Category Archives: Health.Care

Congress OKs Trump bid to widen private care at besieged VA

Source: Hope Yen, Associated Press, May 23, 2018
 
Congress delivered a victory to President Donald Trump by expanding private care for veterans as an alternative to the troubled Veterans Affairs health system. The Senate cleared the bill on a 92-5 vote Wednesday, also averting a disastrous shutdown of its Choice private-sector program. The program is slated to run out of money as early as next week, causing disruptions in care. The sweeping measure would allow veterans to see private doctors when they do not receive the treatment they expected, with the approval of a Department of Veterans Affairs health provider. Veterans could access private care when they have endured lengthy wait times or VA medical centers do not offer the services they need. …

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House Passes Sweeping Bill to Overhaul VA-Funded Private Care, Shutter Facilities
Source: Eric Katz, Government Executive, May 16, 2018
 
The House on Wednesday passed 347-70 a major overhaul to veterans health care, voting to expand their access to private sector care on the government’s dime and to bring the Veterans Affairs Department through a process that would close some of its federally run facilities. The Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act won widespread support in the lower chamber and will now head to the Senate, where it already has bipartisan backing.

Ronny Jackson Withdraws As VA Nominee
Source: Jessica Taylor, NPR 26, 2018

Rear Adm. Ronny Jackson, President Trump’s embattled nominee to lead the Department of Veterans Affairs, has withdrawn from consideration for the post amid allegations he had fostered a hostile work environment and behaved improperly while serving as the top doctor leading the White House medical unit. …

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Iowa’s estimated savings from Medicaid privatization triples to $141 million, after plummeting 80 percent

Source: Tony Leys, Des Moines Register, May 18, 2018
 
The state’s official estimate of how much Medicaid privatization is saving Iowa taxpayers has suddenly tripled, a few months after it had plummeted 80 percent.   The Iowa Department of Human Services provided no explanation of how it came up with the new number.  State administrators now estimate the annual savings at $140.9 million, according to a letter they sent this week to a legislator. In December, their savings estimate was $47 million for the current budget year, which runs through June.  Former Gov. Terry Branstad predicted in 2017 that the savings for this budget year would be $232 million.  David Hudson of Windsor Heights, who leads an official advisory committee on Iowa’s Medicaid program, expressed frustration after reading a letter from the department to a legislator who asked for the savings estimate. …

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Iowa House again passes Medicaid oversight legislation
Source: James Q. Lynch, The Gazette, April 23, 2018
 
The Iowa House once again has unanimously approved legislation providing oversight of Medicaid managed care to deal with what the bill’s manger called “bumps in the road.”  The House earlier passed similar legislation, but it failed to meet a deadline in the Senate. So the House passed House File 2483 on a 95-0 vote. The earlier version was approved 97-0. … The bill makes a statement “to the Department of Human Services, to the citizens out there who are being served by these managed care organizations, to the providers, that we feel very strongly in doing what we can to provide oversight over the process of this privatized Medicaid approach that has created so many bumps in the process and taken up so much of our time,” Heaton said. …

Iowa Democratic gubernatorial candidates ready to reverse Medicaid privatization
Source: Paige Godden, Des Moines Register, April 11, 2018
 
Six Democrats in the running to be Iowa’s next governor made it seem as though nearly all the state’s problems could be solved by reversing Medicaid privatization during a recent forum hosted at Simpson College. Candidates were asked questions ranging from how they’d help veterans to how they’d save rural Iowa, and their answers kept circling back to Medicaid.…

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The Woman Standing in the Way of the Privatization of Thousands of Jobs in Tennessee Was Just Fired

Source: David Dayen, The Intercept, May 7, 2018

A university chancellor who took a controversial stand to protect the jobs of thousands of public workers has now lost her own. University of Tennessee-Knoxville Chancellor Beverly Davenport was abruptly fired from her post last week, in a move representatives for unionized campus workers are calling another step toward the privatization of thousands of facilities management jobs. The battle in Tennessee pits the state’s GOP governor, Bill Haslam, against its public workers, and UT-Knoxville is where the workers, backed by a student movement, have made their stand. The workers see Davenport’s firing as an effort to remove a key obstacle to privatization. …

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Public Workers Worried That Tennessee’s Billionaire Governor Is Taking Another Run at Them
Source: David Dayen, The Intercept, April 4, 2018

