Elizabeth Roberts

Kristin Gourlay / RIPR

Governor Gina Raimondo has asked a working group to come up with a way to slow health care spending in Rhode Island. It's a strategy that has showed promise in Massachusetts.

Raimondo signed an executive order to establish the Working Group for Health Care Innovation. The group’s charge is to propose a way to limit the growth in public and private health care spending. One model might be close to home. Raimondo says Massachusetts placed a cap on spending.

Kristin Gourlay / RIPR

Plans to establish a center where people can go to sober up, instead of the emergency room, have languished for lack of state funding. But a renewed effort to launch the program is underway.

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.

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