Implementation of health care law proceeds

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Mitt Romney (file photo)
Governor Mitt Romney announced on Monday that his administration has hit the first milestone in the implementation of the new health insurance law by submitting to the federal government for approval a comprehensive plan detailing how it will substantially reduce the number of uninsured in the Commonwealth. Romney also announced the formation of the MassHealth Fraud Prevention unit to insure the integrity of the $7 billion per year program, funded by $1.5 million in the health care reform bill. Until now, MassHealth had several programs in different parts of the agency addressing the issue of fraud. Approval by the federal Centers for Medicare and Medicaid Services (CMS) is required to maintain the availability of $385 million of federal Medicaid funding during each of the next two fiscal years. Last year, CMS advised Massachusetts to submit its plan by January 15, noting that a minimum of 120 days would be needed to review the proposal without jeopardizing the continuous availability of the $385 million after July 1. The state missed that deadline as health care reform was not passed by the Legislature until April. “Despite the legislative delays, it is our hope that our partners in the federal government will expedite their review and approve the Commonwealth’s plan by July 1,” said Romney. “We will be aggressive in our efforts to secure the maximum level of federal funding and stand ready to provide any and all additional information that may be required.” Romney said a rapid response team comprised of Health and Human Services and MassHealth staff has been assembled to assist the CMS review process. Health and Human Services Secretary Tim Murphy said: “Implementation will be just as challenging as getting the legislation passed, but it is a challenge we relish. We look forward to working closely with the federal government and other stakeholders to make health care insurance available to every resident of Massachusetts.” According to the plan filed today, the recently approved health insurance law accomplishes the following key goals sought by the federal government: Subsidizes the purchase of private insurance for low-income individuals to reduce the number of uninsured; Directs more federal and state dollars to individuals and less to institutions; and Improves the fiscal integrity of the MassHealth program. Key milestones in the timeline submitted as part of the plan include the operationalization of the Connector Authority between May and October, the offering and enrollment of lower-income residents into premium assistance programs by October, the offering of private, non-subsidized products by January, and statewide open enrollment between March and May 2007 in anticipation of the individual insurance requirement that starts July 1, 2007. Meanwhile, the Legislature and the Executive branch are redoubling efforts to ensure program integrity in MassHealth. MassHealth is also planning a comprehensive effort to re-credential its providers. The effort, suggested by national program integrity experts consulted by MassHealth, will begin with an immediate targeted review of high-risk providers. “We’ve created this unit to build and document a coordinated process of detecting, identifying and referring suspected fraud and abuse within both the provider and member communities,” said Massachusetts Medicaid Director Beth Waldman. “Centralization will allow MassHealth to direct resources strategically and provide an efficient way to inform providers and members that we take fraud very seriously.” “We believe re-enrolling our providers will pay dividends and reduce risk to the program,” said Murphy. “And we are confident that the creation of the Fraud Prevention Unit will enhance our efforts to build an efficient and sound system for fraud and abuse identification and referral in MassHealth.” Massachusetts’ full submission to CMS is available at www.mass.gov/eohhs .
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Pittsfield Officials: Unlimited Trash Not Sustainable, Toters Offer Cost-Savings

By Brittany PolitoiBerkshires Staff

PITTSFIELD, Mass. — Unlimited trash pickup is not sustainable and will lead to higher taxes, city officials say.

Mayor Peter Marchetti began public outreach on Monday on the proposed five-year contract with Casella Waste Management for solid waste and recyclables. Older residents packed into the Ralph J. Froio Senior Center for the first of three community meetings.

On the table is a move to automated pickup utilizing 48-gallon toters, which would be at no cost to residents unless they require additional toters and would save the city $80,000 per year.

The goal is to execute a contract by July 1, the start of the fiscal year.

"Trash collection is not free. You're already paying for it as part of your taxes that you pay. In this administration, in this proposal there is no 'I'm looking to create a trash tax,''' Marchetti said, explaining that trash pickup for fiscal year 2025 is around $5.1 million and has doubled since he first served on the council in 2002.

"So we need to find a way to stem the cost of trash."

Some of the seniors praised the new plan while others had concerns, asking questions like "What is going to happen to the trash cans we have now?" "What if I live in rural Pittsfield and have a long driveway?" and "What happens if my toter is stolen?"

"I've lived in a lot of other places and know this is a big innovation that is taking place over the last 20,30 years," one resident said. "It's worked in most places. It's much better than throwing bags of garbage on the side of the road."

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