Today, Cheshire Medical Center in Keene, NH, joined nine other New Hampshire health facilities, including Dartmouth-Hitchcock, and New Hampshire Medicaid patients to file suit against the State of New Hampshire seeking ‘declaratory and injunctive relief’ from budgeted cuts in Medicaid reimbursements. The lawsuit was filed against Nicholas A Toumpas, in his official capacity as Commissioner of the New Hampshire Department of Health and Human Services, seeking relief from dramatic new NH Medicaid reimbursement reductions. The suit, filed today in US District Court in Concord, claims that the state is violating the Medicaid Act by not providing sufficient reimbursement to hospitals and their physicians providing care to Medicaid patients. Medicaid is a federal/state partnership and New Hampshire is not fulfilling its legal obligations under this joint program.‘Cheshire Medical Center entered into this lawsuit on behalf of our patients and all Monadnock Region community members,’ stated James Putnam, Chairman, CMC Board of Trustees. ‘With passage of its new budget, the state has directly impaired the ability of the hospital to provide access to quality health care for all patients. In addition, important inpatient services may need to be eliminated in order to maintain core services for our community.’Under the current state budget, which went into effect July 1, hospitals are assessed a 5.5 percent ‘Medicaid Enhancement Tax’ (MET) on net patient service revenues. Over the course of the two-year budget, the state’s hospitals would be taxed more than $250 million. Cheshire Medical Center expects to be taxed up to $7.9 million this year alone, and it now faces the prospect of paying more to the state of New Hampshire than it receives in Medicaid reimbursements for caring for patients. In its declaration in support of the complaint for relief, Cheshire Medical Center alleges that, since 2008, NH Medicaid has implemented multiple reductions in reimbursement rates to CMC without following proper procedures under federal law. Through 2010, CMC saw a reduction of $4.3 million in payments for services to Medicaid patients and it projects that it will lose an additional $7.6 million through 2013 if the State continues these same rate reductions.Additionally, later this year, the state will eliminate supplemental payments made to some NH hospitals, including Cheshire Medical Center, under the Disproportionate Share Hospital (DSH) program. These payments have been historically funded by hospitals through the Medicaid Enhancement Tax, which remains in effect, but the payment rate will be decreased by 60 percent, costing CMC $14.1 million through 2013.The total impact of the NH Medicaid rate reductions to Cheshire Medical Center from 2008 through 2013 is a decrease in payments of over $26 million. Cheshire Medical Center will be subject to up to $7.9 million for the Medicaid Enhancement Tax on top of the approximately $5 million it loses in under-compensated care provided to New Hampshire Medicaid patients. New Hampshire, which has one of the lowest Medicaid reimbursement rates in the nation, reimbursed CMC only $3 million of its costs in fiscal 2010, against $8 million in care provided by the hospital to state Medicaid patients.In preparing its 2012 budget, CMC is targeting a $2 million deficit. To achieve this target, CMC projects that it will need to reduce personnel and non-personnel costs by approximately $4 million. The details of the plans are being developed as part of the medical center’s budget process which concludes in September. Possible future budget reductions include eliminating some inpatient services and limiting acceptance of new Medicaid and uninsured patients for some outpatient programs.John Schlegelmilch, M.D, Chief Medical Officer for CMC/D-HK, stated, ‘Cheshire Medical Center/Dartmouth-Hitchcock Keene has always provided the same quality care for community members regardless of their ability to pay. The idea that we may need to limit acceptance of new Medicaid patients for certain types of care really upsets me. These changes may be necessary, however, in order to allow us to continue to serve the greater Monadnock community with our core inpatient, emergency, diagnostic and treatment services.’The nine other health care facilities initiating the suit are Elliot Health System, Catholic Medical Center, Wentworth-Douglass Hospital, Exeter Health Resources, Inc., Southern New Hampshire Health Systems, St. Joseph Hospital of Nashua, N.H., LRG Healthcare, Frisbie Memorial Hospital and Dartmouth-Hitchcock Clinic and Mary Hitchcock Memorial Hospital (d/b/a Dartmouth-Hitchcock). NH Medicaid patients are also a party to the litigation under the name, John Doe. The parties argue that the ability of hospitals to serve Medicaid, uninsured and all patients will be seriously threatened as they cope with and try to absorb over $250 million in spending reductions that were enacted as part of the recent NH state budget.Steve Ahnen, President of the New Hampshire Hospital Association, stated that, ‘hospitals understand the economic challenges our state is facing and have long sought to create a responsible budget that would spur economic growth, create jobs and maintain essential services to our state’s most vulnerable citizens. Unfortunately, the recently-enacted state budget is simply too great a burden to bear for hospitals, their patients, and the communities they serve.’Cheshire Medical Center/Dartmouth-Hitchcock Keene is a nonprofit community 169-bed acute care hospital and multispecialty group practice representing twenty-six primary care and specialty areas. Our mission is to lead our community to become the nation’s healthiest through our clinical and service excellence, collaboration, and compassion for every patient, every time.
