Friday, January 29, 2016

Michigan Medicaid Expansion Request For Flint Times Perfectly With Financial Markets

With Q2 earnings reports looking pretty darn good, it seems like this is the best time of any to start
watching financial trends in the world of Medicaid revenue maximization schemes.

When I mention financial trends, I do not strictly focus on private investment strategies, I look at tax write off to its own philanthropic foundations which, in turn, turn to the government sector to "leverage its investments", oops, I mean charitable contributions, with a return of garnering a cheap labor force and customer loyalty, to improve the lives of the less fortunate.

I then look at the government sector, and this area is what I call social programming.

Michigan just so happens to have graciously demonstrated itself as a living, breathing, real time model to observe the psyche of its fiscally conservative administration, as always, of course.

Here we have the Flint water crisis center stage with Detroit awaiting in the wings in dealing with the future well-being of its children.

These are two major municipalities, high density population, historically economically disadvantaged, which have been administratively abused and neglected under the foster care of an artificially created czar called an emergency manager, via a bill of attainder.

Children were harmed with the switching to a lesser quality water source, only for parents and people of affinity to be blatantly dismissed through obfuscatory policy making, like the 'boil water advisories' or the infamous 'two babies in a bath full of lead water' public health awareness poster.

The question now presents itself as to why such indolence to the concerns, validated by independent authorities, of the citizens of Flint, and I am also going to include Detroit as the problems with lead poisoning in Detroit far exceed Flint's man made disaster, were blatantly dismissed.

Going out on a limb, knowing just a little bit more than the average bear on Medicaid fraud in child welfare, I am going to have to take the bull by the horns and say it probably had something to do with a revenue maximization scheme to tap into the great big giant coffers of the Social Security Trust Fund.

I have alleged, and not one person has yet to assuage for me to think otherwise, that Michigan was executing its next phase of selling chattel, more intuitively known as launching the next wave of religious based, non profit, tax exempt (redundant, I know, but I am only emphasizing a point) social welfare programs fully cost reimbursed through the Medicaid Expansion.

Now, I know there are the naysayers who will call me out as, hmmm, how would you say....a disgruntled client by proxy, but when Maura Corrigan presented testimony to the U.S. Senate Ways and Means Committee on behalf of the American Enterprise Institute, laying out the red carpet for the latest and greatest social programming to "rehabilitate the poors" through Medicaid just a few months before Flint water crisis began to unfold, I would have to say that those naysayers need to sit down and let the DOJ take over.

Social investment is an emerging market as it is expanding its realms of unregulation as this is all far outside the purview of the SEC and IRS because they are non profits and deal with the privacy protections of child welfare.

This following article is from a commercial industry consulting firm of which sells child welfare Medicaid industry reports.

New Analysis Finds More Than Half Of Foster Children Enrolled In Medicaid Managed Care

Over half of foster children are now enrolled in some Medicaid managed care plan. And, that answer varies significantly by state – from 0% to 100%.

Why the variation? Medicaid eligibility criteria for children in foster care are as variable as Medicaid plans. States fall in three general categories with regard to these eligibility criteria:

Mandatory enrollment in FFS: The state requires all foster care children regardless of the circumstances to receive Medicaid services through the FFS delivery system. Historically, most foster care children were served in the FFS delivery due to a high rate of complex health issues, multiple touch points within the social service system, and a high amount of transiency.

Optional enrollment in Medicaid managed care plans: The state allows the foster care child to enroll in either the FFS or managed care delivery system. It is up to the child’s team – caseworkers, guardian ad litem, foster care family, etc. – to determine the delivery system that they think best fits the needs of the child.

Mandatory enrollment in Medicaid managed care plans: The state requires all foster care children, regardless of the circumstances to receive Medicaid services through the state’s managed care delivery system. This model has gained popularity as more states have moved towards the managed care delivery system and enrolled more and more complex populations in this model.

Q3 should be quite interesting, too!

Stay tuned as Detroit may be next in the Medicaid expansion request.

This is Michigan's latest bottom-up model for the last hold States to begin to roll out Medicaid expansion programs in child welfare.

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