This story is closed for comments. Comments on WRAL.com news stories are accepted and moderated between the hours of 8 a.m. and 8 p.m. Monday through Friday.
fayncmike Mar 14, 5:05 p.m.
I guess some of the posters here would just put their parents on an ice floe and let the tide carry them out to sea.
muggs Mar 14, 3:43 p.m.
There are so many hands in the till that after it is all said and done very little goes into the actual care of many of these in need but more into the pockets of those who control the funds,without line item accountability who really can tell who is getting what,just medicaid and medicare alone are two of the major programs that are always being exposed for fraud,prevention is needed not exposure after the fact.
westernwake1 Mar 14, 3:33 p.m.
"Amazing WRAL ignores the reality that the rule comes directly from Obamacare and zero mention of the new costs released by the CBO..." - UNC006
Actually these changes Medicaid reimbursement rules for assistance with eating and bathing were put in place 7 years ago during the Bush administration with a implementation date of April 30, 2012.
Why should a much higher rate be paid for one setting (group homes) over private homes. I believe a single rate should be paid no matter what the setting is. The rate that Medicaid was reimbursing group homes for assistance with eating and bathing is a form of fraud itself at over $100K per year. What do they pay the assistants who work in the homes - under $20K per year with a ratio of 1 caretaker to 10 patients on average. Tell me why a group home should be getting over one million dollars per year for each employee who provides assistance with eating and bathing.
tran Mar 14, 2:18 p.m.
"Whatever happened to family responsibility and taking care of our own. Why is it now always up to the state to take care of everyone?"
So we should have children and rear them to become caregivers? like people used their children for farmhands a century ago?
That's an interesting idea and it could work but it it has some implications too.
bill0 Mar 14, 12:57 p.m.
"Yeah really, so you are saying that the DEMS always kept well abreast of every Federal Change. The fact is this change comes down from a Democrat Administration that is controlling these agencies."
Before posting again, please do at least 10 seconds of research. This policy has been on the books for 7 years. It was passed under the Bush administration. Everyone knew it was coming. When it came time to actually implement it here, our legislature dropped the ball. They have already asked for a prior extension and STILL haven't done anything about it.
BTW - the law just says that the feds are just going to reimburse care at 1 rate and not pay more or less depending on the setting. It is really simple. The state can either adopt that policy too OR allocate more state level funding if they want to pay certain caregivers more/less.
Nancy Mar 14, 12:53 p.m.
We're seeing the tip of the iceberg here, it will only get worse as each phase of the ill conceived federal healthcare law is instituted.
whatelseisnew Mar 14, 12:42 p.m.
"Actually, the republicans control both houses and could have easily passed the legislation. They didn't. Part of the job of governing a state is making sure we are in compliance with federal law for these types of programs so we don't lose funding. This law applies to EVERY STATE. Somehow, our legislators are the only ones who can't seem to keep up."
Yeah really, so you are saying that the DEMS always kept well abreast of every Federal Change. The fact is this change comes down from a Democrat Administration that is controlling these agencies. This is simply another example of why these programs are simply evil. A government agency now holds the lives of these people and frankly they could care less as is clearly demonstrated. Where states went wrong was allowing the Feds to hand off these programs in the first place. The Feds suckered them and they went for it.
Crumps Br0ther Mar 14, 12:32 p.m.
Nice try bill. Please remember there are Dems in the State Government that were involved as well."
Yah but when dems do something and mess it up , it's the thought that counts, they get a pass on it, and can move onto the next failure. When its repub the bellyaching reaches fever pitch. If it wasnt for double standards liberals wouldnt have standards at all.
charmcclainlovesdogs2 Mar 14, 12:13 p.m.
This is so sad. I pray something can be done to help these people.
bill0 Mar 14, 11:44 a.m.
"Nice try bill. Please remember there are Dems in the State Government that were involved as well."
Actually, the republicans control both houses and could have easily passed the legislation. They didn't. Part of the job of governing a state is making sure we are in compliance with federal law for these types of programs so we don't lose funding. This law applies to EVERY STATE. Somehow, our legislators are the only ones who can't seem to keep up.
jgriffith3792 Mar 14, 11:29 a.m.
Hope and change! Yes, this is only the beginning and unfortunately is hitting seniors first.
whatusay Mar 14, 11:12 a.m.
UNC006....good point. The liberal news media completely hides Obama Care from the conversation.
piene2 Mar 14, 11:08 a.m.
"The is only the beginning , wait until Obamacare is fully enacted with it's new $ 1.7 trillion price tag...
The only problem with the new healthcare system is that it does not go nearly far enough.
UNC006 Mar 14, 10:37 a.m.
Amazing WRAL ignores the reality that the rule comes directly from Obamacare and zero mention of the new costs released by the CBO...
Bartmeister Mar 14, 10:36 a.m.
