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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Kennedy Calls BCC Workforce Graduates Inspiring

By Breanna SteeleiBerkshires Staff

The programs ranged from emergency medical technician to computers to commercial drivers. See more photos here. 
PITTSFIELD, Mass. — Berkshire Community College Workforce and Community Education graduates were encouraged to be all they can be on Wednesday.
 
Graduates, families, friends, and staff gathered in Boland Theatre to celebrate around 100 graduates who completed a variety of courses.
 
They included community health worker, emergency medical technician, phlebotomy technician, registered behavior technician, AI fundamentals, Commercial Drivers License Class A and B, CompTIA Tech-plus, para educator, and English for Speakers of Other Languages.
 
College President Ellen Kennedy said it was amazing that this might be her last public speaking event before her tenure comes to an end.
 
She acknowledged the diverse reasons for their studies including career advancement and personal growth, commending their vulnerability and dedication. 
 
"Some of you explored AI, some of you improved your English speaking in really important ways, and the reason that each of you is here is because you decided to put your heart and soul to get vulnerable to do something that might have felt a little bit uncomfortable," she said. "And you did it, and we are so incredibly proud of you, and so happy to be here tonight, celebrating you."
 
Keynote speaker Shirley Edgerton, founder of Rites of Passage and Empowerment (ROPE) encouraged the graduates to reflect on their accomplishments and look forward to the future.
 
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