Posted on

Obama Administration Lied about Terrorist Attacks to Protect His Relection

They knew it
We knew it
Everyone Knew it
Everyone Said it as it was happening
Everyone Understood it as it was happening

SO WHY DID OUR GOVERNMENT BLAME A VIDEO AND NOT CALL IT WHAT WE ALL KNEW IT WAS –  A TERRORIST ATTACK!

They are not gone, they are not defeated – they are actively attacking and killing people – just the other day they shot a 14 year old girl because she questioned the religion and its practices and regards towards women. And MOST not ALL officials in the respective governments condemned it – They are all dangerous – every one of them.

Our administration lied to the American people – we have the videos of the presidents speech, we have the press conferences, we have the articles – they clearly said this is not a terrorist attack – this is response to a video.

This President MUST GO!!!!!!!!!!!!!!

Posted on

Wynn On Obama: “I’ll Be Damned If I Want To Have Him Lecture Me”

[preamble]
Bravo! Finally someone states it like it is. I as a business man feel threatened and under attack by my own government. I am fearful of my government that they will “hit” me again and again until I close my doors. I cannot afford this government. I have had the worst 3 years in my 27 years if business. I have been taxed, turned against and reviled as someone that does not pay his share of taxes. I have seen my business dwindle because other business have closed their doors or have cut back.

I have had many meeting with local BID’s and organizations and EVERY BUSINESS PERSON says the same thing. I will not hire more people or think about expanding or investing in my business at this point in time – the economy is in shambles, we do not have a confident leader and i am sick and tired of class warfare. And to top it all off, i cannot have a 16oz drink, my doctors are being told they have not given us quality care, my property taxes have risen while the value of my home has dropped and my water bill has trippled since the city has put in the “new” meter and the final nail in my coffin is that I have to have health insurance that I do not want or need and have it rationed!

Business to obama – there is no intelligent life in the white house – we hopefully will beam you out of there!

WAKE UP AMERICA!
[backtopost]

 

 

Click Here for Full Article and Video

On the Tuesday broadcast of the nightly Nevada political program “Ralston Reports,” Steve Wynn, CEO of Wynn Resorts sat down with host Jon Ralston to discuss the presidential election.

Wynn, an outspoken critic of President Obama, didn’t hold back in his latest criticism of the incumbent president seeking a second term.

“I’ll be damned if I want to have him lecture me about small business and jobs. I’m a job creator. Guys like me are job creators and we don’t like having a bulls-eye painted on our back,” Wynn said about Obama to Ralston. An excerpt of the interview is below.

WYNN: I’ve created about 250,000 direct and indirect jobs according to the state of Nevada’s measurement. If the number is 250,000, that’s exactly 250,000 more than this president, who I’ll be damned if I want to have him lecture me about small business and jobs. I’m a job creator. Guys like me are job creators and we don’t like having a bulls-eye painted on our back.

The president is trying to put himself between me and my employees. By class warfare, by deprecating and calling a group that makes money ‘billionaires and millionaires who don’t pay their share.’ I gave 120% of my salary and bonus away last year to charities, as I do most years. I can’t stand the idea of being demagogued, that is put down by a president who has never created any jobs and who doesn’t even understand how the economy works.

Wynn on a scrapped business plan: “I’m afraid of the president. I have no idea what goofy idea, what crazy, anti-business program this administration will come up. I have no idea. And I have to tell you Jon that every business guy I know in the country is frightened of Barack Obama and the way he thinks.”

Posted on

Obama Job Creation Claim Proven False

(CNN) — No issue has been hotter throughout the run-up to the election than jobs — and both candidates took pains to tackle the issue during their first debate Wednesday at the University of Denver.

“Over the last 30 months, we’ve seen 5 million jobs in the private sector created,” Democratic incumbent Barack Obama said.

The facts:

In 2009, Obama’s first full year in office, people in states across the country were losing their jobs at a startling clip. In Ohio, the unemployment rate was 10.6%.

But over the next few years, the nation saw slow increases in employment in the retail, education and health care sectors. Today, most states are gaining jobs. The key swing state of Ohio now has a 7.2% unemployment rate.

