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From Sen. Bill Brady

[MAY 16, 2005] 

Independent study confirms merits of Medicaid managed care

An independent study released last week strongly supports a proposal by Senate Republican lawmakers that could save the state of Illinois millions of dollars each year and improve the quality of care for patients by implementing a greater degree of managed care principles in Medicaid.

The independent study released last week by the Lewin Group, a leading independent health care consultant, suggests managed care reforms could save taxpayers approximately $1.5 billion in Medicaid costs over a five-year period.

The study acknowledges that Illinois "stands in stark contrast to virtually all other large states in the modest degree to which its Medicaid program has adopted managed care techniques." The report provides supporting evidence that throughout the country states have adopted successful managed care models, achieving their goals of decreased medical costs, better access to services and increased quality of care. Furthermore, the study concludes that an exceptional opportunity exists for Illinois to both improve the coverage its Medicaid beneficiaries receive and to achieve large-scale savings through implementing the recommendations in this study. The report also noted that for states considering implementing or expanding managed care models, this may be the best time to move forward.

The General Assembly created a Medicaid Managed Care Task Force and commissioned an independent study after Senate Republicans raised the issue of managed care during last year's budget negotiations. The task force and Lewin Group report became a linchpin for Senate Republicans to support the final budget.

Latest on "med mal" reform

On May 12, supporters of House Bill 4074 -- the medical liability reform bill in the House -- defeated hostile amendments filed by reform opponents, but by the end of the day, reform opponents had successfully used parliamentary maneuvers to at least temporarily keep the measure from advancing to a final vote.

In the Senate, a watered-down version of reforms was filed as an amendment to Senate Bill 276. The Senate proposal would offer caps on noneconomic damages -- but at $500,000 for physicians and $1 million for hospitals. The House measure contains caps of $250,000 and $500,000. In addition, the Senate proposal does not contain some of the protections included in the House measure, including a provision that allows the purchase of annuities to pay out damages over time and protections that would keep hospitals from being held liable for actions of people who are not employees of the hospital.

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Senate approves bill blocking "spam" on state e-mail

Saving state employees time and saving taxpayers money is the aim of legislation approved May 11 by the Senate.

House Bill 1071 requires electronic mail service (e-mail) provided under contract to the state of Illinois to be provided reasonably free of unsolicited advertisements (or "spam").

No such restriction currently exists for e-mail services procured by the state. Currently, the Illinois Century Network, within the Department of Central Management Services, is the entity that provides Internet service to state agencies. The ICN obtains Internet service from other vendors, who do not necessarily use "spam" filters.

Legislation addresses sporting event violence

Players or fans who become violent during sporting events at indoor facilities will face felony penalties for assault or battery, under legislation approved by the General Assembly.

House Bill 1432 is a response to the melee that occurred at the Indiana Pacers-Detroit Pistons NBA basketball game on Nov. 19, 2004. After being hit by a cup of beer while lying on the scorer's table following a shoving match with some Pistons' players, Indiana Pacer Ron Artest went into the stand and attacked a fan. A few other players from the Pacers team also went into the stands and attacked fans.

House Bill 1432 addresses violence at sporting events at indoor facilities. Illinois statutes already call for penalties for violence at sporting events at outdoor venues.

[From Sen. Bill Brady]


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