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The 8th District Debate – 10/28 at 7 PM
Thanks to Put B.
CityClub is one of the participating organizations. The debate will be held at CWU, and broadcast on KING, KOMO, FOX13, KUOW and KCTS9.
As you no doubt know, the candidates are Matt Larkin (R) and Kim Schrier (D).
Many Skyline residents might like to watch this even though we aren’t located in the 8th.
Posted in Politics
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Freeway Park annual autumn neighborhood clean-up
This Saturday, October 15th, join the Freeway Park Association and First Hill Improvement Association for our annual autumn neighborhood clean-up! Help us beautify our community by picking up litter around Freeway Park and the First Hill neighborhood.
Trash bags, trash pickers, coffee and treats will be provided. Participants are encouraged to join us for the full two hours, or just as long as you’re able to help out. Meet in Freeway Park’s Seneca Plaza at 10am (closest entrance at 600 Seneca Street).
A flyer for the event is attached.
Thanks,
Shane Crawford (he/him)
Operations Coordinator
Posted in In the Neighborhood, Parks
1 Comment
‘The Cash Monster Was Insatiable’: How Insurers Exploited Medicare for Billions
Ed note: Privatizing Medicare has perverted the incentives to provide good care at a reasonable cost. The insurance companies quickly discovered if they could claim (often fraudulently) that its enrollee patients had multiple sickness, they could rake off huge profits from Medicare. This article exposes the need for reform.
By next year, half of Medicare beneficiaries will have a private Medicare Advantage plan. Most large insurers in the program have been accused in court of fraud.
By Reed Abelson and Margot Sanger-Katz Oct. 8, 2022 in the New York Times
The health system Kaiser Permanente called doctors in during lunch and after work and urged them to add additional illnesses to the medical records of patients they hadn’t seen in weeks. Doctors who found enough new diagnoses could earn bottles of Champagne, or a bonus in their paycheck.
Anthem, a large insurer now called Elevance Health, paid more to doctors who said their patients were sicker. And executives at UnitedHealth Group, the country’s largest insurer, told their workers to mine old medical records for more illnesses — and when they couldn’t find enough, sent them back to try again.
Each of the strategies — which were described by the Justice Department in lawsuits against the companies — led to diagnoses of serious diseases that might have never existed. But the diagnoses had a lucrative side effect: They let the insurers collect more money from the federal government’s Medicare Advantage program.
Medicare Advantage, a private-sector alternative to traditional Medicare, was designed by Congress two decades ago to encourage health insurers to find innovative ways to provide better care at lower cost. If trends hold, by next year, more than half of Medicare recipients will be in a private plan.
Soon, Half of Medicare Will be Privatized Medicare Advantage is on track to enroll most Medicare beneficiaries by next year.
But a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to inflate their profits by billions of dollars.
The government pays Medicare Advantage insurers a set amount for each person who enrolls, with higher rates for sicker patients. And the insurers, among the largest and most prosperous American companies, have developed elaborate systems to make their patients appear as sick as possible, often without providing additional treatment, according to the lawsuits.
As a result, a program devised to help lower health care spending has instead become substantially more costly than the traditional government program it was meant to improve.
Eight of the 10 biggest Medicare Advantage insurers — representing more than two-thirds of the market — have submitted inflated bills, according to the federal audits. And four of the five largest players — UnitedHealth, Humana, Elevance and Kaiser — have faced federal lawsuits alleging that efforts to overdiagnose their customers crossed the line into fraud.
The fifth company, CVS Health, which owns Aetna, told investors its practices were being investigated by the Department of Justice.
In statements, most of the insurers disputed the allegations in the lawsuits and said the federal audits were flawed. They said their aim in documenting more conditions was to improve care by accurately describing their patients’ health.
Many of the accusations reflect missing documentation rather than any willful attempt to inflate diagnoses, said Mark Hamelburg, an executive at AHIP, an industry trade group. “Professionals can look at the same medical record in different ways,” he said.
