www.mozilla.com Weather Central
Voices
Headlines

No right to misbehave -12/18/2014, 10:09 AM

Pompeo deserves thanks -12/18/2014, 10:00 AM

Executive orders -12/18/2014, 10:00 AM

Attack on Pearl Harbor -12/18/2014, 10:00 AM

Christ's role -12/18/2014, 9:59 AM

Governing vs. giving -12/18/2014, 9:58 AM

Adapting to change -12/17/2014, 10:30 AM

Brownback's 'vision' -12/17/2014, 10:30 AM

Young at heart -12/17/2014, 10:29 AM

Newman provides western Kansas education -12/17/2014, 10:29 AM

Big banks win again -12/16/2014, 9:37 AM

Securing the future of aerospace in Kansas -12/16/2014, 9:36 AM

The future with Brownback -12/16/2014, 9:36 AM

White Christmas, red Christmas -12/15/2014, 9:20 AM

A reason to celebrate -12/15/2014, 9:20 AM

Building a competitive opposition party -12/14/2014, 4:33 PM

Without religious freedom, there won't be peace -12/14/2014, 4:33 PM

Flying Hays later -12/14/2014, 4:33 PM

Allowing torture -12/12/2014, 10:11 AM

Racing to Lake Wobegone -12/12/2014, 10:10 AM

What's rule of law? -12/12/2014, 10:10 AM

Media bias -12/11/2014, 10:13 AM

It's not about race -12/11/2014, 10:12 AM

A new civil war -12/11/2014, 10:12 AM

Climate catastrophe -12/11/2014, 10:12 AM

The case of Scott Panetti -12/10/2014, 10:14 AM

Word origins -12/10/2014, 10:14 AM

Kansas will bleed -12/10/2014, 10:13 AM

Minions' mess -12/10/2014, 10:13 AM

Prescription farmers -12/10/2014, 10:12 AM

Vaccines make sense -12/9/2014, 11:02 AM

Net neutrality -12/9/2014, 8:45 AM

Tell me it isn't so? -12/9/2014, 2:53 PM

Willing to do without -12/9/2014, 8:45 AM

KDOT funding -12/9/2014, 8:45 AM

The man elected -12/8/2014, 10:00 AM

Understanding white privilege -12/8/2014, 10:00 AM

Making sure crime doesn't pay -12/8/2014, 10:00 AM

Do Kansans really care? -12/7/2014, 3:17 PM

Core freedoms under fire -12/7/2014, 3:17 PM

Nation needs new approach -12/6/2014, 3:17 PM

Tons of fun on tap -12/5/2014, 9:48 AM

A Christmas plea -12/5/2014, 9:48 AM

School privatization via convenient debt -12/5/2014, 9:48 AM

Race in America -12/4/2014, 10:20 AM

The gift of petroleum -12/4/2014, 10:20 AM

A Charlie Brown Christmas miracle -12/4/2014, 10:19 AM

Care and feeding of farm animals -12/3/2014, 10:19 AM

Let's talk about 'black on black' crime -12/3/2014, 10:19 AM

Sports complex -12/3/2014, 4:14 PM

-12/3/2014, 10:00 AM

Kudos to school for bilingual efforts -12/2/2014, 11:42 AM

Wages prompting county workers to seek better jobs -12/2/2014, 11:42 AM

County employees urge public's support -12/2/2014, 11:42 AM

'Horrible Bosses 2' disappoints;  new 'Star Wars' trailer thrills -12/2/2014, 10:19 AM

