Medicaid

Lawsuit: State Withheld Medical Services to Children

Jan 18, 2018

A lawsuit against Illinois’ Department of Healthcare and Family Services claims the state illegally withholds medically necessary services from children with severe mental health disorders. The case was settled in federal court this week.

Hospitals in Illinois are warning of dire federal funding cuts without quick action from the state legislature.

Time is running out for the “hospital assessment program,” which provides money to treat low-income patients on Medicaid.

Danny Chun is spokesman for the Illinois Hospital Association.

"This is a 3 and a half billion dollar program. The state can’t do without 3 and a half billion dollars in Medicaid funding."

Hundreds of thousands of low-income Illinois residents moved into managed care health plans on Jan. 1.

Ted S. Warren / AP Photo

SPRINGFIELD, Ill. (AP) - Conservative activists and legislators pressing a lawsuit against publicly funded abortions in Illinois are seeking an emergency injunction to prevent the law from taking effect Monday. 

Seth Perlman / AP Photo

State legislators are raising questions about changes to healthcare for some of Illinois’ neediest people. But at a hearing Mon., state officials had no answers.

Lawmakers question whether reimbursement rates in an expanded managed care health plan will be sufficient to keep insurers providing service.

A Democratic lawmaker has filed petitions to challenge longtime Secretary of State Jesse White in the Illinois primary. 

More than a dozen groups and lawmakers who oppose abortion have filed a lawsuit challenging a new law providing taxpayer-funded abortions.

Rogelio V. Solis / AP Photo

SPRINGFIELD, Ill. (AP) - Illinois' Medicaid patients will see a change in health care coverage Jan. 1. 

WILL

During its two-year state budget crisis, Illinois racked up more than $3 billion in debt to providers who serve the state’s most vulnerable patients - and it could be months, even years, before it’s all paid off. As Christine Herman reports, some doctors in private practice are being pushed to the brink as they wait.

 

 

"<door knock> How are you doing? Good, how are you? Good."

Sarah Scott / Peoria Public Radio

Having a state budget after a historic, two-year political gridlock is of little comfort to K-12 school districts, healthcare and human service providers. 

Senator Durbin Discusses Healthcare

Jul 6, 2017

US Senator Dick Durbin wants to see the United States eventually implement a “Medicare for all” type health care program.

Illinois Governor Bruce Rauner is urging Democrats to return to Springfield and pass a budget following a federal court ruling requiring the state to pay more toward Medicaid.

Tim Evanson / Flickr/Creative Commons

 

A federal judge on Wednesday agreed that Medicaid service-providers must be paid faster despite the ongoing budget impasse. 

But Judge Joan Lefkow declined to say how the state should go about making those payments, instead urging attorneys for Medicaid patients to continue negotiations with state comptroller Susana Mendoza. 

 

Medicaid Decision Looms

Jun 6, 2017

A federal judge could decide soon whether the state of Illinois should pay Medicaid providers faster during the budget impasse.

Cass Herrington / Peoria Public Radio

Democratic gubernatorial candidate and billionaire businessman JB Pritzker campaigned in Peoria Fri. to distinguish himself from another wealthy Illinoisan -- Gov. Bruce Rauner.

William Johnson / Creative Commons

 

A federal judge appeared conflicted over whether the Illinois state government should prioritize Medicaid payments — possibly at the expense of schools, pensions and payroll payments — during the ongoing budget impasse.

Two years ago, Judge Joan Lefkow ordered the state must pay Medicaid providers even though it is operating without a budget. The state is now virtually out of money — its backlog of bills has grown beyond $14.2 billion — and Medicaid service providers said the state isn’t paying them fast enough. 

 

Illinois 6 Months Late Paying Medicaid Providers

May 19, 2017

Two dozen doctors and health care organizations are taking the state of Illinois to court for not paying Medicaid providers fast enough.  And in a new court filing, the state argues it’s out of money.  A federal judge has ruled Illinois HAS to pay for Medicaid even if there’s no state budget.  