The government now spends nearly as much on Medicare Advantage’s 29 million beneficiaries as on the Army and Navy combined. It’s enough money that even a small increase in the average patient’s bill adds up: The additional diagnoses led to $12 billion in overpayments in 2020, according to an estimate from the group that advises Medicare on payment policies — enough to cover hearing and vision care for every American over 65.
Posted in Health
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Biden Releases Marijuana Offenders from Prison to Make Room for Trump Administration
Thanks to Pam P.
Posted in Uncategorized
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October baseball is here!
Thanks to Mike C.
Posted in Sports
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Holocaust survivor Francine Christophe shares her story
Thanks to Pam P.
In this video interview with Francine Christophe, a Holocaust survivor, you will learn about her experience as an eight-year-old Jewish girl at Bergen-Belsen camp. You’ll be amazed to learn about her selfless act, and the great reward that she experiences years after being liberated.
Posted in Caregiving, Essays, History, Mental Health, Social justice, War
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Theater of War
Thanks to Ann M.
Posted in Social justice, War
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Update from Heather Cox Richardson
Thanks to Diane C.
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Posted in Government, Politics
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Will the last one ever fall?
Posted in Government, Politics
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Mayor Bruce Harrell Releases Proposed 2023–2024 Human Services Department Budget
Today, Mayor Bruce Harrell released the 2023–2024 Proposed Budget for the City of Seattle. This budget reflects Mayor Harrell’s continued commitment to bold action on the priorities of our communities—investing to address urgent needs and emphasizing the essentials as we build One Seattle.
Mayor Harrell’s proposal invests in creating safe, healthy, and thriving communities by supporting efforts to deliver effective public safety, build housing, address the homelessness crisis, and drive opportunity and equity for all. This budget responds to the City’s ongoing and long-term revenue gap, as expenditures continue to exceed General Fund revenues, balancing immediate priorities with the resources available to respond and by identifying improvements and efficiencies.
With the investments in this budget proposal, we can work together to advance our shared One Seattle vision and an agenda that will inspire the best in our city and keep us moving forward. Thank you to all HSD staff and our community providers for your partnership in this work.
Human Services Department (HSD) is allotted $305M in the 2023–2024 Proposed Budget. The budget aligns with the Mayor’s top commitments of investing in community safety for all ($47.3M) and addressing homelessness with urgency and compassion ($108M). Further investments will aid the department in strengthening Seattle’s safety net through senior nutrition, increasing early learning capacity, and expanding community health.
The following is a summary of some of HSD’s key changes in the 2023–2024 Proposed Budget:
- Community Safety Investments: The proposed budget prioritizes continued investments in safe communities and provides $5.8M in ongoing funding that address gun violence and community safety concerns; $1.4M in ongoing funding to continue programs supporting individual rejoining the community post incarceration; $1.25M in ongoing funding to support the Co-LEAD program; and a $1.25M one-time investment to open tiny house villages for Co-LEAD clients.
- Homelessness Investments: The City’s support for individuals experiencing homelessness is continued through $1.3M of ongoing funding to expand the Unified Care Team and increase system navigation support by 150 percent—helping individuals experiencing homelessness connect with shelter and services; $3.38M of ongoing funding for safe parking programs; $2.6M of one-time funding to establish new safe parking sites; $2.4M to open and operate new Tiny House Villages; and $1.2M to sustain operations at tiny house villages funded with one-time funding in 2022. Homelessness investments also include $88M to the King County Regional Homelessness Authority for outreach, shelter, and other critical programs. Excluding last year’s one-time federal dollars, this represents a 13 percent increase in the City’s investment in KCRHA.
- Senior Nutrition: The City is investing in nutritious meals for all through $100K in ongoing funding to expand senior home delivered meals services.
- Early Learning Capacity: The City is creating additional capacity for early centers through a $5M one-time investment in the development of the Rainier Valley Early Learning Campus.
- Community Health: The City is supporting a healthier Seattle for all through $250k ongoing funding for reproductive healthcare access and $335k one-time funding in 2023 and 2024 for the Healthy Seattle Initiative.
