The ridiculously simple solution to NC's Medicaid problem

Fire Wos.

It's abundantly clear that Queen Aldona is the problem.

Both Hise and Dollar also said that the Department of Health and Human Resources sorely needs experienced Medicaid officials to manage a complicated program that provides care to 1.7 million North Carolinians: the blind, disabled, elderly and poor children and their parents.

To which North Carolinians respond "DUH!"

Yet the thoroughly incompetent Aldona does just the opposite, surrounding herself with people who have no such experience. To top it off, she pays them ridiculously inflated fees using our taxpayer dollars [emphasis mine]

What do you think about this?

The Medicaid meltdown continues

The N&O has some excellent reporting this weekend on Mr. McCrory's Magnificent Medicaid Meltdown, which is underway right now in North Carolina. If you've been wanting to understand what's going on with Medicaid, and why, this article should be your first stop.

As you read the story, two things will jump to mind. First, for all the mythology about Art Pope's financial acumen, he just another schmuck plugging made-up numbers into the state budget, all designed to create the illusion that McCrory knows what he's doing. And second, you'll learn that there are real and terrible costs associated with the so-called leadership of our Republican-led government. Under the crushing weight of Queen Aldona Wos, anybody who knows anything about Medicaid has abandoned ship, leaving DHHS hollowed out and completely dysfunctional.


Queen Puppet and her "brilliance"

... are truly too much to behold.

By now we all know that North Carolina is another $60,000,000.00 in the hole because of Wos and the "DHHS Plan." As outlined in an editorial from the Charlotte Observer, the math seems simple; or does it?

Simply put, according to the editorial, here’s how the plan would work:

North Carolina would tax 10 managed-care organizations that provide behavioral health services to mentally ill or developmentally disabled Medicaid recipients. Those “assessments” would bring in $90 million for the state and allow it to draw down an additional $60 million in matching federal funds. The state would then give the $90 million back to the managed-care organizations and pocket the $60 million from the feds. Budget woes, solved.

NC last in minority health; AMA calls for Medicaid expansion

The independent non-partisan Commonwealth Fund is out with a new report on health-care and North Carolina is ranked last in the country in minority health care.

NC ranked 36 out of 51 states overall, but ranked last with minority health among all states in the nation. We also have some of the most expensive employer health insurance in the country, with premiums 13 percent higher than the national average.

NC Medicaid Reform

After floating a trial balloon for privatizing Medicaid that sunk rapidly among the health care providers of the state, Deputy Assistant Guvnor Pat has now rolled out his proposed Medicaid reform plan, which relies heavily on Accountable Care Organizations. This plan has a far more favorable view from healthcare providers and payers.

Yeah, we know it's hard to believe that (1) Queen Aldona and DAG McCrony could apparently get something largely right (still to be determined); and (2) Queen Aldona and DAG McCrony could actually admit that their initial proposal was a disaster and make actual substantive changes.

Sec. Sebelius blasts GOP governors in five Southern States

From the Hill:

Health and Human Services Secretary Kathleen Sebelius lashed out Tuesday at the governors in five Southern states, and Rick Perry (R-Texas) in particular, for “playing politics with people’s lives” by refusing to expand Medicaid under ObamaCare.

Speaking in an interview on HuffPostLive, Sebelius called their decisions “an outrage,” and urged the constituents of those states to pressure their legislatures and let their governors know this is “not acceptable.”

“The worst situation is in the states that so far have not decided to take up the offer of the fed government to expand Medicaid … in the five states with the highest level of uninsured African-Americans, four out of five of those — Texas, North Carolina, Georgia and Florida — are not expanding Medicaid,” she said.

Former DHHS Secretary, Lanier Cansler, on Medicaid

State decisions needed on Medicaid funding from the Sunday editions of Asheville C-T
Jan 26, 2014 | Lanier Cansler OPINION ... Part two of a two-part guest commentary There are two fundamental questions that must be answered if we are going to achieve successful Medicaid reform. First, is the program ...

Medicaid program needs budget goals
Jan 19, 2014 | Lanier Cansler OPINION ... Part one of a two-part guest commentary There has been significant discussion over the past year about North Carolina's Medicaid program. Gov. Pat McCrory and DHHS Secretary Aldona Vos...

WRAL web cast of Leg. Oversight Committee on NC DHHS

from Twitter:

Rosemary Hoban@rosehoban Wos reply to McKisskck: communication is complicated, we will try to do better. ‪#‎NCDHHS‬ ‪#‎NCGA‬ Don't they have 20+ comm's ppl on staff?

-from the Legislative Oversight Committee now in session at NC legislature. You can listen in at

Medicaid cards sent to the wrong address, food stamps delayed for months ... NC Secretary of Health & Human Services Wos is explaining to lawmakers. Watch it LIVE NOW on

NC DHHS adds "Because Obamacare" to their list of excuses

Trying to soothe growling stomachs with handy memes:

DHHS officials said Sunday that NC FAST isn’t the only contributor to the backlog and that its own data overstates the problem.

Julie Henry, a spokeswoman for DHHS, said troublesome factors included a new computer system, increased county workloads and adjustments to accommodate the new health care law. That created a “perfect storm” partly responsible for the growth in overdue food stamp applications.

In related news, it's now being reported that the deluge which swept through central North Carolina on Saturday, combining high winds, flash floods and a few stealth tornadoes, was also a byproduct of the Affordable Care Act.

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