It is. There is a federal law and pretty much every other state has adjusted. Our republican NC legislators failed to make the corresponding changes to state law and are now at risk of losing the federal funding. bill0
Nice try bill. Please remember there are Dems in the State Government that were involved as well. Issues like these don't usually have party lines unless they are used as negotiation tools at which time you would have heard about this sooner.
Bartmeister Mar 14, 10:26 a.m.
Another fine example of our elected officials making bad decisions. I'm convinced that no politician voted for this knowing this was a possibility, but it offers an inside view of how our system is broken. No way this goes through..... I hope.
UNC006 Mar 14, 10:14 a.m.
The is only the beginning , wait until Obamacare is fully enacted with it's new $ 1.7 trillion price tag...
whatusay Mar 14, 10:04 a.m.
billO....so you agree, "federal funding" is the problem....controlled by Obama Care....democrats.
bill0 Mar 14, 9:41 a.m.
"I thought it was republicans that were suppose to hate the elderly."
It is. There is a federal law and pretty much every other state has adjusted. Our republican NC legislators failed to make the corresponding changes to state law and are now at risk of losing the federal funding.
whatusay Mar 14, 9:36 a.m.
Isn't GREECE protesting cuts to their welfare and entitlement services? Aren't they bankrupt because of continued increases in entitlement and welfare programs? Same will eventually happen to us. What happened to these seniors before medicaid, before LBJ introduced his "GREAT SOCIETY" welfare programs of Medicare and Medicaid, that are not destroying this country.
whatusay Mar 14, 9:33 a.m.
retroconsultant, 4000 getting $414M is fuzzy math by those trying to defend the cut. If those numers are correct I suspect administrators are using the vast majority of that $414M on other services, not to help the elderly.
aetius476 Mar 14, 9:13 a.m.
"I'm SURE my 89 year old mother will be able to find a job even though she can't see or hear!!" - marilynglover
Whatever happened to family responsibility and taking care of our own. Why is it now always up to the state to take care of everyone?
I cared for, or paid someone to help care for, both my parents in their last years. If someone has no one to care for them so be it, the state should step in. Otherwise, we are just expecting others to take on our responsibilities, and strangers to care for our families. Enough already!
tayled Mar 14, 8:59 a.m.
If we as individuals treated our elderly and infirm relatives this way, we would be arrested for elder abuse. Now the state is de facto legalizing it by refusing to help some of its most vunerable citizens.
jeffjohnson123 Mar 14, 8:53 a.m.
I'm sorry, but subsidies are driving us to bankruptcy.
It would however be better if our legislators removed holes in our tax laws that allow somoene like Etheridge to draw more money in social security than he paid in taxes on his 200,000+ earnings for 2011. He paid only slightly more than I did in taxes and earns nearly 3 times as much.
Our economy will collapse with leadership of this sort. They place themselves ahead of those they were elected to serve.
piene2 Mar 14, 8:11 a.m.
Hopefully the cuts will not go through. They did the same thing concerning Medicare payments to doctors but thankfully that too died on the vine.
5Rs Mar 13, 7:56 p.m.
So according to the news report at 6, there are 4000 getting $414M, or over $100,000 each. That would be excessive if the report is accurate.
See Chart Mar 13, 7:54 p.m.
This is so very sad truly it is my belief that we down the road
will need so much more money as on one side we keep people living
longer and the other we refuse to think of the future when they
will need 24/7 care.
marilynglover Mar 13, 7:48 p.m.
No problem! I'm SURE my 89 year old mother will be able to find a job even though she can't see or hear!!
American56 Mar 13, 7:47 p.m.
AMEN.....lisaclark2!!!!! My sentiments exactly.....and more!!!!
westernwake1 Mar 13, 7:44 p.m.
"Group homes have more regulations concerning staffing, facilities, etc than a private home...." - miseem
Private homes are normally dealing with a 1 to 1 caretaker/patient ratio. Group homes usually have a ratio of 1 care-taker to 10 patients. Even with 24 hour coverage, regular checks on sanitation, medication, etc. - the cost for assistance with eating and bathing should be LESS than the "cost" for care in a private home. In most European countries the cost for a patient in a group home is much less than the US. In the US the payments are all consumed by the greedy owners/executives of these group homes while pay for the staff remains dismal. Naturally the provided care is less than optimal by unmotivated staff members.
The solution cut the excessive payments to group homes for eating and bathing, unless they can demonstrate why they should be reimbursed at over $100,000 per year for each patient.
jet2rdu Mar 13, 7:36 p.m.
Not only are fed rule changes threats to group home funding, it will get much worse.
Today, March 13, the Congressional Budget Office (CBO) released new Obamacare projections from 2013 extending through 2022. It sure looks like 13 is not the Prez's lucky number.
The results are in, as just as Obamacare critics expected, the 10 year cost of the law's core provisions to expand health insurance coverage has now ballooned to $1.76 Trillion, almost Double Obama and the Dem's projections.
