Feb
25
2010
1

All-payer Database: Transparency Trojan Horse

Coloradans should beware the “Transparency Trojan Horse” that will create a database containing their most personal health care information, according to an Independence Institute analysis of HB 1330 the Health Care Cost Transparency Act sponsored by State Representative John Kefalas and Senator John Morse.

Health Care Policy Center Director Linda Gorman warns that the legislation grants unlimited power to the state’s Executive Director of Health Care Policy and Financing to mandate the collection of any health care data, to conduct audits, to give the data to third parties without seeking permission and to impose unlimited fines for refusing to provide data to the database.

COST sees two troubling trends with this bill.  First, it is a frightening invasion of privacy.  Second, those who want to expand the scope of government and control over individual behavior are using the popular transparency mantra to cloak their real intentions.

Transparency, as COST knows it, allows taxpayers to see what government is doing.  It was NEVER intended to allow government access to citizens’ private information.

Sadly, HB 1330 just passed the House Health and Human Services Committee with a unanimous vote.

Jan
06
2010
0

We’re gonna be transparent and this time I mean it!

Our transparency Czarina Amy Oliver Cooke is a mom so we hear lots of parenting stories.  Right now, President Barack Obama looks like the over promising parent who constantly under delivers.  While American voters are like the kids who aren’t buying the falsehoods and simply roll their eyes every time Barack Obama utters the word “transparency.”

According to Breitbart TV, Obama has made no fewer than eight promises for transparency in health care reform negotiations.  Those promises ring hollow.  Politico reports:

President Barack Obama and congressional Democratic leaders agreed Tuesday to forgo a formal conference committee for reconciling the Senate and House health care bills, according to three Democratic congressional aides.

The decision means that the White House, Senate Majority Harry Reid and House Speaker Nancy Pelosi will attempt to reach an agreement through private negotiations with key lawmakers.

No C-SPAN. No TV cameras. No internet streaming. No opposition party. Once again…No transparency.

Oct
29
2009
1

Road trip to Beaver Run Resort

According to Governor Bill Ritter’s own transparency Web site TOP, the state paid $283,129.15 to Beaver Run Resort over the last two fiscal years (FY08-09 and FY09-10).   Several state government departments including Education, Governor’s office, Higher Ed, Human Services, Judicial, Corrections, Public Safety, Health Care Policy and Financing, and Local Affairs, spent hundreds of thousands of taxpayer dollars for official functions, customer workshops, in-state travel, food, equipment rental and more.

COST reminds its readers that we are not here to judge the expenditures, but we would like to know how Colorado taxpayers benefited.  What was the intended performance outcome of these expenditures?

Some context certainly would be helpful especially considering the Governor’s latest round of “budget cuts” which includes $145 million for Higher Education and more furlough days for state employees.

Oct
19
2009
1

“60 minutes, Larry King, we’re ready!”

Transparency Czarina Amy Oliver Cooke showed COST, not one but two, very pretty, 4-color glossy brochures from the Department of Health Care Policy and Financing (HCPF).  Ms. Cooke received them when HCPF Director Joan Henneberry presented her “if money weren’t an object what would your department want” list to the Long Term Fiscal Stability Commission of which our Czarina is a member.

Of course we wanted to know how much those pretty brochures, complete with messages and photos from both Henneberry and Governor Bill Ritter, cost Colorado taxpayers.  So we went to Governor Ritter’s transparency site TOP for more information. 

COST found that HCPF spent $74, 935.91 on “printing/reproduction services.” But we have no idea what Coloradans received for their nearly $75,000.  Inherent in true transparency is an explanation so taxpayers know how they benefited from government expenditures.  That is one of the many problems with TOP.

We stumbled on to something else. Under advertising, we found an $8750.00 payment to the Bawmann Group Inc that specializes in crisis communication management.  The company Web site boasts “60 minutes, Larry King, we’re ready!”

If you’ve ever been the subject of intense media exposure — for all the wrong reasons — then you know there are worse things in life: like being run over by a train. Helping you get off the tracks and put the pieces back together is what we do best.