The Bureau of Labor Statistics confirms that a lot of jobs have been created under Obama’s leadership — 4.4 million by the bureau’s latest count. What Obama did not say, however, was that the nation shed 4.3 million jobs during the early days of his term, and that the net gain since he took the oath of office in January 2009 is just 125,000 jobs.

Complete coverage of CNN’s Fact Checks

Conclusion:

Many voters blame that initial weakness on the fractured economy Obama inherited from his Republican predecessor, former President George W. Bush. But in terms of sheer numbers, Obama’s assertion that he created 5 million jobs does not tell the whole story and is therefore false.

Also during the debate, GOP presidential candidate Mitt Romney said that 23 million people are out of work in the nation.

“There is suffering in this country,” said Romney. “And we talk about evidence. Look at the evidence of the last four years. It’s absolutely extraordinary. We’ve got 23 million people out of work.”

The facts:

When the recession began, workers in every category lost jobs, but those in the middle and higher wage groups lost more of them.

And when the jobs started coming back, the lower-wage jobs came back stronger. That means that, while the nation has replaced lost jobs, many of those new jobs pay less than the old ones did.

To reach his 23 million figure, Romney counts everyone who is unemployed, has stopped looking for work or is underemployed — working for less money than before or able to find only a part-time job.

Conclusion:

Romney is stretching his figures to the breaking point — which makes his claim false.

What it all means:

If history is any guide, the employment figures could prove key in this race. In August, the U.S. unemployment rate was 8.1%, according to the Bureau of Labor Statistics. No president has been re-elected with an unemployment rate above 8% since Franklin Roosevelt in the 1930s, during the Great Depression.

Posted on

Obama – The 5 Trillion Dollar Man

He promised to cut our deficit in half. Instead, President Obama has doubled it. The Congressional Budget Office estimates the 2012 deficit will surpass $1.2 trillion. Obama has added almost as much debt as the previous 43 presidents combined.

“We’ve now had four years in a row with a president that’s built trillion dollar deficits. It’s bad economics,” GOP challenger Mitt Romney said during a rally in Bettendorf on Wednesday. “It’s the wrong course for America, and I believe it’s immoral for us to pass on our burdens to the next generation.”

Romney was speaking to a crowd of more than 1200 at LeClaire Industries. Behind him on the stage were factory employees wearing shirts that said, “Government didn’t build my business, I did.” The shirts were a swipe at Obama’s infamous “You didn’t build that” comments. LeClaire Industries owner Bob Zimmerman took exception with the president’s statement.

“Mr. President, it isn’t the government that creates jobs. It’s the people. It’s businessmen and businesswomen. And if you really want to help small business, stop the regulations and get out of our way and let us go to work,” Zimmerman said to a standing ovation from the crowd.

Romney warned that if the country continues on its current path, the United States faces a financial collapse, similar to the problems European countries are facing.

“25% unemployment in Spain. 25 percent. Think of that,” Romney said. “These are the kinds of circumstances that can arrive here if we stay on the path we’re on. And that’s why it’s so critical in this election to decide whether we’re going to have an America like Europe or we’re going to have an America that lives upon the principles which we were founded.”

The CBO predicts another recession in the first half 2013 if drastic changes are not made, including the extension of the Bush tax cuts. Unemployment would rise from 8.2 percent to 9.1, according to projections.

The Obama campaign has decided to attack Romney on education policy, saying the former Massachusetts governor wants to cut education funding to extend tax cuts for millionaires. Meanwhile, Obama promises more federal funding to hire more teachers.

“Let me tell you, you’ve got to beware of a government bearing gifts because you’re paying for those gifts,” Romney said. “I hear the president say he wants to invest in young people. If you want to invest in young people, let me tell you want you need to do Mr. President. First of all, you need to make sure that our K-12 schools are getting better. Number two, you need to make sure that we create jobs in this country so people coming out of school can get a good job. Number three, you don’t max out their credit card, if you will, by giving them something they’ll have to pay for down the road plus interest.”

Posted on

The distribution of wealth and how it effects our eating ice cream

In honor of the 44th President of the United States, I am introducing a new ice cream – Barocky Road

Barocky Road is a blend of half vanilla, half chocolate, and surrounded by nuts and flakes. The vanilla portion of the mix is not openly advertised and usually denied as an ingredient. The nuts and flakes are all plentiful.

