Showing posts with label Medicare. Show all posts
Showing posts with label Medicare. Show all posts

Thursday, May 15, 2014

Gloucester, VA Board of Supervisors Meeting, May, 2014 with Notes




Open Letter to the Citizens of Gloucester County Virginia


What an interesting meeting

The Virginia Constitution was written for us to limit the government intrusion into our lives.  Have you ever read the Constitution of the United States?  How about the Constitution of Virginia?

Mr. Hodges:  Thank you for continuing to support smaller government and local government and taking time to update us on developments in Richmond.  Just say no to the Governor’s proposal to increase Medicare.  It looks good short term but we do not need any more unfunded mandates from DC.

Marinas Zoning Ordinance:  Makes sense make it consistent for everyone and reduce government oversight.

17 Corridor Overlay:  A good program we can do without.  There is too much government in our business.  The purpose was to stop business from coming to Gloucester and it worked well.  Mr. Don Mitchell how can we expect our BoS to be consistent when we present a position one way in eliminating ordinances and then use an opposite argument when it affects us personally?  I do not care what position you take but please be consistent.  I am for less government in our business and personal lives (“For the Common Good. “) so we can grow and prosper that way the government gets more without have to raise the percent of income it takes.  I have firsthand knowledge of work performed on 17 and what it cost the person to do the work. Based on this work it encouraged business neighbors to clean up and improve their properties also and that helped their businesses.  I understand the cost and do not have a problem with getting rid of the excess rules.  What I have a problem with is the County made upgrades to their property across from Providence Road after the 17 Corridor rules were in place and did not come into compliance.  It was too expensive?  How about consistency?  Why does PHA to this day not meet the 17 Corridor Rules with all the changes made to their new building?  How can we expect new businesses to come to the county and build to County standards if we do not require existing businesses to comply with the same rules?  Was there a pay off?  Good old boy network? Why are there different rules depending on who you know?  Let’s get the rules consistent!

5 yr capital improvement plan Ms. Champion:  We do not have a 5 yr plan? No wonder the county is so messed up.  We react from one situation to the next.  A 5 year plan allows you how to recognize what is important and not be jumping all over the board.  If you had a good 5 year plan you would be able to tell a judge we would love to build a jail to keep you in, I mean a wall around the parking lot, but we would not do maintenance to the roof of the court house.  Mr. Chriscoe do you plan to fail in your private life as well as your public life?  Failure to plan is planning to fail!  Are you so afraid of change that you are willing to continue to shortchange the county and not give it the best we can afford?  No business or government in this day of tight funding can afford not to plan wisely. And that is what you are implying when you are against planning.  Ms. Champion what a good job you did in educating the board and coming forward with this plan most saw it as the way to go.  The plan will allow you to get to action not reaction. We do not need to continue to jump from one hole in the dike to the next, which is what we are doing now.  What Ms. Champion proposes still needs work but it is going in the right direction.

Mr. Wilmot you have been doing a good job representing the county this year keep it up.
Mr. Bazzani we missed you during the meeting.
Mr. Hutson that is the most positive I have seen you for a complete meeting.
Mr. Meyer keep on doing what you promised us during the election.
Dr. Orth you are showing us you are a capable leader that is trying to do what is right for the county.
Mr. James keep looking out for the best interest of the county.
Mr. Winebarger you do not say a lot, which is ok, but you keep everyone on their toes when you do speak.  On behalf of Mr. Thompson thanks for the compliment and verification what we are doing is working.
Mr. Chiscoe maybe you should look for a non elected position that does not require planning?

I am not a lawyer and cannot give legal advice.  Our founding fathers used common sense and Christian scripture when establishing our founding documents. 

“For the Common Good. “

Sincerely,
Alexander James Jay

P.S.  "In the next place, the state governments are, by the very theory of the constitution, essential constituent parts of the general government. They can exist without the latter, but the latter cannot exist without them." --Joseph Story Commentaries on the Constitution, 1833


"If it were to be asked, What is the most sacred duty and the greatest source of our security in a Republic? The answer would be, An inviolable respect for the Constitution and Laws -- the first growing out of the last. ... A sacred respect for the constitutional law is the vital principle, the sustaining energy of a free government." --Alexander Hamilton, Essay in the American Daily Advertiser, 1794
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Tuesday, March 11, 2014

Dr. Bill Hazel to Discuss Closing the Coverage Gap in Communities Across the Commonwealth

English: Sources used to find health and welln...
English: Sources used to find health and wellness related information in the past 12 months (Photo credit: Wikipedia)

Wednesday, March 12, 2014




9:00 AM

Dr. Bill Hazel to visit Appomattox Health and Wellness Center to discuss closing the coverage gap

Appomattox Health and Wellness Center

321 C Poplar Drive,

Petersburg, VA 23805





11:30 AM

Dr. Bill Hazel to visit Southern Dominion Health System to discuss closing the coverage gap

Southern Dominion Health System

702 N Main Street

Emporia, VA 23847





2:00 PM

Dr. Bill Hazel to visit Western Tidewater Free Clinic to discuss closing the coverage gap

Western Tidewater Free Clinic

2019 Meade Parkway

Suffolk, VA 23434


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Thursday, March 6, 2014

McAuliffe Announces Completion of Major Milestone in Medicaid Reform

English: In the United States, Medicare benefi...
English: In the United States, Medicare benefits compared for married vs. single workers. According to author Joseph Fried, this graphic uses information from: C. Eugene Steuerle and Adam Carasso, "The USA Today Lifetime Social Security and Medicare Benefits Calculator," (Urban Institute, October 1, 2004), from: http://www.urban.org/publications/900746.html. Note: The calculator does not include the value or cost of the Social Security disability program. (Photo credit: Wikipedia)
McAuliffe Announces Completion of Major Milestone in Medicaid Reform
~Virginia ready to take next step to close the coverage gap~

Governor McAuliffe today announced the launch of Commonwealth Coordinated Care (CCC), a program that will blend and coordinate Medicare and Medicaid benefits for approximately 78,000 eligible Virginians. As only the third state to implement this type of coordinated care for Medicare-Medicaid enrollees, Virginia has pioneered an innovative, responsive program to provide health care and long-term services and supports to people who often have very complex needs.