Power rests with House speaker -12/2/2014, 10:01 AM

Climate change -12/2/2014, 10:38 AM

Ferguson's pain -12/1/2014, 10:21 AM

Out of sight, or out of luck? -12/1/2014, 10:20 AM

Blacks, whites need to wake up to injustice -12/1/2014, 10:20 AM

Kansas turns South -11/30/2014, 5:33 PM

When should holy days become holidays? -11/30/2014, 5:33 PM

Future of health care -11/30/2014, 5:33 PM

Giving thanks -11/27/2014, 3:08 PM

Give a child hope and a home -11/26/2014, 9:12 AM

Holiday shopping -11/26/2014, 9:12 AM

Today's faults -11/26/2014, 7:45 AM

Meatless Mondays -- forget about it -11/26/2014, 7:45 AM

Cosby, serial rapist? That's a lot to forgive -11/26/2014, 7:45 AM

Letting it fly -11/26/2014, 7:45 AM

KanCare oversight -11/26/2014, 7:45 AM

Giving thanks for blessings as Kansans -11/25/2014, 10:11 AM

Local fixes to local problems? -11/25/2014, 10:11 AM

Energy security -11/25/2014, 10:11 AM

Elite contempt for ordinary Americans -11/24/2014, 9:12 AM

Pipeline politics -11/24/2014, 10:04 AM

They killed Peter Kassig -11/24/2014, 10:04 AM

Going from bad to good on election night -11/23/2014, 6:38 PM

Free Speech can be shield or a sword -11/23/2014, 6:38 PM

Dodge City merger -11/22/2014, 6:38 PM

House mis-speaker -11/21/2014, 9:50 AM

Obama vs. Us -11/21/2014, 9:50 AM

Really smart conservatives love public debt -11/21/2014, 9:50 AM

Official welcome -11/20/2014, 9:52 AM

Control freaks in the U.S. -11/20/2014, 1:24 PM

How did we get here? -11/20/2014, 9:52 AM

An open letter to the GOP -11/19/2014, 10:03 AM

Successful farming -11/19/2014, 10:03 AM

Getting personal -11/18/2014, 9:15 AM

Teachers, not facilities -11/18/2014, 9:15 AM

Schoolteachers and the Legislature -11/18/2014, 9:06 AM

Water vision -11/18/2014, 9:06 AM

I see wonderful things -11/17/2014, 9:26 AM

Politics prevail over truth in Kansas elections -11/17/2014, 9:26 AM

Progress at mall -11/16/2014, 5:22 PM

Opinions on the general election -11/16/2014, 5:22 PM

Why are schools afraid of freedom? -11/16/2014, 5:22 PM

Educational fraud -11/14/2014, 9:42 AM

The American public gets smart -11/14/2014, 9:41 AM

State revenue -11/13/2014, 4:48 PM

myTown Calendar

SPOTLIGHT
[var top_story_head]

KanCare 'savings'

Published on -6/3/2014, 9:08 AM

Printer-friendly version
E-Mail This Story

When Kansas Gov. Sam Brownback privatized management of the state's Medicaid program, he predicted savings of $1.2 billion were possible within five years.

Precisely how Amerigroup, UnitedHealthCare and Sunflower State Health Plan were going to achieve that goal was up to them. Amid much skepticism regarding those details in addition to the state's high financial hopes, the three organizations launched their health-care management operations Jan. 1, 2013.

A draft of the first annual report unveiled recently gave the Brownback administration much to crow about. Officials claim the savings from the first year of privatization were somewhere between $55 million and $250 million.

"KanCare has outperformed in its first year the estimates for savings that were made when the original KanCare proposal went in," Kari Bruffett, director of the Division of Health Care Finance at Kansas Department of Health and Environment, told KHI News Service.

The governor immediately announced plans to use part of the savings to reduce the waiting list for in-home Medicaid services. All in all, it appears privatization is working and everybody is happy.

Well, until one examines the report a little closer.

Turns out, the three companies lost a collective $110 million for the first year. Were it not for the deep pockets of all three organizations, Year 1 would have been declared a disaster.

"Although each health plan experienced net operating losses ... each plan's parent entity contributed adequate capital to ensure each health plan met or exceeded capital requirements as outlined in state of Kansas solvency statutes and requirements," the report stated.

While the picture appears rosy from the state's perspective, such business plans don't work in private industry where profits are necessary. That $110 million will be recovered by Amerigroup, UnitedHealthCare and Sunflower State Health Plan -- of that we are confident. The "savings" the administration already has plans to spend are somewhat fictitious.

We understand the majority of the $1.2 billion was expected to be realized toward the end of the five-year pilot program. But with Year 1 posting a loss, that $110 million will need to be added to the $1.2 billion simply to break even. With one year down, the pressure increases for the remaining four years.

Are there enough efficiencies available to drive down costs that much? Efficiencies that neither the state nor federal governments could realize? We hope so.

Otherwise, budget-neutral savings of this magnitude are somewhat limited. Past efforts in Kansas and elsewhere have centered on reducing benefits, limiting eligibility and decreasing reimbursements to providers. Such efforts are short-term in nature, but so is the business cycle. There will be a limit to how long the management firms will post losses in order for Kansas to achieve "savings."

For the sake of Kansans who rely on Medicaid to survive and the providers that serve them, we only can hope the privatization experiment known as KanCare works out. It is too early to say it isn't, but the first year was less than promising.

Editorial by Patrick Lowry

plowry@dailynews.net

digg delicious facebook stumbleupon google Newsvine
More News and Photos

Associated Press Videos