Illinois Public Media News
An Urbana agency that treats victims of drug and alcohol abuse has again lost funding for its detox program, and this time it may be for good.
Prairie Center Health Systems CEO Bruce Suardini said it is doubtful the $450,000 will be restored by lawmakers this fall. In September of 2008, the program shut down for six months before funds were reinstated.
Suardini said the detox program still sees about 750 people per year, and after cutting off referrals Thursday night, he said more addicts won't get the appropriate treatment.
"We watch the clients carefully because it's life-threatening," he said. "So a lot of people who will now probably end up in an ER room will get treated for the day and released. And they really don't have a chance to look at the addiction and get into a long-term care kind of way to combat that addiction."
Cuts to those programs statewide equal 28-million dollars. Suardini says while a number of area legislators would back a supplemental bill to restore that money this fall, it would require 3/5ths majority in each chamber.
"The chances of that happening, and total money being restored in the state of Illinois - I'm just more pessimistic about that because of the volume of things that are on the (General) Assembly's plate," he said. "So I don't see that coming back."
But Suardini said other programs for residential care and outpatient clinics, including one in Danville, will continue to operate. But he said reduced staffing levels means clients will have to be put on a waiting list.
Meanwhile, Suardini said Prairie Center has ended talks with Community Elements in Champaign (formerly the Mental Health Center of Champaign County) about a potential merger. He said state funding mechanisms forced clients to use services separately, and a merger wasn't feasible at this time.
Community Elements CEO Sheila Ferguson says the decision was solely Prairie Center's, and was disappointed the two sides couldn't work something out.
A physician from McLean County says his career away from politics should serve as an advantage as he pursues a seat in the Illinois Senate.
Republican Tom Pliura of Le Roy is running in the re-drawn 51st district, consisting of mostly rural towns in ten east central Illinois counties. He will face current state representative Chapin Rose in the primary.
Pluira said having real world experience as both an emergency room doctor and a lawyer will help hold elected officials accountable. He said his campaign won't be about personal attacks, but it will upset the status quo.
"I am going to challenge some long-standing, long held, positions by both sides, and inevitably, that will probably invoke a defensive posture on both sides of the aisle," Pluira said. "I'm not afraid to do that."
A doctor for 25 years, Pliura says he's seen many patients lately carrying cards for both Blue Cross-Blue Shield as well as Medicaid, but only the latter is billed. He says that's putting an unfair burden on the Medicaid rolls.
"There's no ability for the state to check that," said Pliura. "To see if that individual who now qualifies for Medicaid because the state has loosened up and basically tripled the rolls. The state's now paying a bill when in fact Blue Cross Blue Shield got the premium for that insurance policy. We're going to stop that."
Pluira said Illinois needs to rein in spending rather than raise taxes to solve the budget crisis. The emergency room physician also says he'll push to make the state friendlier to small businesses, as well as for term limits in the legislature. Pliura has never run for public office, but if elected, he said he will serve no more than two terms.
Health Alliance Agrees on Contract Extension
Health Alliance has approved nine-month contract extensions for state workers and employees.
The head of Illinois' child welfare agency is leaving after five years in that role.
Having served as Director of the Illinois Department of Children and Family Services since 2006, Erwin McEwen released a statement saying he's ready for the next challenge.
It has been a tumultuous summer for the agency. DCFS has been involved in a high profile court fight with Catholic Charities after that group refused to recognize couples in civil unions when it comes to adoptions and foster care placements. However, DCFS spokesman Kendall Marlowe said that case had nothing to do with the Director's decision to leave.
"His decision is completely unrelated to the civil unions controversy or any other recent events," Marlowe said.
Marlowe said among McEwen's accomplishments include an increased capacity to serve more families on a voluntary basis, rather than waiting for the legal system to intervene.
DCFS now serves more families on a voluntary basis than on a court ordered one.
McEwen has not announced what he will be doing next. His resignation is effective Sept.30.
A health care advocacy group is renewing its call on the Illinois Environmental Protection Agency to investigate an underground pipeline in Champaign's Fifth and Hill neighborhood.
Champaign County Health Care Consumers held a news conference Tuesday in the neighborhood, and cited a recent report that identified chemical waste in the pipeline know as "coal tar" as petroleum-based. The group's executive director, Claudia Lennhoff, said the toxins are likely linked to a gas manufacturing plant that had been in the area from 1887 until 1953.