- Inflationary Increase for Community-Based Agencies: The City is providing an inflationary increase of nearly $7.3M in the proposed 2023 budget and $14.9M in 2024 for HSD’s contracted service providers to support equitable pay for employees and organizational capacity.
Over the next two months, the City Council will review the Mayor’s proposed budget. Public hearings are scheduled on Oct. 11, Nov. 8, and Nov. 15. Final adoption of the budget is expected on Tuesday, Nov. 22.
More information about details in the budget can be found at www.seattle.gov/budget. You can direct questions to MOS_COMMS@seattle.gov.
Posted in Advocacy, Government, Homeless, Poverty
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What’s going on at 707 Terry?
It seems kind of quiet at the twin “leaning” towers across from the Frye. Does anyone have specific information on the absence of workers there?
There are currently 24 active liens at this address with a reported total value of $53,237,520.54. Click here for the details.
Posted in In the Neighborhood
3 Comments
Deciding to Move
We have all been through this decision-making process, of whether to move to a CCRC. And many of us have tried to advise friends on important considerations when shopping around. We were doing that again today when I recalled a memo on the subject that I had written in 2011, the night after we signed the big check. It is at http://williamcalvin.com/deciding/.
It is outdated. It is also just our singular experience, not something that others have expanded. I am posting it now to encourage WACCRA and SRA committees to modernize it and make sure it can be found on a web search. This will need a leader, and not me (climate, alas).
Deciding to Move
• Available as: Spreadsheet, slides, PDF of slides.
• Why?
• You wouldn’t be here if you hadn’t progressed beyond Why.
• When?
• Similarly, you’ve already figured out that you can’t just “Wait until I need it.”
• Move before you lose your energy or it will be twice as hard on your spouse.
• Where?
• Avoid having to move yet again, should you need more services.
• Don’t want to lose your new friends.
Healthcare Considerations
• Is there “Medicare A” Skilled Nursing for post-op care? (Not at Horizon House.)
• Is there a nurse on call 24/7 to make urgent house calls, not just a Day Clinic? (Horizon House has 24/7 RN to call; Skyline just calls 911 and lets the medics sort it out.)
• Do physicians keep office hours on-site an afternoon a week? Dentists? Social Workers? (Horizon House does.)
So you will need to spend time talking to residents. Go visit, over and over.
• Ask them for stories of something that didn’t work out well for someone.
• Ask them how the healthcare works in practice. Any disappointed expectations?
• Ask them how responsive the Administration is. Do they just respond to problems by making more rules?
The Residents tend to be boosters….
• If they like you, they will hope that you will move in.
• They’ve made their big decision and may be justifying it to themselves.
• Since that’s true no matter where you visit, it doesn’t give you differences to go on.
• You have to dig for the differences, the ones you can’t just tabulate in a comparison table.
Getting Past the Stock Answers
It’s not that you can’t get a straight answer from a resident or marketing person.
• But they do tend to talk in generalities suitable for visitors. They will tell you Policy when what you need to know is the Practice.
• You have to convince them that you need to know where the problems are, in order to do a fair comparison.
Dig for the Differences
• So ask the officers of the Residents’ Council what issues they have been taking up with the powers-that-be.
• Were they put off? Told the Board of Trustees would never buy it?
• Do they describe the Administration as eager to please, willing to be flexible?
Bundling can be hard to unbundle.
• Difference between 90% Refundable and Amortize in five years should be about what a life insurance policy costs for the 90%.
• Long-term care insurance, similarly.
• Cost comparisons are hindered by different bundling for phone, housecleaning, and meal allowance.
Posted in Aging Sites, CCRC Info, Civic Engagement Group, WACCRA
6 Comments
Shanah Tovah (Oklahoma style)
Thanks to Mary Jane F.
They Were Entitled to Free Care. Providence Hounded Them to Pay.