The cost is $92.84 per scoop…so out of a hundred dollar bill you are at least promised some CHANGE..!

When purchased it will be presented to you in a large beautiful cone, but after you pay for it, the ice cream is taken out of the cone and given to the person in line behind you at no charge. You are left With an Almost empty wallet, staring at an empty cone and wondering what just happened. Then you realize this is what “redistribution of wealth” is all about.

Are you stimulated yet??!

Posted on

Teachers Union Fails Again – Their Charter Schools are Closing!

[preamble]
And again our wonderful overpriced teachers union has failed us. Continuous failures – zero success. Of course they will demand more money for their ignorance – that’s how the game is played.

How much money is wasted on them? How much ever really does any good? More and More and More – for less and less and less.

When this folly ends! – Who has the testicles to stand up against this insanity?
[backtopost]

UFT Charter School in danger of closing after being slapped with ‘D’ rating on report card

Just eight of East New York school’s 82 eighth-graders passed state reading exam

By / NEW YORK DAILY NEWS

Tuesday, October 9, 2012, 10:52 PM

 	The UFT school opened to fanfare, but its intermediate branch is now in danger of closing.

John Tracy for New York Daily News

The UFT Charter School in East New York opened fanfare in 2005, but its intermediate branch is now in danger of closing.

The city teachers union stunned the education world in 2005 when it opened its own charter school to prove to everyone that the union contract was not the reason New York schools were failing.

But seven years later, that mission is a bust and the UFT Charter School is in danger of closing.

Just eight out of the school’s 82 eighth-graders passed the state reading exam this year and the East New York school was slapped with a “D” on high-stakes report cards issued last week.

The State University of New York last month ranked the school last among charters that are up for renewal next year, suggesting that its future is in doubt.

“Charter schools committed to getting students to succeed — and if they don’t, they close,” said James Merriman, chief executive officer at the New York City Charter School Center, which advocates for charters.

Charter schools are given the latitude to operate outside the confining rules of district schools, including the union contract, but they are required to meet a high bar to continue operating.

The SUNY charter institute, which will decide the school’s fate, said the process of reviewing the school has just begun and no formal recommendations will be made until February.

The news about the UFT school is an embarrassing blow to the teachers union, which opened the school with great fanfare.

“Our schools will show real, quantifiable student achievement and with those results, finally dispel the misguided and simplistic notion that the union contract is an impediment to success,” said then-union president Randi Weingarten in 2005.

Weingarten, now president of the national American Federation of Teachers, downplayed her role in the school’s failings.

“I have not been involved in a couple of years,” she said Monday. “There’s a really good team in place — including a great board and management team, engaged parents, fantastic teachers and hardworking students. And I’m rooting for them to succeed.”

UFT Charter School executive director Sheila Evans-Tranumn defended the school, saying improvement is under way.

Among parents, the school still has its supporters, who say it has provided a safe and successful setting for their kids.

“I think it would be real bad to close it. I don’t think that’s right at all,” said Margaret Williams, 72, whose foster sons, ninth-grader John Prize, 14, and 10th-grader Free Dortch, 15, attend the school.article-1.1178872#ixzz28v03Nbze

Posted on

Insurance Co-oPs – failed at the gate

[preamble]

Insurance coops are exactly like ACO’s in that they have to reduce costly care and improve patient health at a lower cost – hence the savings. However, the average person asking for insurance at a lower rate will be in for a surprise when they learn that they MAY get a lower rate only after the company pays back their loans which can be 3-5 or more years. Hence, i believe its a hard sell. Scenario – a CO-OP offers my company health insurance for my employees under the sales pitch of better prices then i am paying – after all why would i switch if the price is the same? However, they cannot tell me how much of a savings i will have and or if it will not go up. OH and the savings and lower premiums for being a “good boy” and not getting sick and being the perfect weight as my government says i should be, may come into effect in 3-5 years – MAYBE.