That's because we now have estimates for Obamacare's first 9 years of full implementation, rather than the mere 6 when it was rushed to be signed into law. Only next year will we get a true 10 year cost estimate, if the law isn't overturned by the Supreme Court or repealed by then. Given that in 2022, the last year available, the gross cost of the coverage expansions are $265 billion, we're likely looking at about $2 Trillion over the first decade, or "More Than Double" what Obama advertised.
sicsempertyrannis Mar 13, 7:35 p.m.
I thought it was republicans that were suppose to hate the elderly.
theertwinger Mar 13, 7:27 p.m.
Hey bev how about an assisted living lottery ???
theertwinger Mar 13, 7:24 p.m.
So America hows that Hopey Changey Obamy Care thingy working out for ya ???
heidione40 Mar 13, 7:20 p.m.
Criminals in prison are treated better than our disabled and elderly. Looks like the disabled and elderly are all going to have to commit crimes and go to prison to receive adequate care!
lrevans316 Mar 13, 7:20 p.m.
That is so sad. Heartbreaking!
miseem Mar 13, 7:19 p.m.
Western - read the article. Group homes have more regulations concerning staffing, facilities, etc than a private home. Of course, who needs regulations, such as having staff on duty 24 hours a day, regular checks on sanitation, making sure patients receive proper medication and care, room sizes, so on and so forth. Private homes generally involve a family member, so there is usually more motivation to ensure good care, but sometimes private care is not an option, either due to no reliable family, need for family to work, or the extent of the persons health problems. What do you suggest then?
Uhavenoclu Mar 13, 7:12 p.m.
Looks like the state is going to make Meals on Wheels put on jet skis and get out of here.
westernwake1 Mar 13, 6:43 p.m.
So is there some reason that group homes can not accept the same rate for Medicaid patients who live in private homes?
Seems like there should be one common rate for assistance with eating and bathing.
mikeyj Mar 13, 6:39 p.m.
Also codeblueemt is right, anybody can open a group home.
March 13, 2012 6:28 p.m.
I am mixed on this. a downs girl I have now 20. I understand cuts need to be made. I often wonder just how many people open a group home and take advantage of these "non understanding" by robbing their SSI or disabilty dollars. My girl receives SSI I can not understand why that income is not being taxed for SS. That way the recipients at age 7-25 YO are still recirculating their monies for when they are on medicare. Just me I reckon.
alwayslovingu30 Mar 13, 6:35 p.m.
ceo's collect heavy money for bonusus an heavy salarys..homes for eldely an mentaaly challenged would almost cease to exest.so I gues the goverment doesnt care.when you need A rest home you might as well die that seems to be the goverment view
Jimmy_Phillips_was_here Mar 13, 6:29 p.m.
I don't know why politicians are divided into two groups when they all sport "MULE EARS!"
kimcphttech Mar 13, 6:28 p.m.
This story needs to be clarified. Group homes are completely different from assisted living facilities. Also, special care units provide full care under lockdown so Dementia patients cannot wander away. I work in this line of work. Also codeblueemt is right, anybody can open a group home.
5Rs Mar 13, 6:25 p.m.
Typical of today's reporting, not enough detail to have a clue about what is going on. How much are they paid today, what are the new rates, what is the significance?
seenbetterdaze Mar 13, 6:23 p.m.
Don't forget that Obama Care is CUTTING $500 BiLLION from Medicare...which WE pay for during our working years. And as the Fed. Gov. runs out of money, Social Security will be cut too. See how that works out? Socialism always FAILS when they run out of other people's money. As the Boomers retire, fewer JOBS mean fewer people PAYING into Social Security.
lisaclark2 Mar 13, 6:18 p.m.
but we can still afford to take care of young people having children... pay their rent, feed them... Who can we cut from these people who really need help?
eoglane Mar 13, 6:06 p.m.
At the top as always, going to take care of the American People. That talk is not worth a dime. But well will borrow from other countries to give to other countries. How about lets take care of the American People for a change. I really do not see that happening. The US always looks out for everyone but their own
perle Mar 13, 5:56 p.m.
What about medicare and medicaid FRAUD. I just read last month about a doctor in texas who cheat the system out of $375 million dollars, and he is not the first one.
Mar 13, 5:55 p.m.
The state needs to take a look at their group home certification process. Anybody can open a group home, and beleive me, they do. Nice little racket actually.
muggs Mar 13, 5:53 p.m.
Our government has turned into a faceless force that inflicts on us whatever they desire but will not send one individual to the front of the confrontation,rather they all hide behind the cloud of confusion that they work under,they give away that which is not theirs to give to those undeserving yet deny those that are and all done without one person being made accountable more of a group participation to lesson the guilt of all.
Published: 2008-01-11 14:37:00
Updated: 2010-06-21 13:53:03