Last year, Tennessee’s governor attempted a frontal assault on the unionized workers that staff the state’s facilities and management jobs at public buildings, two-thirds of which are state-run colleges. Gov. Bill Haslam, the richest U.S. elected official not named Donald Trump, signed a contract with a facilities management firm to privatize those jobs. But a prodigious campaign by the campus employee union and student activists led to nearly the entire University of Tennessee system publicly opting out of the contract. … But Haslam appears to have found a work-around. The Tennessee legislature is on the verge of passing a bill to overhaul the University of Tennessee’s entire board of trustees, allowing Haslam to hand-pick the replacements. That board could pressure campuses to opt back into the privatization contract at any time over the next four years. …

How a Scrappy Campus Union Saved Tennessee From Privatization
Source: Chris Brooks and Rebecca Kolins Givan, In These Times, March 20, 2018

… The resulting $1.9 billion contract was the largest in Tennessee government history, and privatized the maintenance and management of up to 90 percent of state-run facilities, including state and university buildings. It was awarded to Jones Lang LaSalle (JLL), a multinational with a history of bribery accusations. … What the privatizers didn’t plan for was the United Campus Workers (UCW), a scrappy higher education union affiliated with the Communication Workers of America (CWA). Public-sector unions in Tennessee are legally barred from engaging in collective bargaining, and the state has no obligation to recognize or negotiate with them. Instead, the union relies on a mixture of legislative advocacy, workplace actions and mass mobilizations. Few unions exist in a harsher political and legal environment, yet the UCW is punching far above its weight, increasing its membership while securing victories against better-funded foes. …

Workers’ unlikely victory over outsourcing in Tennessee
Source: Elizabeth Stanfield and Jon Shefner, Facing South, February 6, 2018
 
Last fall, United Campus Workers-Communications Workers of America Local 3865 (UCW) achieved an important victory for organized labor’s fight against privatization and erosion of public-sector jobs. For more than two years, they campaigned to stop Tennessee’s billionaire Republican governor, Bill Haslam, from outsourcing all state facilities service jobs. Their campaign involved multiple constituencies and tactics and played a key role in the University of Tennessee system’s decision not to participate in the outsourcing contract. The fact that this victory was won in a red state by a union without collective bargaining or dues check off is a powerful reminder of what organized workers can achieve against great odds. This victory is worth paying attention to because it reminds us that even in the face of tremendous obstacles, organized workers can win. …

University of Tennessee campuses will not outsource facilities jobs
Source: Rachel Ohm, USA TODAY, October 31, 2017

In a move celebrated by state workers on college campuses, University of Tennessee administrators announced Tuesday they will not be participating in a proposed facilities outsourcing plan pushed by Gov. Bill Haslam. The announcements by UT Chattanooga, UT Knoxville, UT Martin and the UT Health Science Center ended more than two years of speculation about whether campuses in the UT system would participate in the plan. …

Council urges Univ. of Memphis to decline state outsourcing contract
Source: Michelle Corbet, Memphis Business Journal, September 20, 2017

With the University of Memphis’ next Board of Trustees meeting set for early October, members of the Memphis City Council are asking that the group think twice before opting into the state’s facilities management contract. It’s no secret the University of Memphis plans to opt into the state’s property management contract, said Councilman Martavius Jones, who sponsored a resolution Sept. 19 urging local universities and their administrators to do the opposite. In May, the State of Tennessee entered into a contract with Chicago-based JLL to privatize maintenance, security, janitorial and landscaping services for state-owned public colleges and universities. “Based on my experience on the school board, the quality of the service, the cleanliness and the general morale suffered [when outsourced],” said Jones, who served on the Memphis City Schools Board from 2006 to 2013. …

Does Outsourcing Some State Jobs Save TN Taxpayers Money?
Source: Local Memphis, August 31, 2017
 
Many Tennessee lawmakers hope to see if outsourcing some state jobs actually saves taxpayers money. It’s been a controversial topic since Governor Bill Haslam began implementing the idea a few years ago.  Questions about outsourcing are always the same. Does it save money and is there accountability?  “There’s… people concerned about state jobs all over Tennessee,” said one protester.  Many state lawmakers have heard and seen the protests about the ongoing outsourcing of state jobs. That’s why a majority of legislators from both parties signed a letter of concern earlier this year to Governor Haslam. The Governor has defended outsourcing state jobs in some areas, especially on state college campuses. …