Don’t let them kid you or fool you – this is not a good option – even worse, the government is giving loans for these Co-Ops to start up – and maybe get paid back – and if they fail? guess what – no one has to pay it back to the government. Hence, you lower premiums that you may get in 3-5 years or more, will be negated on your back end by higher taxes to fund the insurance companies that are offering you the savings.

The tail wagging the dog!

And what of the current insurance companies? Do you think they will sit idly by as their customers leave and they lose money? Don’t be so naive. They already have a plan in place – that i can almost guarantee it – they will allow these coops to fail then rake in the people at higher premiums. Or they will simple lower premiums and undercut the coops  – poof instantly out of business – AT THE GATE!

And the coup de gra – CMS aka our government will pay the SAME high payments per member per month to the coops as it does the insurance companies. Meaning, our government tells us their is a health crisis and we have to cut costs and have healthier people lalalala – yet, they pay the same amount year after year for the same services to the HMO etc… hence, the so called savings can be achieved if the government simple gives less money per person per month for the HMO to care for. Since it can be reduced anyway – aka the ACO and COOP model state there are billions in savings.

Its simple bad business – its simply misdirection – its simply our government.
Learn to read between the lines

[backtopost]
For hospital executives, it may be hard to imagine a world where hospitals, physicians and health insurance plans all coexist with nary a dispute. In fact, that’s one of the main criticisms of the U.S. healthcare system: that each sector — and components within the sectors — are too fragmented and siloed.

However, healthcare reform is trying to change that. Nestled within the voluminous Patient Protection and Affordable Care Act rests Section 1322 (pdf): the Consumer Operated and Oriented Plan program.

CO-OPs are rarely discussed in the grand scheme of the healthcare reform law — the individual mandate and Medicaid expansion provisions have grabbed a significant amount of the spotlight — but if organized correctly, CO-OPs could be a game changer in eliminating those silos.

The CO-OP background

CO-OPs, in their most basic form, are non-profit health insurers. They are consumer-governed entities and can offer qualified health plans in state health insurance exchanges when the exchanges go live in 2014. Consumers that want to go out-of-network can do so, and out-of-network rules would work exactly like other non-profit health insurers, such as Kaiser.

“Consumer-governed” is a key phrase, says Bill Mohlenbrock, MD, chief medical officer of Verras, a healthcare analytics company. Hospitals and physicians are viewed as healthcare consumers, so they too have the ability to create health plans to compete directly with the traditional health insurers like UnitedHealthcare and BlueCross BlueShield. “Initially, it appeared [lawmakers] didn’t appreciate hospitals and physicians being viewed as consumers, but they may be the ideal solution to creating a CO-OP,” Dr. Mohlenbrock says. “Consumers who are not healthcare providers don’t have a lot of knowledge to gather together a network of physicians and hospitals.”

One of the most recent and notable groups of providers to sponsor a CO-OP involves Boston-based Tufts Medical Center, Nashville, Tenn.-based Vanguard Health Systems (which owns two hospitals in Massachusetts), and the New England Quality Care Alliance (Tufts’ non-profit physician network with 1,600 physicians). Together, those groups started the Minuteman Health Initiative and received an $88.5 million CO-OP loan from CMS.

In theory, these non-profit, provider-sponsored CO-OPs sound like a panacea to the omnipresent payor problem. They provide a competitive health insurance product to consumers, which could lower premiums and the cost of care, all while aligning physicians and hospitals to work for the same plan. However, how could a CO-OP gain market share in the many areas that are already heavily dominated by traditional health insurers?

Wendell Potter, a columnist at The Center for Public Integrity and a former Cigna executive, had those same concerns. In May, he wrote a column for CPI, saying he initially had his doubts regarding CO-OPs because they would have a hard time solidifying a member base among the bigger insurers. “It is almost impossible to grow your membership if you have to price your premiums higher than your competitors,” Mr. Potter wrote. “It’s a chicken-and-egg thing and why we have seen such rapid consolidation in the insurance industry.”

However, Mr. Potter noted the PPACA offsets this challenge with a big perk: affordable loans from the federal government. A CO-OP can be created through start-up or solvency loans, and organizations interested in starting a CO-OP must submit appropriate requests for funding to HHS along with their proposed board structures and business plans. Start-up loans, which must be repaid within five years, help with the start-up costs associated with establishing a CO-OP. Solvency loans, which must be repaid within 15 years, help CO-OPs meet requirements, regulations and other state-specific arrangements associated with offering health insurance.