Mikel Arteta responds to Arsenal’s link with Atletico Madrid midfielder Thomas Partey Thomas Partey has a €50 million release clause in his deal with Atletico Madrid (Getty Images)‘Whether we’re able to do it the way we want, that will be a different story.‘But my focus right now is just to improve the team, get the results that we need to give us the best chance possible to get into Europe, convince the players that this is the right place for them and the right environment, and then work from there.’More: FootballRio Ferdinand urges Ole Gunnar Solskjaer to drop Manchester United starChelsea defender Fikayo Tomori reveals why he made U-turn over transfer deadline day moveMikel Arteta rates Thomas Partey’s chances of making his Arsenal debut vs Man CityMeanwhile, Atletico Madrid boss Diego Simeone admitted that Partey has attracted interest from several clubs in Europe due to his excellent performances.‘Thomas is the one who best understands this position and the transition from defence to attack, shooting, scoring, providing assists and playing passes between the lines,’ Simeone said.‘When he’s at his best level consistently, he’s so good that all the best teams in Europe are looking at him.’Follow Metro Sport across our social channels, on Facebook, Twitter and Instagram. For more stories like this, check our sport page. Advertisement Advertisement Metro Sport ReporterWednesday 17 Jun 2020 2:48 amShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link7.2kShares Comment Mikel Arteta admits Arsenal’s transfer plans may change after being linked with Thomas Partey (Getty Images/Arsenal)Mikel Arteta has suggested Arsenal’s transfer plans may need to be adapted this summer after the club were linked with a move for Atletico Madrid midfielder Thomas Partey.The coronavirus pandemic has already hit the finances of clubs across Europe, while Arsenal’s transfer budget could be restricted even further if they fail to make next season’s Champions League.However, reports have claimed that Arteta has made Partey one of his priority signings for the summer, while the Gunners are reportedly ready to trigger the midfielder’s €50 million (£42m) release clause and offer him a significant raise on his current salary.AdvertisementAdvertisementPartey’s father has also claimed that Arsenal have made an approach ahead of the summer window.ADVERTISEMENTBut when asked if spending €50m on a midfielder is realistic for Arsenal in the current climate, Arteta replied: ‘Well the plans I had were not obviously considering the coronavirus and all the side effects that it has had.‘We know what we have to do to improve the team, that’s for sure.
AP4’s chief executive Mats Andersson predicted that low carbon investments would become “more popular and mainstream”.“AP4 plans to invest with its partners up to €1bn in these new low-carbon investments,” he added.“Combined with a carbon footprint disclosure, we are confident this approach can offer an alternative source of return while working for the public good.”The Swedish buffer fund has gradually been shifting 10% of its global equity exposure into low-carbon shares, and wishes to avoid “companies that have the greatest and most negative impact on the environment in terms of carbon dioxide”, according to its most recent half-yearly report.The report added that it was AP4’s “ambition” to shift its entire equity portfolio towards a low-carbon strategy.As of the end of June, the fund had SEK276bn (€30bn) in assets, with 41% in global equities and a further 19% in Swedish stocks.Yves Chevalier and Olivier Rousseau, members of the executive board of the €36.6bn FRR, added that low-carbon indices were a “promising avenue” for making companies aware of how important investors consider issues surrounding their carbon footprints.“We see them as a new, pragmatic and powerful addition to FRR’s climate toolbox,” they said, pledging to allocate up to €1bn to the strategy.In a further statement on its website, FRR highlighted its long-lasting commitment to sustainable investing and noted that it had been measuring the environmental impact of its portfolio since 2007.In the wake of the move, it also undertook a study to assess how global warming would affect its portfolio, projecting the impact of climate change on portfolio returns through to 2040. AP4 and Fonds de Réserve pour les Retraites (FRR) have assisted MSCI with the development of a new low-carbon equity index that both investors said could be the basis for a new €1bn portfolio.The new benchmark, the MSCI Global Low Carbon Leaders index, is based on the firm’s existing All Country World index and seeks to take into consideration carbon emissions and fossil fuel reserves.The company said in a statement: “While selecting companies with a lower carbon exposure, the indexes aim to maintain a wide and consistent market exposure by minimising the tracking error compared with the performance of the parent standard indexes.”French asset manager Amundi also worked with MSCI and the two other institutions to develop the index.