"This is like a sleeping giant underground," she said. "It's highly toxic. One of the problems with the material that we found is that these contaminants can also leach off and can spread and move through the groundwater and through the soil."
But Eleanor Blackmon, who's an assistant engineer in the city of Champaign, said the pipe has been dry every time it has been inspected.
"We inspected it after rains from the time that (Champaign County Health Care Consumers) expressed their concerns about it," Blackmon said. "We never saw any outflow from the pipe. The dirt inside the pipe was always dry."
Furthermore, Blackmon said there is no way to connect the pipeline to the old manufactured gas plant.
The city agreed this year to plug the pipe facing Boneyard Creek after Champaign County Health Consumers filed a notice of intent to sue the city over cleaning it up.
The Illinois EPA said it is already looked at the site, and that any toxins that might be there are so far underground that they don't pose a health risk to people living in the area.
"We have done an investigation and this was our finding that no one was at risk,' Illinois EPA spokeswoman Maggie Carson said. "Secondarily, even if it were connected to the site, our primary concern would be is someone at risk? And the answer here is 'No.
The manager of the Champaign County Nursing Home says it's exploring the idea of offering more private-pay rooms for single patients to boost revenue.
Mike Scavatto told the Champaign County Board Thursday night that a drop in Medicare revenue has dealt what he calls a 'significant blow.' And he says nursing homes everywhere are seeing a delay in state Medicaid reimbursements. Republican and Nursing Home Board of Directors member Alan Nudo says he suggested the single room idea as a revenue stream.
"I think the board kind of said 'let's just go forward with it,' he said. "We don't have to have a flat-screen TV in there or cable hook-up at this stage. Let's just try to put in single rooms. And that still gives us plenty of room for Medicare and Medicaid beds."
Nudo suggests setting up just over 20 private rooms could bring in an extra $100-to 200-thousand. Scavatto says more amenities could be added when the nursing home can afford them.
As another long-term upgrade, the county nursing home wants to add renal dialysis equipment. Scavatto says not many homes offer it, and that could serve as a census builder, allowing residents to receive care in the home instead of forcing them to ride a bus to a medical center.
Activists who lost their fight to preserve Oak Forest Hospital now say they're going to focus on holding Cook County to its commitments.
A state board Tuesday approved the county's plan to close the hospital and replace it with a regional outpatient center. Patients, unions and community activists managed to stave off the closure twice before. But at Tuesday's meeting of the Illinois Health Facilities and Services Review Board, the county won the day.
Organizers say now the task is to make Cook County honor its pledge not to abandon south suburbanites.
"Let us take those concerns and be very vigilant," said William McNary of Citizen Action Illinois, calling the vote expected but disappointing. "Don't give up today. Because those health care needs are still going to continue beyond what they do here."
McNary sits on an advisory board set up by Cook County Board President Toni Preckwinkle. He vowed to make sure the outpatient center offers the best possible care and to press neighboring hospitals to follow through on their promise to absorb Oak Forest patients.
Many of the opponents sat through the four-hour meeting holding protest signs, and some even cried "genocide" as the vote was unfolding.
President Preckwinkle said she understands the anxiety, but condemns the rhetoric.
"To suggest the people on the independent governing board or the health care professionals are motivated by genocidal impulses is demeaning and extremely unfortunate," Preckwinkle said after the vote.
The county made several concessions to opponents, including agreeing to run an immediate care facility on the site around the clock. Ultimately, new appointments to a state regulatory board gave Cook County the votes it lacked in two previous efforts to pass the plan.
County officials say they plan to discontinue hospital operations by the end of August and immediately begin phasing in the clinic services.
Local health care advocates hope a plan to create Illinois' largest Catholic hospital system results in greater financial assistance for the low-income.
There was little opposition in a state hearing in Urbana Wednesday, and another held the same day in Danville, over the planned merger between Provena hospitals and Chicago-based Resurrection Health Care.
Those who backed the move during Urbana's 90-minute hearing included Land of Lincoln Legal Assistance, and members of Champaign County Health Care Consumers. The group's executive director, Claudia Lennhoff, said its partnership with Provena Covenant Medical Center has helped low-income patients with medical expenses, and that a new charity care program would emerge, based on the best of both hospital systems, if the merger is approved.