As of Aug. 31, CMS has awarded roughly $1.56 billion to 20 different CO-OPs throughout the country, and there is still $2.24 billion left in CO-OP loans to be allocated. The government hopes to start CO-OPs in all 50 states by 2014. “In fact, CO-OPs could be one of the sleepers in the healthcare reform law that truly transforms how care is financed and delivered in this country,” Mr. Potter wrote. “That’s because of the financial assistance that eligible non-profit groups are getting from the federal government.”

Given this backdrop, could hospitals and physician conceivably be part of, or even start, their own CO-OP with success? That requires a look at potential benefits and challenges of the program.

Potential benefits of CO-OPs

Dr. Mohlenbrock of Verras immediately saw the benefits of CO-OPs when the idea began to permeate throughout the broader healthcare environment. He is an orthopedic surgeon who has practiced for several years at Scripps Memorial Hospital in La Jolla, Calif., and he says CO-OPs can be successful competitors to the traditional health insurer model if both hospitals and physicians understand what CO-OPs can do for them.

“For physicians, this is a dream come true to have their own insurance product,” Dr. Mohlenbrock says. “When physicians increased their cost efficiencies, the financial rewards went only to the third-party payor or the hospital. With a CO-OP, for the first time, physicians’ cost efficiencies will produce a net saving that the board will share between the physicians, the hospital and the patients in the form of lower premiums.

Sign up for our FREE Hospital CFO E-Weekly for more coverage like this sent to your inbox!
“But hospitals have never seen themselves in collaboration with the other hospitals in the region with whom they have been in a death struggle, competitively,” he adds. “However, when they realize the savings that will accrue when physicians treat their own hospital’s Medicare and Medicaid patients more efficiently, the net effect will be to make collaboration quite appealing. Hospitals will have every incentive to assist their physicians in achieving the highest-quality, most cost-efficient clinical and financial outcomes for all patients.”

Traditionally, hospitals in the same geographic area market themselves differently and are in direct competition for the same patients. With provider-sponsored CO-OPs, hospitals will be a part of the same harmonious group. Similar to regular CO-OPs, provider-sponsored CO-OPs would also be a “statewide” initiative, Dr. Mohlenbrock says. They can start locally, but they will eventually become a widespread healthcare delivery model across the state.

In addition, instead of competing against each other, hospitals will compete against insurance companies and HMOs — the parties they have been collaborating with in the past to gain market share. “Hospitals are going to have their own non-profit insurance company, and [most] have never really run an insurance company before — and that scares them,” Dr. Mohlenbrock says. “However, there will be many third-party administrators who will be anxious to participate and provide the necessary, nonclinical resources that providers will need.”

In this scenario, hospitals would have to worry less about hospital-vs.-hospital competition and health insurer rate battles. Rather, hospitals would be able to focus more on prevention and primary care — a staple of healthcare reform — and the ability to line up the interests of all stakeholders in a healthcare transactions (patient, family, physician and hospital staff). Perhaps most importantly for hospital executives, CO-OPs are contracting directly with patients and employers — that means no more health insurer middlemen, and all profits would be used to either increase benefits or lower premiums for consumers and reinvest into the hospitals and physicians.

Eric Beyer, president and CEO of Tufts Medical Center, says his hospital saw a golden opportunity to create the Minuteman CO-OP and redefine care in the state. Instead of hospitals competing against each other for the best rates and money, a CO-OP will redirect profit to both the providers and the patients.

“Minuteman will give physicians and members great opportunities: lower administrative costs, easier access to medical records and smart, state-of-the art patient software,” Mr. Beyer says. “It will also reinvest surpluses into reducing premiums or increasing benefits, and it will be like no other plan in Massachusetts. Physicians will be able to focus on care in new and more effective ways, and members will enjoy high-quality care without confusing billing and onerous administrative hurdles.”

