Elizabeth Roberts

Rhode Island’s largest health care network will close six group homes by the end of August. Lifespan affiliate, Gateway Healthcare, blames reimbursement rates for the closures.

The closures will affect dozens of adults with substance abuse or mental health diagnoses, and a little more than a dozen kids in state care. They range in age from five to 18. Gateway says Medicaid doesn’t pay enough to cover the cost of their care. Executive office of health and human services secretary Elizabeth Roberts acknowledges that’s a challenge.

Kristin Gourlay / RIPR

Today is the due date for a plan to cut nearly $180 million dollars from Medicaid. Half of that is state funding, the other matching federal dollars. To close a burgeoning state budget gap, Gov. Gina Raimondo has proposed cutting hospital and nursing home payments. Her “Reinvent Medicaid” task force delivers its recommendations today for finding the rest of the savings in the state’s health insurance program for the poor. Their proposals are aimed at reducing the cost of caring for some of the most complex patients.

Patients like Juana Kollie.

Members of Gov. Gina Raimondo's Reinvent Medicaid task force huddled for hours Wednesday to go over nearly three dozen initiatives designed to save Medicaid money. Their goal: find $90 million dollars in savings for Medicaid, the state's medical assistance program for the poor.

Here's a run down of where the effort is headed, straight from the fourth floor board room at CCRI in Warwick, where the meeting was held.

As anticipated, the biggest savings are projected to come from institutional health care providers.

Ian Donnis / RIPR

In less than a month, a task force appointed to find nearly $180 million dollars in savings from Medicaid must deliver their recommendations to the governor.

Ian Donnis / RIPR

A group charged with finding nearly $180 million dollars in savings from Rhode Island’s Medicaid program begins the second phase of its work Monday.

Throughout March Governor Gina Raimondo’s Working Group to Reinvent Medicaid held town hall meetings across the state to gather public input. Now they must get down to the hard work of finding ways to save money. They have until the end of the month to deliver recommendations to the Governor.

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