But John Hilty of Urbana was concerned that a larger hospital system makes it less responsive to a community's needs.
"It seems to me that smaller organizations are easier to manage and tend to be more responsive to local communities, rather than large organizations, where the decision making is less personal and less attuned to a particular city or location," he said.
Hilty also said a larger hospital system doesn't necessarily result in less costly medical bills.
Provena Covenant Medical Center lost its property tax exemption in 2004, when the Illinois Department of Revenue ruled the hospital didn't provide enough charity care. The President and CEO of its hospitals in Urbana and Danville, Michael Brown, said Provena Covenant has proved many times since then that the hospital is a community partner. He said the level of charity care should improve with the merger. Brown said the move will produce savings from controlling purchasing prices to office functions.
"When you look at the tsunami that's in front of us as being able to take care of people with the 10,000 people a day eligible to join the Medicare ranks," he said. "There are not enough people in the following two generations to pay for that. So we have to do this a different way. And being able to merge these together and to leverage the resources gives us an opportunity to at least meet that need."
The proposed merger also got letters of endorsement from Champaign State Senator Mike Frerichs and Champaign Mayor Don Gerard.
The Illinois Health Facilities and Services Review Board will rule on the merger in October.
The Illinois Department of Revenue has denied property tax exemptions to hospitals in Decatur, Chicago, and Naperville in a move that signals the state's plans to get tough on nonprofit hospitals that operate more like businesses than charities.
At stake are millions of dollars in tax revenue that the hospitals could contribute to cities, parks and schools.
Revenue Department officials tell The Associated Press that the hospitals were informed today. The three are: Decatur Memorial Hospital in Decatur, Northwestern Memorial's Prentice Women's Hospital in Chicago, and Edward Hospital in Naperville.
The hospitals can ask an administrative law judge to review the decisions.
Illinois' Supreme Court ruled last year that Urbana-based Provena Covenant Medical Center wasn't doing enough free or discounted treatment of the poor to qualify for a tax exemption.
A legislative panel has voted 8-1 to authorize the state to negotiate health insurance contract extensions through the end of June 2012.
All vendors providing health insurance coverage for state workers, including Urbana-based Health Alliance, will be able to negotiate nine-month extensions following Tuesday's decision by the Commission on Government Forecasting and Accountability (COGFA). State Senator and COGFA member Mike Frerichs said the extension should provide relief for a lot of people.
"I think for now the legislature has done its part," Frerichs said. "It's now up to the health insurance providers, and the (Illinois Department of Healthcare and Family Services) to work out the terms of the deal."
Orland Park House Democrat Kevin McCarthy cast the only dissenting vote.
The state health contracts have been operating for the last few months under a 90-day extension that is due to expire at the end of September. A state appellate court recently upheld a Sangamon County judge's ruling, preventing the state from moving ahead with new health contracts for state employees and retirees. Illinois Gov. Pat Quinn's administration has argued the so-called 'open access' plans will save the state about $100 million a year.
"We are very happy to been given the opportunity to negotiate a longer-term contract to continue serving state workers and their families," Health Alliance CEO Jeff Ingrum said in a statement. "Every day we receive calls from our state members wanting to know if they'll be able to stay with Health Alliance."
But insurers may not get a rate increase from the state over what they're getting currently. In addressing the panel Tuesday, Ingrum compared his provider's rates with that of another provider.
"We are looking at the rate increase and just seeing in this environment to extend a rate from FY 11 to a full year," he said. "If that would be the ultimate terms, it would be a bit unreasonable given the fact that Blue Cross (Blue Shield) got an increase."
Print reports indicate Ingrum is seeking a rate hike of around 5-percent. A company spokeswoman, Jane Hayes, said she understands the state's needs to save money by dropping Health Alliance. However, she said she has a great deal of confidence that Health Alliance will be able to reach a deal with the state.
State Senator Shane Cultra (R-Onarga) praised the vote by COGFA.
"Finally, thousands of central Illinoisans can breathe a sigh of relief," Cultra said in a statement. "We must fix the current process now, so we are not sitting here next May without a permanent solution in place for the 100,000 state workers and retirees who have faced this uncertainty since this process began."
The state is scheduled to argue before a Sangamon County judge later this week to argue whether COGFA has the authority to extend the current health insurance contract. However, Sen. Frerichs said Gov. Quinn's office recently filed a motion to dismiss that case.
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