Flickr Creative Commons/Larissa Puro

The Illinois Senate has approved a measure intended to protect abortion rights … and expand access to the procedure.

The legislation would allow for coverage of abortion under state health plans to include government employees and women on Medicaid.
Senator Toi Hutchinson, a Democrat from Chicago Heights, made what she called an “economic argument” for the legislation.

Reg Natarajan / Flickr

Governor Bruce Rauner is broadening the role of private companies in Illinois’ Medicaid program. But Democrats say he’s using the state’s lack of a budget to avoid transparency. Medicaid is one of the largest pieces of the state’s budget, and Democrats say the governor is trying to significantly alter the way the program is managed.

 

Senator Martin Sandoval, from Chicago, says Rauner is also bypassing normal review channels.

More than two dozen health care providers and insurance companies are telling a federal judge in Chicago they may have to stop serving some poor patients. That’s because the State of Illinois is so late in paying Medicaid bills due to the budget impasse. Twenty-five health care organizations are asking a federal judge to make the state government reimburse them faster for seeing Medicaid patients. They say if the judge doesn’t agree, then doctors may stop seeing Medicaid patients altogether.

SPRINGFIELD, Ill. (AP) - The Illinois Comptroller says increased revenues coming into the state during tax season have allowed her to release more than $800 million in payments for health care services. 

Flickr Creative Commons/Larissa Puro

The Democratic-controlled Illinois House has approved public funding for all abortions.  The House voted 62-55 to allow state-employee health insurance or Medicaid to cover abortions. Medicaid currently covers abortions in limited cases.  The vote capped a two-hour debate and coincided with the Illinois Women March on Springfield for a progressive agenda.

An abortion-rights group says Gov. Bruce Rauner broke a campaign promise when he pledged last week to veto legislation to expand coverage for abortion and ensure the procedure remains legal in Illinois.
 
Personal PAC on Wednesday made public a questionnaire the Republican completed as a candidate for governor in 2014.
 
In it, Rauner said that if elected he would sign legislation to ensure access to abortion if federal law allowing it is overturned. Rauner also said Illinois should cover abortions for state employees and Medicaid recipients.
 

A central Illinois center for addiction treatment will stay open for now, despite payment delays during the state’s ongoing budget crisis. After two years without a permanent budget, the state is facing a backlog of $12.6 billion in unpaid bills to state employees, contractors and agencies.

The new Republican health care legislation in Congress could cost Illinois $40 billion dollars in federal funding over the next decade. That’s according to the recent report by the Congressional Budget Office.

Illinois’ health care exchange has not been the success Obamacare proponents were hoping for. Insurance companies have struggled to find customers.

But hospitals say the expansion of Medicaid has been huge for Illinois. It’s given 600,000 people access to healthcare, so far paid in full by the federal government.

Jim Bowen / Flickr/Creative Commons

SPRINGFIELD, Ill. (AP) - Illinois state lawmakers are planning to assess how Medicaid cuts proposed by President Donald Trump's administration could impact vulnerable residents.

Healthcare leaders are voicing concerns about the Republican repeal plan to the Affordable Care Act.

Democrat Dick Durbin is traveling the state to meet with those who would be affected by the House changes.

Gov. Bruce Rauner's administration is seeking to offer more Medicaid services through managed-care programs. The plan involves choosing a vendor that'll provide managed-care services to 80% of Medicaid clients.  That's up from 65% now. 

ANN & ROBERT H. LURIE CHILDREN’S HOSPITAL OF CHICAGO

Yvonne Hardcastle was at her wit’s end. Her son, Alfredo Mejia, was 7 years old. He was angry all the time and had been diagnosed with behavior problems and ADHD, but that didn’t feel right. She didn’t know what was wrong, but her mother’s intuition kept pushing her to find help for her boy.

 

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