Dr. Mohlenbrock says the benefits could extend even further in the community by helping employers ratchet down their health premiums. “When you start talking to employers about actually being able to contract with a non-profit insurance company that is run by consumers, physicians and hospitals that have same, identical incentives — improving quality and cost efficiencies — as their company, they’re going to sign on,” Dr. Mohlenbrock says.

Jason Hwang, MD, an internal medicine physician and co-founder and executive director of the healthcare practice at Innosight Institute, also sees the rewards in CO-OPs. He points to an Innosight case study involving Bloomington, Minn.-based HealthPartners, the largest consumer-governed, non-profit healthcare organization in the country. The CO-OP-like system has roughly 1.4 million members and affiliations with a 780-physician medical group and four hospitals.

Dr. Hwang says the medical costs for patients treated by HealthPartners Medical Group are 38 percent below the national average, attributing much of the savings to the CO-OP-like structure.

In addition, the lower administrative costs associated with CO-OPs due to the lack of a health insurer playing as middlemen also lead to savings in premiums. “CO-OPs do tend to have lower administrative costs,” Dr. Hwang says. “And you want to keep administrative costs as low as possible on behalf of the membership. It’s not that different from an integrated health system.”

Potential challenges of CO-OPs

Hank Osowski, co-founder and managing director of Strategic Health Group, a healthcare consulting firm, has more than 30 years of experience in the healthcare industry, mostly with health insurers and physician groups. Now, he is more involved with integrated delivery systems, and he sees the positives around HHS and CMS spurring innovation in the healthcare system with initiatives such as CO-OPs. “CO-OPs have the opportunity to provide some transparency and clarity around the connection of pricing and quality care,” Mr. Osowski says. “That’s a very positive thing, and I believe that’s going to occur anyway under other accountable care proposals.”

However, the inherent challenge with CO-OPs is that these organizations — especially if they are led by providers — are not used to being insurers. They may not have the skill set to manage risk, and they will have to be pretty aggressive to gain market share away from the existing commercial payors. “Importantly, during the new plan’s early years, CO-OP leadership will face the fiduciary responsibility to focus on building a sustainable enterprise and paying back the loans, not returning profits to hospital and physician participants,” Mr. Osowski says.”

“The other critical piece I saw missing in the CO-OP model is the financial wherewithal to sustain an adverse period,” Mr. Osowski adds. “I worry that the small plans don’t have the complete view of what the future is and how to protect their assets. I know they are borrowing money from the federal government, but it ultimately has to be paid back. I fear one or two catastrophic years could put them out of business.”

Dr. Mohlenbrock believes the biggest question mark associated with CO-OPs is a similar one associated with bundled payments: How will hospitals and physicians that create a CO-OP divvy up the profit? For example, if a CO-OP delivers $20 million in net savings and the board allocates $10 million to reduce premiums for its consumers, how much of the remaining $10 million should each hospital or physician practice receive as a reinvestment or bonus? What percentage of dollars should go to medical staff? What percentage should each hospital’s clinical services (surgeons, cardiologists, primary care, etc.) receive?

“If you don’t have objective metrics that define which hospitals and physicians have improved their quality and financial outcomes and by how much, how can you say Hospital A should have $3 million and Hospital B should have $1 million?” Dr. Mohlenbrock says. “If you don’t have the objective and transparent answers to these questions, it’s going to be day one of Gettysburg.”

A sustainable future for CO-OPs?

In order for CO-OPs to work, Dr. Mohlenbrock believes the right leadership must be in charge, and CO-OPs must use clinical services data to find out which hospitals and physicians are producing the highest-quality care while controlling costs. Those foundational pieces could also help non-profit health insurers serve as viable alternates in the insurance exchanges.

“The provider-sponsored CO-OP model is arguably the most efficient, effective and predictable public-private healthcare delivery system ever devised,” Dr. Mohlenbrock says. “It aligns the incentives of patients, physicians and hospitals as well as financially rewards them for quality outcomes.”

Mr. Osowski reiterates the importance of a CO-OP having the right aim. If a CO-OP is only looking to be a market force, it will not succeed, he says. Instead, it has to be focused on reinvesting in its community through the principles of the Triple Aim.