Indianapolis, In. — After receiving support in the House and Senate, Republican state representative from Greensburg Randy Frye’s legislation calling for more oversight for Indiana’s Military Family Relief Fund could soon become law.The fund is a dedicated account that receives money through donations and the purchase of veteran license plates like “Support the Troops.” Those eligible for emergency grants through the fund include deployed or recently deployed Indiana National Guard Members and members of the Selected Reserves. These emergency grants may be used by families to assist in food, housing, utilities, medical services and transportation expenses.“We saw the need to put guidelines in statute ensuring fair and equal distribution of grant funds to all qualified veterans in need of assistance,” Frye said. “This legislation puts guardrails in place to ensure the fund is handled with accountability and transparency.”Frye said employees of the Indiana Department of Veterans’ Affairs would have to submit their requests for assistance from the fund to the Indiana Veteran’s Affairs Commission, which consists of seven members appointed by the governor.According to Frye, this assistance could not exceed $2,500 for each application to ensure that funds are distributed fairly. However in rare cases, the Indiana Veterans’ Affairs Commission could increase that amount.House Enrolled Act 1257 is now eligible for action by the governor. For more information, click here.
THE opening ceremony for the “Hit it for 50” Schools Windball Cricket competition is set for this morning at the National Gymnasium in Georgetown.According to information from the organisers, Chairman of the Forbes Burnham Foundation, Vincent Alexander, and Director of Sport, Christopher Jones, will join officials of the AL Sport and Tour Promotions at the ceremony, which is scheduled to start at 10:45hrs.Several of the schools which will compete from today have had practice matches.Leading up to the clash, Vreed-en-Hoop Secondary windball cricketers were able to defeat Charlestown Secondary in a female battle. Batting first in the clash, Vreed-en-Hoop raced to 90-1 with Tricia Singh leading the attack with 52.Charlestown could not match Singh’s score and fell for 51-4. Brower finished with 20.Bowling for Vreed-en-Hoop, Singh took 2-6.In another clash, East Ruimveldt Secondary were able to defeat the females from School of the Nations.Nations batted first and scored 63-1 with Y. Noble hitting 22. East Ruimveldt replied with 64-1, with Shania Kingston hitting 28.Richard Ishmael Secondary were able to muscle past Soesdyke Secondary when they battled. Soesdyke batted first and scored 70-1, with A. David hitting 30, while Richard Ishmael replied with 72-0.Camille’s Academy also claimed a victory batting second. After K. London had scorched the Gymnasium with an aggressive 61 to lead Tucville Secondary to 81-1, the eventual winners replied with 84-1. Shani Jackson led the way with 26.Camille’s Academy also claimed a victory in the male competition. School of the Nations batted first and scored 42-3 (K. Moonsammy 15), while Camille’s Academy replied with 47-0 (R. Blair 28)In another male clash, Queenstown Secondary batted first and reached 58-1 with John Warrell hitting 27, but Tucville Secondary overhauled the score to finish at 61-0. Dwayne Jones led the attack with 36.Meanwhile, Brickdam Secondary were able to defeat Goed Fortuin in their clash. Goed Fortuin batted first and scored 69-2 before Brickdam replied with 71-2.Soesdyke Secondary male team, led by E. Patterson won their clash batting first. Soesdyke posted 90 without loss with Patterson hitting 53, while Vreed-en-Hoop were routed for 60-1. Amar Dhaniram scored 28.Zeeburg Secondary won the girls’ final last year, while in the male battle, the Mae’s School was crowned champions of 2019.
“He’s an excellent player,” Telesco said. “He’s tough. Great work ethic. Represents the organization extremely well. But he’s not here. I understand his thoughts and opinions on what he’s going through. I always look at the player’s side. I can see it. Doesn’t mean I agree with it, but I can kind of see what his thought process is.”The Chargers have two preseason games remaining before they host the Colts in Week 1 action Sept. 8. Chargers QB Philip Rivers ‘pulling for’ Melvin Gordon to get his deal Melvin Gordon, who is nearly five weeks into a holdout, told ESPN he is training rigorously in Calif. and staying ready to play football. He wants to play but continues to wait for a resolution, doesn’t want to discuss the contract. “Just waiting on the call,” he said.— Jeremy Fowler (@JFowlerESPN) August 19, 2019The Chargers originally selected Gordon out of Wisconsin with the No. 15 pick in the 2015 draft. He has rushed for 3,628 yards and scored 38 total touchdowns during his four-year career.“Look, we drafted Melvin in the first round for a reason,” Chargers general manager Tom Telesco told reporters at the start of training camp, via the Southern California News Group. “Traded up to take him. Obviously, we value him and the position to do that and we would like to sign him to an extension.“Do I condone holding out? No, I don’t condone (it). But I think he’s been pretty professional with his comments from what I’ve seen.”Gordon has one year remaining on his rookie contract, which will pay him about $5.6 million, according to Spotrac. Gordon, however, recently told ESPN he is staying ready to play by working out “rigorously” in California. “Just waiting on the call,” said Gordon, who is reportedly prepared to sit out the entire season if a resolution isn’t reached. Related News Melvin Gordon’s holdout continues. The 26-year-old running back is seeking a new contract or a trade away from the Chargers and has stayed away from the team’s facility for the entire preseason. Philip Rivers: Tom Brady, other elite QBs can’t be judged solely by Super Bowl wins Derwin James injury update: Chargers’ star safety (broken foot) to miss 3-4 months, report says
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