UT campus workers protest Gov. Haslam’s outsourcing plan
Source: WBIR, August 28, 2017

University of Tennessee Knoxville staff, faculty and students joined local business leaders, state representatives and faith leaders in a demonstration Monday to call on university officials to “opt-out” of Gov. Bill Haslam’s outsourcing plan. The demonstration was organized by United Campus Workers. Last week, a bill to introduce oversight in outsourcing was heard in summer study in the General Assembly. If the university were to “opt-in”, United Campus Workers believe as many as 10,000 facilities jobs, including hundreds in Knoxville, would be outsourced. Those who oppose the plan fear it will result in job loss, loss of oversight and accountability, reduced services and negative consequences for local businesses which provide services to campuses. …

Outsourcing is not working and it hurts working Tennesseans
Source: Dwayne Thompson, Tennessean, August 10, 2017
 
Since August 2015, Gov. Bill Haslam’s administration has pushed a radical experiment in outsourcing that would turn thousands of state facilities workers jobs, millions of square feet of Tennesseans’ real estate, and hundreds of millions of taxpayer dollars to the multinational giant JLL.   There has been widespread opposition to the outsourcing plan. Facilities services workers, faculty, and staff have significant concerns that outsourcing will compromise the quality of services on which effective teaching, research and service rely.  Students have spoken up about fears for safety if a revolving workforce replaces the workers they know and trust. …

Tennessee Inks Collaborative Facilities Management Contract With JLL
Source: Kate Vitasek, Forbes, June 29, 2017
 
The state of Tennessee has signed a facilities management contract to help the state provide the best service to citizens and employees at the lowest possible cost for taxpayers.  The contract was awarded to Jones Lang LaSalle (JLL) for five years with up to five one-year extensions. It allows the state of Tennessee’s various agencies and institutions to utilize JLL’s professional facilities management services. The potential scope covers over 7,500 state run properties spanning 97 million square feet. …

Controversial state plan to outsource college jobs moves forward
Source: Adam Tamburin, The Tennessean, May 26, 2017

Tennessee moved forward with a controversial plan to outsource jobs at public colleges Friday when officials finalized a contract with a corporation that already handles a sizable amount of state business.  Under the contract, JLL — which currently manages about 10 percent of state facilities — will oversee the potential expansion of outsourcing at college campuses, state parks and prisons. It is a pivotal moment for the proposed expansion, which has been in the works for two years. …

Majority of lawmakers ask state to slow down on outsourcing
Source: Adam Tamburin, The Tennessean, May 2, 2017

Seventy-five state lawmakers have signed a letter urging Gov. Bill Haslam’s administration to postpone a plan to outsource jobs on college campuses and other state-owned property, delivering yet another blow to the controversial proposal. In the letter to Finance and Administration Commissioner Larry Martin, signed by Republicans and Democrats from both chambers, the lawmakers ask to delay the outsourcing plan to allow “enough time to address concerns from the General Assembly.” … This is only the latest sign of deep reservations surrounding the project, which Haslam has championed against wide-ranging criticism for more than a year. Workers’ rights advocates, including a union representing campus workers, have blasted Haslam for prioritizing money over state workers and their families. College leaders have predicted the change would hurt services on campus. …

Tennessee’s billionaire governor works with his corporate buddies to privatize government jobs
Source: David Dayen, The Intercept, April 27, 2017
 
Tennessee’s state government has inked a sweetheart deal with a company linked to the state’s billionaire governor to privatize thousands of facilities and management jobs at colleges, prisons, and other public buildings.  It’s being touted by some officials in other states as a model for the nation.  The $330 million, five-year contract covers custodial services, groundskeeping, and repair and maintenance work. Government officials say that each public facility can choose to only partially comply, or opt out, keeping their employees on the public payroll. “If they’re happy with business as usual, there’s nothing to do,” said Michelle Martin, a spokeswoman for the office that issued the contract. …

Jones Lang LaSalle Wins Bid for Haslam’s Campus Outsourcing
Source: Associated Press, March 30, 2017