“The real question, strategically, is this: Can you pull together the right resources in your community for population-based care?” Mr. Osowski says. “A lot depends on clinical strength. If CO-OPs are formed only to capture market share, I would say don’t waste the time or energy. But if it’s about delivering high-quality care at a competitive price, then I think it should be strongly considered.”

 

 

Posted on

The meaningless use of meangful use and its waste of our money

[preamble]
As I stated wasteful, meaningless – rules that make no sense and just increase government – I am truly out of words on the folly. I cannot afford this president – I am not happy with the direction this country is moving in – yet – why is the presidential race so close if not already decided? Does this generation really want this?
[backtopost]

The lawmakers added that, should Meaningful Use continue on as is, it will be a waste of taxpayer dollars and likely won’t improve outcomes for Medicare. They cited the fact that while the Stage 1 final rules required providers to test information exchange abilities with other providers, Stage 2 eliminates that requirement.

“As a result, hospitals and physicians who are deemed Stage 1 ‘meaningful users’ are not required to know with certainty whether their systems are capable of exchanging information,” they wrote. “More than four and a half years and two final Meaningful Use rules later, it is safe to say that we are no closer to interoperability in spite of the nearly $10 million spent.”

The House members also claimed that the EHR incentive program “appears to be doing more harm than good,” citing an analysis of Medicare data published recently in a New York Times article. That Times article also referenced a highly debated analysis from the Center for Public Integrity that found that EHRs might lead to physician upcoding.

“We urge you to rethink your strategy related to Meaningful Use criteria and instead focus on the stated goal of making healthcare delivery more efficient and affordable,” the lawmakers wrote. “Continuing down the current path will further exacerbate Medicare’s looming bankruptcy, create demand for billions of dollars in additional incentive payments once interoperability standards are finally put in place, and further frustrate providers.”

Posted on

Obama admin: EHR fraud won’t be tolerated

[preamble]
Here he goes again – blaming doctors and yelling at all of us. Now even with a EHR that was rammed down your practice or up your practice – depending on how you want to make it feel. Its still not good enough. It has begun – good luck my doctors – you did it – you allowed it – you deserve it!

Fines and fees – fines and fees  – that’s where the job growth is – auditors  – sorry for the pun – but i just have to – if obama wins again – these auditors will be his little gestapo – instead of cruelty of our humanity, it will be inhuman cruelty to our pocket books.

[backtopost]

The U.S. Department of Health & Human Services and the Department of Justice have promised to come down hard on providers who misuse electronic health records to financially game the healthcare system.

HHS Secretary Kathleen Sebelius and U.S. Attorney General Eric Holder warned that law enforcement agencies are keeping an eye out for fraud and “will take action where warranted,” in a letter sent Monday to five healthcare provider associations–the American Hospital Association, Association of Academic Health Centers, Association of American Medical Colleges, Federation of American Hospitals and National Association of Public Hospitals and Health Systems.

“We will not tolerate healthcare fraud,” the letter said. “The President initiated in 2009 an unprecedented Cabinet-level effort to combat healthcare fraud and protect the Medicare trust fund, and we take those responsibilities very seriously.”

Sebelius and Holder point to potential cloning of medical records as one of several indications that fraud could be on the rise. Medicare administrative contractor National Government Services earlier this month issued a notice, stating that cloned documents from EHRs mostly likely would result in payment denials.

The letter also mentions some hospitals may be using EHRs to upcode various procedures on patients, no doubt a reference to the Center for Public Integrity report unveiled last week.

“[W]e will continue to escalate our efforts to prevent fraud and pursue it aggressively when it has occurred,” the letter explained.

In a response to Holder and Sebelius, AHA President and CEO Rich Umbdenstock fired back that more accurate documentation–a presumed result of EHR use–is not the same thing as fraud. He adds that the AHA is still waiting on the Centers for Medicare & Medicaid Services to adopt national evaluation and management guidelines to help clarify increasingly complex payment rules.

“What’s needed is clearer guidance from CMS, not duplicative audits that divert much needed resources from patient care,” Umbdenstock said. “No one questions the need for auditors to identify billing mistakes, but the flood of new auditing programs, such as Recovery Audit Contractors, MACs and others, is drowning hospitals with a deluge of redundant audits, unmanageable medical record requests and inappropriate payment denials.”