CCC is Virginia’s response to years of national research that shows the current structure of the two separate health programs results in cost inefficiency and poor health outcomes due to uncoordinated care.  Governor McAuliffe said “Nationwide, individuals who are dually eligible for Medicare and Medicaid typically have the highest and most complex medical needs but are often underserved by the misaligned rules and financial incentives of the two separate programs.  CCC will blend all of the benefits currently provided under Medicare and Medicaid into one plan with a designated care manager who will ensure person-centered and efficient health care services are provided. This will not only make it easier to manage the system from the beneficiary’s perspective, this innovative program will bring greater efficiencies and cost savings to the state’s overall healthcare delivery system.”

The development of Commonwealth Coordinated Care began in 2011 when the Virginia General Assembly directed the Virginia Department of Medical Assistance Services (DMAS) to develop a program that would better meet the needs of Virginians receiving both Medicare and Medicaid benefits. Achievement of this program represents a major reform to Medicaid in Virginia, signifying the readiness of Virginia’s healthcare system to take the next step and accept federal funds to close the coverage gap.

Speaking about the accomplishment, Governor McAuliffe stated, “Now we must continue to improve our healthcare system by bringing $2 billion of taxpayer funds per year back to the Commonwealth to cover hundreds of thousands of Virginians. Every day that we wait, we forego over $5 million in taxpayer funds that could be used towards ensuring that more of our friends and neighbors have access to the quality healthcare they deserve.”

Three Medicare-Medicaid health plans, Anthem Healthkeepers, Humana, and Virginia Premier have contracted with the Centers for Medicare and Medicaid Services (CMS) and DMAS to provide services under CCC for the four-year demonstration.  The contract commits the parties to a new model of care for Medicare/Medicaid beneficiaries that will provide efficiencies and improve the delivery of services to some of the Commonwealth’s most vulnerable citizens.  The contract includes provisions for person-centered care planning, interdisciplinary care teams, care coordination services, provider credentialing, access to services, unified appeals and grievances, and closely monitored quality of services.

Virginians presently eligible for CCC include those who are full Medicare and Medicaid beneficiaries (meaning entitled to benefits under Part A and enrolled under Medicare Parts B and D, and receiving full Medicaid benefits), are aged 21 or older, and live in designated regions around the Commonwealth.  For the first time in Virginia, individuals receiving long-term supports and services through nursing facilities and the Elderly Disabled and Consumer Direction (EDCD) Waiver will also be eligible to participate in a managed care program through CCC. 

Secretary of Health and Human Resources, William A. Hazel, Jr., MD, said “CCC will offer enrollees the opportunity to combine all of their existing Medicare and Medicaid benefits into one plan.  That one plan will go beyond the Medicaid and Medicare benefits and provide a care manager from the health plan who will complete a comprehensive evaluation to understand the enrollee’s situation and work directly with the enrollee to develop a plan of care that is tailored to their needs and preferences.”  In addition, plans will offer supplemental benefits that are currently not available in the Medicaid or Medicare programs.  

Eligible individuals will receive letters in the coming weeks notifying them of their eligibility for CCC and providing information on how to enroll in the program.  Letters will include comparison charts of the three health plans and contact information to speak with a trained enrollment representative.  The Virginia Insurance Counseling Assistance Program (VICAP) can provide information and insurance counseling for beneficiaries seeking additional education and support with CCC enrollment.  In the demonstration phase, CCC is available to Virginians in five regions of the Commonwealth: Tidewater, Central, Northern Virginia, Charlottesville, and Roanoke.  For a full list of localities you may visithttp://www.dmas.virginia.gov/Content_atchs/altc/altc-anst6.pdf.  CCC enrollment will be phased in by region.  Voluntary enrollment into Commonwealth Coordinated Care for the Tidewater and Central Virginia regions begins March 1, 2014, with CCC coverage starting April 1, 2014.  For the full CCC implementation timeline, please visit the DMAS website at http://www.dmas.virginia.gov/Content_atchs/altc/mmfa-imme2.pdf.

Townhall meetings are scheduled in Tidewater and Central VA for community members and providers to hear more about the CCC program and to speak with representatives from the three available health plans.  This will be an excellent opportunity to learn more about CCC and have questions answered. 

The Tidewater Townhall will be:

Wednesday, March 5, 2014
Community Member Session 10am-12pm
Providers Session 12pm-2pm
Pincus Paul Social Hall at Beth Sholom Village
6401 Auburn Drive, Virginia Beach, VA 23464

The Central Townhall will be:

Tuesday, March 25, 2014
Providers Session 10am-12pm
Community Members Session 12pm-2pm
Fick Conference Center located on the Mary Washington Hospital Campus
1301 Sam Perry Boulevard, Fredericksburg, VA 22401

Future Townhall events will be scheduled in all CCC regions.  For more information, visit the CCC website at http://www.dmas.virginia.gov/Content_pgs/altc-home.aspx.
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