Real estate giant Jones Lang LaSalle has been selected as the winning bidder for Republican Gov. Bill Haslam’s plan to privatize property management on the campuses of the Tennessee’s public colleges and universities. The Chattanooga Times Free Press reports (http://bit.ly/2nwO7Dh) the Chicago-based company that already manages a large number of general state government buildings beat out proposals by Aramark and Compass Group. It’s not yet clear how many campuses will choose to participate in the privatization plan. Final cost details won’t be known until the five-year contract is signed. …

Officials say state outsourcing is working, but plenty of skepticism remains
Source:Jake Lowary, USA TODAY NETWORK – Tennessee, March 8, 2017

Despite $26 million in savings reported by state administration officials, some lawmakers and state employees remain skeptical or outright opposed to Gov. Bill Haslam’s effort to privatize many state agencies or operations within state government. Privatization of facility management, especially at public colleges and universities, has been a sort of sidecar initiative of Haslam for the past three years, in an effort to make state government more efficient and reduce costs. But many state workers still fear they will either lose their job or the areas that some have committed their lives to will suffer in quality. Larry Martin, state finance commissioner, was flanked by several officials from his department and told a Senate Oversight and Investigations Committee on Wednesday that the governor’s plan is working.

… Sen. Jeff Yarbro, D-Nashville, said he’s not been able to fully ascertain how the state arrives at the data it does regarding its overall savings, and requested that information from Martin and Hull. He questioned the data, specifically as it relates to the labor force, where the savings have not come. … Sen. Janice Bowling, R-Tullahoma, also questioned the notion of privatization, saying that it’s almost impossible for the state to restart or regain the management of those services once they’ve been outsourced to private companies. Representatives from the United Campus Workers offered some of the sharpest criticism to the privatization proposal from Haslam’s office, which has yet to be finalized and was indefinitely delayed last week. Melanie Barron, an organizer with UCW, said the request for proposal laid out by Haslam is “rife with loopholes” and despite promises from Haslam and other state leaders that agencies will be able to opt out of the RFP, little clarity about how to opt out has been provided. … The RFP for public facility management, which is separate from a different RFP to manage Fall Creek Falls State Park facilities, closed at the end of February. The state intends to issue a letter of intent to award at the end of March, Martin said. …

Opinion: Outsourcing state jobs hurts Tennessee
Source: Rep. John Ray Clemmons, The Tennessean, December 20, 2016

Gov. Bill Haslam is gambling with our tax dollars and Tennesseans’ lives. His outsourcing scheme involves eliminating up to 17 percent of current state employees’ jobs at state college and universities, parks and elsewhere. Outsourcing public jobs will result in great profits for private corporations but less oversight, lower quality, and the elimination of all accountability for citizens. The tragic school bus accident in Chattanooga is an unfortunate illustration of this fact. Hamilton County Schools contracted with Durham School Services, a private company, to operate its school buses. After 36 injury crashes in Tennessee since 2014, Durham was still transporting children. … Haslam’s steadfast outsourcing efforts, in the face of statewide opposition, stand in stark contrast to his other endeavors. For instance, his administration spent 18 months crafting Insure Tennessee, a plan supported by a majority of Tennesseans. Though Haslam publicly professed a passion for the cause, he exerted such little effort behind the scenes that he willingly raised the white flag to a vocal minority within his own party after less than three days of a special session. … These lackadaisical efforts on healthcare and transportation are easily contrasted with Haslam’s exhaustive efforts on outsourcing, a solution in search of a problem. Our governor created a new office focused solely on outsourcing and focused the bulk of his energies on an effort to pay private corporations hundreds of millions of dollars to perform jobs that state employees already do well and reliably. …

Democrats Say Nashville Firm Reviewing Benefits Of Outsourcing Is Too Close To Haslam
Source: Chas Sisk, Nashville Public Radio, December 12, 2016

Tennessee Democrats say they’re still not sold on the benefits of potentially outsourcing thousands of state jobs at college campuses, parks and prisons. They’re calling for yet another round of analysis on the proposal, even though two so far have found it could save the state more than $35 million a year. State officials were the first to come up with that estimate for what Tennessee could save from privatizing jobs currently done by public employees. But when questions were raised about their analysis’s validity, Nashville-based KraftCPAs stepped in. And after reviewing the state’s calculations for several weeks, the firm has decided Gov. Bill Haslam’s administration was more or less correct. That doesn’t satisfy state Sen. Lee Harris, D-Memphis. He wants an out-of-state firm brought in to take a third look. He notes that Kraft has done work for Haslam’s campaign and that some Kraft employees have made donations to it — connections, Democrats say, call Kraft’s independence into question. …

Haslam administration: Review confirms outsourcing savings
Source: Associated Press, November 22, 2016

An outside firm hired by Gov. Bill Haslam’s administration agrees that privatizing maintenance work at public colleges and universities could save $35 million per year. Haslam’s outsourcing advisers and consultants have touted the outsourcing plan as a way to save money while protecting the jobs of all currently employed campus maintenance workers who are deemed to be “qualified and productive.” The outside review was conducted by KraftCPAs PLLC.

