News Progress

Quicker payments to safety net hospitals among proposals

•March 13, 2019•

By Peter Hancock
Capitol News Illinois

Democratic state leaders said Tuesday that Illinois’ “managed care” Medicaid system is threatening the viability of hospitals and access to health care in many parts of the state, and they are pushing legislation they say would reform the system.
“We have a broken managed care program in Illinois, and it’s threatening the very future of our health care providers and the patients they serve all around this state,” Senate Majority Leader Kimberly Lightford said during a news conference unveiling the legislation.
Under the managed care system, which Illinois launched in 2011, insurance companies are paid a flat, per-patient monthly fee to manage the care of most Medicaid recipients. These managed care organizations, or MCOs, are required to reimburse health care providers and make sure patients receive follow-up care with specialists, therapists or rehabilitation facilities following a medical procedure.
In theory, the managed care system is supposed to improve patient care and lower costs by avoiding preventable emergency room visits or hospital readmissions.
But Lightford, a Democrat from the western Chicago suburb of Maywood, argued that neither of those goals has been achieved. Instead of managing care, she argued, the MCOs are merely managing costs through excessive denials of claims and delayed payments, especially for facilities known as safety net hospitals, which serve large numbers of Medicaid and uninsured patients, and small, rural “critical access” hospitals that have 25 or fewer beds. Read More

•March 6, 2019•

By Grant Morgan
Capitol News Illinois

Capitol News Illinois reported on Springfield GOP Rep. Tim Butler’s bill to change how Illinois allocates its Electoral College votes for president last week.
Somewhat forgotten, however, is a decade-old law which already binds the state to change its electoral process without having to do anything more.
That law, signed by former Gov. Rod Blagojevich in 2008, included Illinois in a multi-state alliance to effectively bypass the country’s Electoral College.
Rather than award their electoral votes to the winner of the statewide popular vote, the compact requires member states to award their electoral votes to the winner of the national popular vote.
If enough states sign onto the compact to push their cumulative voting power to more than 270 electoral votes – the amount required to win the presidency, the compact will take effect in the next presidential election cycle. Read More

•February 27 2019•

By Jim Nowlan
NP Guest Columnist

Based on what I hear from atop my perch in rural central Illinois, I worry that my farmer friends may become but serfs to Big Agriculture. That is, farmers provide the labor, soils and risk in service to a very few global chemical and other ag companies. The farmers must buy their inputs from these few companies, yet the companies call most of the shots and reap the rewards, it seems.
I grew up a “town boy” in a tiny farm town; never knew much about ag, still don’t. After a career away, I moved back to my hometown. I love my farmer friends and appreciate the bounty of American agriculture, so I yearn to be proved wrong about all this.
The following is what I observe and also hear from my farmer friends at the back table at Connie’s Country Kitchen in my town.
The farmers buy seeds, but don’t own them; they cannot plant with seed they have harvested. They used to own and work on their equipment; now farmers often lease, because it’s too expensive to buy.
Well, you say, at least farmers can decide what crops they want to plant. Yes, to paraphrase Henry Ford, they may plant any crops they want so long as they are corn and beans. That is because nothing much else is protected by subsidized government crop insurance, which includes some price protection. Thus, the bankers who hold the loans on land and for spring planting needs insist that the farmers buy this insurance, which also indirectly protects Big Ag. Read More

•February 20, 2019•

By Jim Nowlan
NP Guest Columnist

A culture of corruption known as “The Chicago Way” has cast a shadow over at least four of the leading candidates in a field of 14 vying to occupy that city’s top job.
As I have written in this space, I think the job of Chicago mayor is arguably more important than that of Illinois governor. The three-state metropolis of 11 million gathered around Chicago is one of the world’s great megacity regions. Much of Illinois is heavily dependent upon Chicago. For example, the future of Peoria and its local Caterpillar employees are heavily affected at CAT headquarters, now located in the megacity.
I define the Chicago Way of corruption as unearned personal gain at public expense. The Chicago Way came to the fore recently when the U.S. Department of Justice complained that powerful Chicago alderman Ed Burke attempted to extort property tax appeal business for his law firm. He allegedly did this by offering to help a fast food business get its necessary permits from the city, which indeed he had been holding up.
For maybe a century, leading Cook County (Chicago) Democratic politicians have operated a scam: Read More

•February 13, 2019•

By Jim Nowlan
NP Guest Columnist

I have been asked by the Kewanee (IL) Library, near my residence in central Illinois, to lead discussions on “Revisiting the Founding Era.” What lessons might there be for us today, and what might we do today to honor those who made our nation possible?
Library director Barbara Love was awarded one of a very few grants from a New York City foundation to explore the topic. Over the coming six weeks, I will sit in the moderator’s chair at sessions in the library, and in classes at the local community college, high school and state prison.
I am a political scientist, yet have always enjoyed history, though I am not expert in the Revolutionary Era. To prepare, I just finished “American Creation,” by Joseph Ellis, author of the best-selling “Founding Brothers.”
The Founders, led by Adams, Washington, Jefferson, Franklin, Hamilton, Madison and of course others, were not demigods. They were indeed true radicals, intelligent, imperfect.
Their audacity was breathtaking—a tiny band of disparate colonies of barely 3 million people taking on the world’s mightiest military.
Nor was there consensus in the America colonies. Ellis estimates that only one-third of the colonists supported the Revolutionary cause; one-third, opposed, and one-third sat on the fence. Read More