Some of our recent crisis communications clients include the University of Colorado and President Elizabeth Hoffman who faced a national media frenzy over allegations against the football team for sexual misconduct; a home health agency under threat of lawsuit for an alleged wrongful death; and a CEO of a major nonprofit institution who was ambush interviewed about his salary.

 
Crisis communications is at the core of what we do at The Bawmann Group. It is our experience that during times of major transition, organizations are most vulnerable to situations were negative press occurs. Being vigilantly prepared and response-ready can help mitigate major damage.

Why would HCPF need to use taxpayer dollars for “crisis communications?” That’s when COST remembered Director Henneberry’s response to HCPF employee AnnMarie Maynard turned whistleblower.  Through secret tapings, Maynard exposed HCPF’s attempt to hide the misuse of $8 million in taxpayer funds. Instead of being rewarded for exposing wrongdoing, Maynard was fired, and Henneberry went on to contradict state law by forbidding the secret taping in the future.

Governor Ritter supported Henneberry’s decision, but the State Personnel Board did not.  In fact the personnel board suggested that Ritter discipline Henneberry. Instead using taxpayer money, he appealed the decision.  As COST related back in January:

Denver Post editorial articulated the arrogance of spending someone else’s money, “HCPF presented its case in two sets of legal hearings and failed to persuade. Its new policy exhibits a fear of transparency rather than a concern about wrongly collecting taxpayer money.”

Now the $8750 payment to the BawmannGroup just might make sense. To be fair, Bawmann does other types of marketing campaigns — not just crisis communication management. But it does make COST wonder if HCPF used taxpayer money to hire the PR firm to handle bad publicity from HCPF’s misuse of taxpayer funds.  COST can call to find out, but if Governor Ritter gave more than lip service to transparency, taxpayers and COST would know.

And when we call, we’ll ask why the Department of Human Services under the leadership of Karen Beye paid $793,068.24 to Bawmann.

Apr
24
2009
0

News of CO secret sick tax gets attention

Westby G. Fisher, MD of Illinois, known as Dr. Wes on his blog, picks up on Linda Gorman’s irony when she wrote about HB 1293 the “health care affordability act” in her most recent Issue Backgrounder.  In his post “The Ultimate Irony: A Sick Tax to Make Health Care Affordable,” he writes:

[L]ook for cash-strapped legislatures across the country to consider a this latest tactic to feed from the Medicare National Bank: in Colorado, held to lower taxes by their self-imposed “Tax Payers Bill of Rights” (or so-called TABOR law enacted in 1992), legislatures have resorted to a “sick tax” cleverly disguised as a hospital fee added without line-item status to hospital bills.

He then proceeeds to cite Linda’s paper as he muses about how ridiculous it is to claim that health care will be more affordable if sick people are taxed in secret.  COST would laugh at how insane this all sounds if we weren’t actually living the fiscal nightmare.

Mar
30
2009
0

HB 1293: forbids transparency

HB 1293, the Healthcare Provider Fee, adds as much as a 5.5 percent tax to every patients’ hospital bill and could cost Colorado citizens nearly $600 million per year in increased health care costs according to a new report from Independence Institute Health Care Policy Center Director Linda Gorman.

It’s bad enough that many Colorado legislators have such wanton disregard for the Colorado constitution and the will of the voters by not asking before they raise taxes, but this bill also adds insult to injury.

The legislation forbids hospitals from telling patients how much they are paying.  On page 9 of the 41-page bill is this chilling line:  A HOSPITAL SHALL NOT INCLUDE ANY AMOUNT OF THE PROVIDER  FEE AS A SEPERATE LINE ITEM IN ITS BILLING STATEMENTS.

Should any Colorado resident or media outlet want to know how the tax is calculated, well they are out of luck because the legislation forbids that too:

The State Board, in consultation with the Advisory Board,  shall promulgate rules on reports that hospitals shall be required to submit for the state department to calculate the amount of the provider fee.  Notwithstanding the provisions of part 2 of article 72 of title 24, C.R.S., information provided to the State Department pursuant to the section shall be considered confidential and shall not be deemed a public record.

In other words, don’t ask any questions about how much you are paying or how the tax is calculated because it is none of your business.

According to the Greeley Tribune, Republicans tried to amend the bill to make it more transparent but failed.

Written by amy in: Colorado, health care | Tags: ,

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