Outsourcing state services doesn’t save taxpayers money
Source: Randy Stamps, Knoxville News-Sentinel, November 19, 2016

Saving taxpayer money is the main selling point behind every proposal to outsource a state service. But, when analyzed, outsourcing is often found to be more expensive than promised. For example, in January 2012 the state paid Jones Lang LaSalle $1 million to assess the condition and management of state properties. That November, the state expanded JLL’s contract to include procuring outside leases, a job previously handled by state employees. JLL would also receive a 4 percent commission on any leases it procured. By April 2013, funding for the contract had increased from $1 million to $7.6 million. In June 2013, Tennessee signed a $330 million, five-year contract with JLL to outsource the facilities management of all state buildings. In November of 2013, the state comptroller found JLL’s contract “created an organizational conflict of interest whereby Jones Lang LaSalle can profit from its own planning recommendations.” … In 2014, the state signed a $276 million contract with Trousdale County for a 2,400-bed private prison for Corrections Corporation of America. This contract also includes a 90 percent occupancy guarantee for CCA for per diem fees, which means if the private prison doesn’t remain above 90 percent occupied, taxpayers will pay per diem fees for empty beds. The contract also guarantees annual 2.5 percent operating per diem rate increases. In contrast, state employees do not receive guaranteed pay increases. … Tragically, in July, a man committed suicide by jumping off the Tennessee Tower in Downtown Nashville. According to a WSMV report, “Security at the tower falls under the state’s General Services division. They contract with private security companies Walden Security and Allied Barton.” In August, an accident at a Tennessee county fair sent three children plummeting 45 feet to the ground, severely injuring one. The Associated Press reported, “The state relies on private inspectors hired by operators and other states’ regulators to determine whether roller coasters, zip lines and Ferris wheels are safe.” State employees used to handle this work. In conclusion, as taxpayers, we must ask harder questions and demand more oversight on any contracts that outsource a state service. The notion of cost savings from outsourcing is simply no longer credible.

America’s Richest Politician Is Putting Thousands of Jobs at Risk
Source: Donald Cohen, The Huffington Post, October 14, 2016

Donald Trump isn’t the only one who won’t release his tax returns. Tennessee Governor Bill Haslam, whose family owns the Pilot Flying J chain of truck stops, has refused to release his since running and being elected in 2010. It wouldn’t matter so much if Haslam were your run-of-the-mill governor. But he’s the country’s richest politician, with a net worth of $2 billion. … It matters because Haslam has a plan that could plunge thousands of state workers into poverty. Since being elected, he’s slowly handed over management and operation of public buildings to a private company. All state-owned real estate is on the chopping block—from college campuses and prisons to state parks. The company, the Chicago-based Jones Lang LaSalle, is the world’s second largest commercial real estate brokerage. While running for office in 2010, Haslam held a financial stake in the company. He might still be invested but we don’t know for sure—he’s since placed many of his investments in a blind trust. The governor clearly hasn’t read our new report, How privatization increases inequality. …
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Does KanCare work? The state’s data is so bad, legislative auditors can’t tell

Source: Andy Marso, Kansas City Star, May 9, 2018
 
A debate has raged in Kansas for years over KanCare, the privatized Medicaid plan enacted by Sam Brownback in 2013. Brownback and his successor, Jeff Colyer, have touted the program as a tremendous success that has saved the state $1 billion while improving care for 400,000 low-income and disabled Kansans. Democrats, provider groups and people who care for disabled Kansans have said it’s rife with billing problems, secrecy and decisions based more on money than quality care. … After a year of work, those auditors recently released their determination: the state’s data is so bad, there’s no way to know. “These data issues limited our ability to conclude with certainty on KanCare’s effect on service use and limited our ability to interpret cost trends,” the auditors wrote. “More significantly, data reliability issues entirely prevented us from evaluating KanCare’s effect on beneficiaries’ health outcomes.” …

