February 4, 2012

Doctors claim Medicaid cuts make no economic sense (AUDIO)

John Cavanaugh with Building Bright Futures speaks for Children's Health Alliance at news conference

A coalition of Nebraska physicians complains that state budget cuts have hurt access to health care.

Physicians representing the Nebraska Children’s Health Alliance held a news conference in the Capitol rotunda to denounce the 2 ½% cut to the Medicaid budget and argue that the cuts don’t make economic sense.

Dr. Scott Applegate, chairman of the Nebraska Chapter of the American Academy of Pediatrics, says the legislature needs to restore the cut to Medicaid.

“In the year 2011, if you lived in Lincoln, Nebraska, our state’s capital (city), and you are a child new to the Medicaid program, you had access to no pediatricians,” Applegate stated. “There were no pediatricians in the city of Lincoln in 2011 who were able to accept new Medicaid patients.”

John Cavanaugh, executive director of Building Bright Futures of Omaha, stated the Medicaid cuts undermine the ability of poorer children to stay healthy, learn and become productive workers. Cavanaugh said the alliance hopes to persuade the legislature to restore funding and remove regulations that he said keeps some from seeking care.

Cavanaugh and Applegate were joined by Center Pointe Executive Director Topher Hansen and Dr. Robert Rauner, representing the Nebraska Medical Association, at the news conference.

All four emphasized the economics of the cut to the Medicaid budget. The news conference stressed that Nebraska receives $1.40 in federal matching funds for every $1 spent on Medicaid.

Cavanaugh stated that with the federal match and the long-term effects of a lack of health care, budget cuts to Medicaid cannot be justified economically.

“These are without question the most expensive cuts that we can make to our public budget. They cost us more than they gain,” Cavanaugh stated.

AUDIO: Nebraska Children’s Health Alliance news conference [11:40]

Nebraska woman receives highest award given by Red Cross

A Nebraska woman received a surprise Friday evening. Danelle Schlegelmilch is the communications director for the American Red Cross – Nebraska, southwest Iowa division and says they presented Martha Connot with a National American Red Cross Certificate of Merit. This is the highest award given to someone who helps save a life by using the skills taught in American Red Cross safety classes.

It was one year ago Connot was preparing for the annual St. Cecilia Cathedral flower show when another woman fell and hit her head. Martha was trained in first aid by the Red Cross and she stopped the bleeding and comforted the woman until paramedics arrived. Schlegelmilch says they were very happy to present Connot with the award at the same flower show where one year ago she saved a woman’s life.

The certificate Martha will receive bears the signature of President Obama, who was an honorary chairman of the American Red Cross.

Schlegelmilch urges everyone to take the time and attend one of their many life saving classes. The Nebraska – southwest Iowa region covers eight counties in Iowa and all the way from the Missouri River west to Scottsbluff in Nebraska.

24 hour UNMC skate-a-thon to raise awareness of Parkinson’s disease

The ice rink at the University of Nebraska Medical Center in Omaha is a busy place, for a good cause, this weekend. For 24 hours, skaters will take to the ice to raise money for Parkinson’s disease. Ted and Colleen Wuebben found the Skate-a-thon after Colleen was diagnosed in 2005 at the age of 52. For several years they flooded their own back yard and held a skate-a-thon to raise money for Parkinson’s awareness.

Colleen Weubben says living with Parkinson’s is a balancing act and compares it to skiing. She stated one has to be very attentive to shift weight properly and go with the flow. She says one never knows from one minute to the next if they will be able to walk easily or movement will be coordinated.

Last year the event moved to the UNMC ice rink and the larger scale event raised $40,000 for research. Hundreds of skaters are taking part this year and they hope to raise $100.000. The public is invited to come and skate or take part in a number of other events including horse and carriage rides and autographs with both former and current Husker football players.

Critics of child welfare system have their say in legislative hearing at Capitol

Critics of the move to privatize child welfare services in Nebraska provided the Health and Human Services Committee plenty of examples of a broken system, while providers insisted steps have been taken to address concerns during a hearing at the Capitol that lasted for hours.

The committee itself harshly criticized the current state of the system in a report issued late last year. It has made 18 recommendations for change, one of which proposes that the state take back the case management of foster children. The public hearing attracted a standing-room only crowd at the legislative committee hearing. It began early in the afternoon Thursday and ran until early in the evening.

Romney Reutzel Olson told committee members the move to privatization has hurt the system.

“I believe in collaboration. I believe in listening to each other to form a consensus about moving ahead into unchartered territory,” Olson testified. “That wasn’t done and voices of many were silenced. Now, we are faced with how to move forward when so much is at stake and so little is working the way it should.”

The largest provider of child welfare services in Nebraska, KVC, came under fire numerous times during the hearing. Betty Nisly was one of a number of foster care parents critical of how KVC has managed cases.

“Except for court hearings, there is no contact. They do not answer their phones. Their messages overflow, so they can’t accept a message on their phone,” according to Nisly. “And, foster care parents are left dangling in mid-air. We don’t know what the concerns are with the kids.”

Alicia Henderson with the Lancaster County Attorney’s Office said the state needs to take back case management.

“I would submit, and I think what I’m hearing here is, the problems all come from, we have outsourced the core business of maintaining the children of the state of Nebraska safely and having their well-being first in our minds,” Henderson stated.

The bill that would return case management to the state is LB 961, one of about a dozen bills carrying the committee’s recommendations this legislative session. Some of the recommendations do not need legislative approval. The committee and the governor’s office have been in negotiations about how to proceed. Gov. Dave Heineman has expressed reservations about implementing many of the recommendations, such as a return of case management to the state, the creation of a Children’s Commission and a new state department solely concentrating on child welfare services.

The committee report came after a state audit and a report from the legislature’s Performance Audit Committee issued reports critical of the planning and cots of reforms implemented the past two years.

Officials with KVC and Nebraska Families Collaborative countered the negative criticism, claiming they have taken steps to correct the problems. They say returning case management to the state would be a step backward.

Nebraska gets poor marks on report card for tobacco use

Nebraska got one “A” and three “F’s” on a new report card from the American Lung Association.

In the tenth annual “State of Tobacco Control” report, the agency graded all 50 states on the four proven policies to save lives and cut health care costs.

Spokeswoman Katie Lorenz says Nebraska only aced one category for having smokefree air in workplaces, schools, bars and restaurants, but failed in the other three categories.

Lorenz says, “So that’s an ‘F’ for tobacco prevention and control spending, an ‘F’ for cessation coverage and an ‘F’ for their cigarette tax.”

Nebraska spends less than $4-million a year on tobacco prevention and control while the CDC recommends spending more than $21-million.

Nebraska’s cigarette tax is 64-cents per pack. Lorenz says if the tax were even a dollar higher, it would keep thousands more teens from starting to smoke while more adults would quit.

The full report is on-line with state-by-state breakdowns.

“Your listeners can visit www.stateoftobaccocontrol.org, she says. “There’s a section where they can take action and send a letter to their governor or to their legislators and say, ‘We understand it’s important to prevent tobacco use in our state and we want to do our part to make that happen.’”

Overall, six states received four failing grades: Alabama, Mississippi, Missouri, South Carolina, Virginia and West Virginia. Only four states got all passing grades: Delaware, Hawaii, Maine and Oklahoma. No state received straight A’s.