Medicaid

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.

Neighborhood Health Plan of Rhode Island, which manages thousands of the state’s Medicaid patients, has found a way to bring down health costs for some of its highest need patients. The organization’s chief medical officer Paco Trilla says the Health@Home program targeted about 450 patients with multiple chronic conditions. They were using a lot of medical services, but not getting better.                

On Tuesday, two Rhode Island House committees will take another close look at Governor Gina Raimondo’s proposed budgets for Medicaid and the state’s health and human services agency. The Senate heard similar proposals last week.

The hearings offer another opportunity for public testimony and committee members’ questions before the budgets hit the full House and Senate for consideration.

Ian Donnis/File Photo / RIPR

Physician, educator and talk-show host Pablo Rodriguez joins Political Roundtable this week to discuss the uptick in state revenue; the battle over Medicaid spending; whether lawmakers have done enough to respond to the misuse of campaign contributions; and the PawSox.

Health care workers rallied at the Rhode Island Statehouse today to call for better wages. The Service Employees International Union has concerns about budget cuts for Medicaid.

The union represents about 4000 nurses, CNAs, and service employees who work in nursing homes and hospitals. The union has issued a list of proposals it says could help the state trim millions of dollars from Medicaid and boost pay for low wage workers.

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