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Kansas lawmakers dispute over possible passing of current KanCare 2.0 plan
Source: Kate Inman, Four States, April 23, 2018
 
Some Kansas lawmakers say they’re frustrated the state could move forward with the current version of KanCare 2.0.  The KanCare Oversight Committee heard more than five hours of testimony today from dozens of groups and people calling on the state to not move forward with KanCare 2.0. KanCare is the state’s privatized medicaid program.   During the committee meeting, some lawmakers wanted to revoke the panel’s previous support for Governor Colyer’s plan for KanCare 2.0. Under his plan, the state would implement work requirements and other eligibility rules.  The committee chairman says there isn’t enough time for lawmakers to recommend changes to KanCare 2.0 while others say it’s their job. …

Kansas gives Medicaid contractor until June 1 to improve
Source: Associated Press, February 17, 2018
 
The company processing Medicaid applications in Kansas faces fines of up to $250,000 a day and the loss of its state contract because it is far out of compliance with the required performance standards.  The Wichita Eagle reports that state sent Maximus a noncompliance letter Jan. 30 that gives the Virginia-based company until June 1 to fix problems that include only 40 percent accuracy on financial payments. State Medicaid Director Jon Hamdorf disclosed the action during a meeting of a legislative oversight committee Friday.  If the company fails to shape up, it could face fines retroactive to the beginning of the year, possibly totaling tens of millions of dollars. …

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Bill passes in Senate that avoids strike of group home workers

Source: Rick Lessard, Fox61, May 5, 2018
 
Senate passed a bill Saturday afternoon that will raise wages non-profit group home workers, which prevented a worker strike that was scheduled for May 7. The bill would provide a $14.75 minimum wage and a 5% increase for workers above $14.75 effective January 1, 2019.  This wage increase will cover 18,000 union and non-union workers who care for the disabled. …

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Without new workers contract, costly strike preparations loom for state
Source: Emillie Munson, CT Post, May 1, 2018
 
The state will commence costly strike preparations on Thursday if the General Assembly does not act in the next 36 hours on a new contract for workers who care for disabled people, House Democrats warned Tuesday. Some 2,400 unionized workers have threatened to strike on May 7, two days before the end of the legislative session. They are pressing for a contract that would impact thousands of employees in privatized homes and day programs for the disabled. Many of these workers have not received raises in years. Strike preparations involve hiring replacement workers and security to work while striking employees are protesting. Each day of the strike might cost the state close to $1 million, said House Speaker Joe Aresimowicz, D-Berlin, on Tuesday.

Connecticut Nonprofits Support Strike of Their Caregiver Workforce
Source: Ruth McCambridge, NonProfit Quarterly, April 30, 2018

Even as news stories proliferated over the weekend on the crisis in the caregiver workforce serving people with disabilities, in Connecticut, 2,400 employees of nine nonprofit agencies voted to authorize a strike that will begin in the early morning of May 7th. Supporting the strike are not just the agencies employing the workers but also the state’s nonprofit alliance (join yours today). … “We’ve reached a crisis of underfunding in the care our state provides people with disabilities and the workers who care for them,” SEIU 1199 spokesperson Jennifer Schneider said. “When privatized group homes and programs are shuttering and workers are forced to work 80 hours a week just to make ends meet, something has to change. …

Huge federal contractor ‘failed’ to pay workers $100 million in wages, union says

Source: Danielle Paquette, Washington Post, April 23, 2018
 
One of the country’s largest federal contractors has been accused of underpaying about 10,000 workers who run help hotlines for public health insurance programs, including the Affordable Care Act marketplaces, by up to $100 million over the past five years, according to four complaints filed Monday to the Labor Department.  The complaint brought by the Communications Workers of America alleges that General Dynamics Information Technology misclassified employees at call centers in Kentucky, Florida, Arizona and Texas to suppress their wages.  The union, which does not represent the workers, said the contractor hired or promoted workers into roles that require special training but paid them below government-set rates for the jobs they performed. The complaint covers the period since 2013, when GDIT started a $4 billion, 10-year contract with the Centers for Medicare and Medicaid Services. …

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Contractor that handles public’s Medicare queries will do same for Affordable Care Act
Source: Susan Jaffe, Washington Post, June 20, 2013

