're referring to the third party liability contract with HMS. If so, Jindal didn't kill that contract, DHH did. The simple reasons being A. Their IT systems are antiquated, so the data being fed to the contractor was garbage and B. The providers threw tantrums every time they were asked to return money. For instance, a couple years ago it was discovered that Acadian Ambulance was liening and foreclosing on people's property, but they seemingly forgot the bills originally paid through uncompensated care reimbursements from the state was supposed to be returned. At the end of the day they settled with the state for pennies on the dollar.
Similar to TPL, there's corrected balance adjustments that are intentionally overlooked because of the political realities of provider pushback. The feds actually fund most of the contracts for the CBA audits, but the state only uses them to the minimum extent they're obligated as condition of receiving Federal Medicaid money. I suspect the CBAs are actually a much larger loss of funds than TPL. Imagine how many hospital bills are modified or corrected. You can be certain when the bills increase they're sent to collections, but when they recover from another insurer, patient, etc. they aren't nearly as diligent in their adjustments when it involves the return of the state's share.
The hidden secret behind everything: The state prefers to turn a blind eye, because they're obligated to return the Federal share of improperly spent money, and they use the same reporting methodology and approach as a food servers who has to claim their tips to the IRS.
Similar to TPL, there's corrected balance adjustments that are intentionally overlooked because of the political realities of provider pushback. The feds actually fund most of the contracts for the CBA audits, but the state only uses them to the minimum extent they're obligated as condition of receiving Federal Medicaid money. I suspect the CBAs are actually a much larger loss of funds than TPL. Imagine how many hospital bills are modified or corrected. You can be certain when the bills increase they're sent to collections, but when they recover from another insurer, patient, etc. they aren't nearly as diligent in their adjustments when it involves the return of the state's share.
The hidden secret behind everything: The state prefers to turn a blind eye, because they're obligated to return the Federal share of improperly spent money, and they use the same reporting methodology and approach as a food servers who has to claim their tips to the IRS.
Posted on 3/11/17 at 1:06 pm to Damone
I think a certain part of Jindal's second term apathy was due to the fact that he realized this state will never really change.
Posted on 3/11/17 at 2:38 pm to Damone
quote:
Correct. Louisiana is filled with mouth-breathing idiots, which is why the state will never amount to anything.
Dude Go frick yourself.
We've had a few good governors that did good things for this state like John McKeithen who pushed through the Louisiana Superdome which made tourism really boom in New Orleans and brought more dollars into the Louisiana economy and Mike Foster who was a damn good fiscally conservative Governor who pushed through some damn good budget reforms that's preventing JBE from wrecking shite today.
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