Within days, the company that handles a daily average of more than 60,000 calls about Medicare will be deluged by new inquiries about health insurance under the Affordable Care Act. The six Medicare call centers run by Vangent, a company based in Arlington County, will answer questions about the health-care law from the 34 states that opted out of running their own online health insurance marketplaces or decided to operate them jointly with the federal government. ….. Running the 800-Medicare call centers may provide valuable experience, but Vangent’s track record reveals that it was slow to adapt when changes in the Medicare program caused dramatic spikes in demand. ….. Vangent, a subsidiary of General Dynamics Information Technology, will run both Medicare and the federal health exchange call centers under a contract worth $530 million in its first year.

Contracted Hospital Workers Win Job Security

Source: Laurel Albina, Labor Notes, April 16, 2018

For the first time in 15 years, 4,000 subcontracted hospital housekeepers and dietary workers in British Columbia have job security. They won that peace of mind by pulling off a series of escalating actions on the job. Between 2002 and 2005 the provincial government, headed by the Liberal Party, fired 10,000 hospital support service workers—mostly women and people of color—and subcontracted their jobs to multinational corporations including Aramark, Compass, Sodexo, and Acciona. In the years that followed, the workers who were hired back—less than half of those who’d lost their jobs—reorganized with the Hospital Employees’ Union (HEU) and bargained hard to regain what they’d lost. But without job security to protect against another change of contractor, all gains were precarious. … In an agreement bargained between HEU, the Ministry of Health, and the regional health authorities, now when commercial contracts are re-tendered, contracted support service employees in HEU will keep their jobs, their union, and their collective agreement.

Ambulance cuts pave way for new ride providers in skilled nursing

Source: Kimberly Marselas, McKnight’s Long-Term Care News, April 19, 2018

With mounting financial pressure driving some private ambulance companies out of business, more ride-hailing operators are stepping into the vacuum and providing non-emergency transportation to and from nursing homes. A convergence of private and alternative services has arisen as ambulance operators brace for a 13% cut to one of their bread-and-butter services: non-emergency dialysis transport. Some services have already stopped providing those type of rides to beneficiaries in advance of an Oct. 1 Medicare rate cut. …

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Ford launches on-demand medical transportation service
Source: Megan Rose Dickey, TechCrunch, April 18, 2018

Ford is launching an on-demand transportation service for non-emergency medical needs. The idea is to better help patients get to their doctor appointments. Ford is initially launching this in partnership with Beaumont Health in Michigan to serve more than 200 facilities. Called GoRide, the fleet has 15 transit vans to accommodate people with varying needs. By the end of the year, Ford plans to have 60 vans, all driven by trained professionals, as part of GoRide’s services. The GoRide fleet can accommodate people with wheelchairs, thanks to flexible seats that can flip up and a wheelchair lift. …

… In March, Lyft committed to cut the problem of healthcare transportation in half by 2020. Lyft provides API access to partners like Allscripts, Blue Cross Blue Shield and Ascension to integrate the ride-hailing service into its health platforms and electronic health records services. Meanwhile, people seem to be moving toward on-demand platforms for trips to the emergency room, as well. Last December, a study reported ambulance use has gone down about 7 percent nationwide since the rise of Uber. Though, neither Uber or Lyft are particularly accessible to people with mobility disabilities. In March, Disability Rights Advocates, on behalf of the Independent Living Resource Center and two people who use wheelchairs, filed a class-action lawsuit today against Lyft. The plaintiffs allege the ride-hailing company discriminates against people who use wheelchairs by not making available wheelchair-accessible cars in the San Francisco Bay Area. Uber also faces a number of lawsuits pertaining to the lack of services it offers to people with mobility disabilities. …

FTC ‘Misconduct’ Charges Loom as Uber Health Service Launches
Source: Fred Donovan, Health IT Security, April 16, 2018

Uber is being hit with additional federal penalties for “misconduct” in not reporting a major 2016 data breach at a time when it is launching its Uber Health service, which the ride-sharing company pledges will be HIPAA compliant. The Federal Trade Commission (FTC) announced April 12 that Uber had agreed to expand a proposed settlement it reached last year over charges that it deceived consumers about its privacy and data security practices. The FTC said it was expanding the settlement scope because it learned after the initial settlement that Uber had not disclosed a significant data breach that occurred in 2016 while the agency was investigating the company about the consumer deception charges. … Still, healthcare partners of Uber Health might be concerned about the FTC’s allegations that the parent company deceived consumers about its privacy and data security practices and failed to disclose a major data breach at a time when it was under federal investigation.

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Middleton plan commission delays action on psychiatric hospital

Source: David Wahlberg, Wisconsin State Journal, April 11, 2018

Middleton officials on Tuesday delayed action on a proposed psychiatric hospital after asking executives with the company behind it to explain its regulatory record, including immediate jeopardy citations in other states. “How are you going to apply the lessons which you have learned from other facilities to Middleton?” Mayor Gurdip Brar asked representatives of Strategic Behavioral Health, which plans a 72-bed psychiatric hospital in the city’s Airport Road Business Park. Jim Shaheen, founder and president of the for-profit company in Memphis, Tennessee, said the citations, reported by the Wisconsin State Journal on Sunday, stem from occasional problems at the company’s 10 hospitals in six states. … Strategic Behavioral Health has had nine immediate jeopardy violations at four facilities in three states since 2014, plus other sanctions in other states, the State Journal reported. Immediate jeopardy citations are rare and could indicate systemic problems, experts said, but they’re also given out more in some places than others.

UW Students Occupy Building to Protest Closure of Unionized Laundry

Source: Heidi Groover, The Stranger, April 9, 2018
 
About 20 students are currently occupying UW Medicine administrative offices urging the university not to shutter its laundry service. The laundry currently employs about 100 people who clean linens and scrubs for University of Washington Medicine hospitals and clinics. After UW Medicine saw a $75 million operating loss last year, the university is considering shifting from operating the laundry to contracting a private company for the service. The school says the current laundry requires expensive upgrades. Workers say they fear losing steady jobs that pay $15 to $18 an hour. … According to the laundry workers and their unions, most of the laundry employees are immigrants and people of color. Some have worked there more than a decade. Speaking on campus before marching to the UW Medicine building Monday, workers said they fear being unable to support their families without the jobs. The Washington Federation of State Employees and Service Employees International Union 925 represents the laundry workers. During the rally, UW sophomore Iman Mustafa stood next to her father, who has worked at the laundry most of her life. The job offers a stable wage but “no mobility,” Mustafa said. She fears her father will have trouble finding a new job if he’s laid off. The university is “making them all homeless,’ Mustafa said. …

Related:

As UW Laundry Workers Advocate to Keep Their Jobs, 15 Employees Get Layoff Notices
Source: Heidi Groover, The Stranger, April 2, 2018
 
On Wednesday, workers from the University of Washington-run laundry that services UW hospitals and clinics gathered with supporters on the university campus. They fear they could lose their jobs as the university moves to privatize the laundry. They used the rally to highlight that fear and call on the school to reconsider. The next day, 15 of the laundry’s roughly 100 employees got a new reason to worry: They received notices that they will be laid off in 60 days. Rod Palmquist from the Washington Federation of State Employees AFSCME Council 28, which represents some of the laundry workers, said the union plans to rally community members and elected officials to try to fight the layoffs. He said the union does not believe the layoffs are retaliation. …

Workers Protest UW Laundry Closure
Source: Melissa Hellmann, Seattle Weekly, March 29, 2018
 
Patricia Thomas has cleaned patient bed linens and employee uniforms for nearly three decades at Consolidated Laundry, a Rainier Valley facility which serves University of Washington hospitals and clinics. … Thomas never considered getting another job until she returned to her work station in January after a week-long vacation. In the midst of folding clothes, a colleague told her that UW was considering closing the Consolidated Laundry. Citing a $75 million budget shortfall throughout UW Medicine’s operations, the University is considering privatizing its laundry services. … Most of the facility’s workers are middle-aged, immigrants or people of color who rely on the job for its $15 minimum wages, health care, and retirement benefits. “The privatization of this facility risks over 100 good-paying union jobs with members whose families directly rely on that employment,” said Rod Palmquist, the Higher Education Coordinator for the Washington Federation of State Employees. … Over 100 UW Laundry Workers, student members of UW United Students Against Sweatshops, other union member supporters, and political groups gathered at the Drumheller Fountain on UW’s Seattle campus on Wednesday to protest the facility’s closure and to deliver over 600 petition signatures to UW President Ana Mari Cauce. …