Ed Note: This article raises the question about the blurred lines between a non-profit and for-profit organization. Some non-profits, like the Providence system, enjoy huge tax brakes and may not living up to their mission, moral or legal responsibilities.
On another note, a local non-profit, which may be of interest, has filed its publicly required 990 tax return.
From the New York Times by Jessica Silver-Greenberg and Katie Thomas
With the help of a consulting firm, the Providence hospital system trained staff to wring money out of patients, even those eligible for free care.
In 2018, senior executives at one of the country’s largest nonprofit hospital chains, Providence, were frustrated. They were spending hundreds of millions of dollars providing free health care to patients. It was eating into their bottom line.
The executives, led by Providence’s chief financial officer at the time, devised a solution: a program called Rev-Up.
Rev-Up provided Providence’s employees with a detailed playbook for wringing money out of patients — even those who were supposed to receive free care because of their low incomes, a New York Times investigation found.
In training materials obtained by The Times, members of the hospital staff were instructed how to approach patients and pressure them to pay.
“Ask every patient, every time,” the materials said. Instead of using “weak” phrases — like “Would you mind paying?” — employees were told to ask how patients wanted to pay. Soliciting money “is part of your role. It’s not an option.”
If patients did not pay, Providence sent debt collectors to pursue them.
More than half the nation’s roughly 5,000 hospitals are nonprofits like Providence. They enjoy lucrative tax exemptions; Providence avoids more than $1 billion a year in taxes. In exchange, the Internal Revenue Service requires them to provide services, such as free care for the poor, that benefit the communities in which they operate.
But in recent decades, many of the hospitals have become virtually indistinguishable from for-profit companies, adopting an unrelenting focus on the bottom line and straying from their traditional charitable missions.
To understand the shift, The Times reviewed thousands of pages of court records, internal hospital financial records and memos, tax filings, and complaints filed with regulators, and interviewed dozens of patients, lawyers, current and former hospital executives, doctors, nurses and consultants.
The Times found that the consequences have been stark. Many nonprofit hospitals were ill equipped for a flood of critically sick Covid-19 patients because they had been operating with skeleton staffs in an effort to cut costs and boost profits. Others lacked intensive care units and other resources to weather a pandemic because the nonprofit chains that owned them had focused on investments in rich communities at the expense of poorer ones.
And, as Providence illustrates, some hospital systems have not only reduced their emphasis on providing free care to the poor but also developed elaborate systems to convert needy patients into sources of revenue. The result, in the case of Providence, is that thousands of poor patients were saddled with debts that they never should have owed, The Times found.
Founded by nuns in the 1850s, Providence says its mission is to be “steadfast in serving all, especially those who are poor and vulnerable.” Today, based in Renton, Wash., Providence is one of the largest nonprofit health systems in the country, with 51 hospitals and more than 900 clinics. Its revenue last year exceeded $27 billion.
Posted in Business, Health, Law, Uncategorized
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Bar etiquette
Thanks to Mike C.
A Portuguese, Spaniard, Dane, Finn, Swede, German, French, Italian, Belgian, Austrian, Czech, Polish, Russian, Afgani, Serbian, Brit, Irish, Scot, Sardinian, Corsican, Icelander, Belarian, Romanian, Yugoslavian, Hungarian, Ukrainian, Bulgarian, Turk, Morrocan, Algerian, Liberian, Sudanese, S. African, Zambian, Ethiopian, Bosnian, Nigerian, Angolan, Botswanian, Tanzanian, Saudi Arabian, Kuwaiti, Iranian, Iraqi, Pakistanian, Mongolian, Indian, Burman, Chinese, Cambodian, Laotian, Somalian, Yemen, Syrian, Israeli, Armenian, Philipino, Javan, Australian, Sri Lankan, Malaysian, Georgian, Taiwanese, Japanese, Vietnamese, Puerto Rican, Dominican Republican, Aruban, Jamacian, Cuban, Haitian, El Salvadorian, Guatamalan, Nicaraguan, Costa Rican, Panamanian, American, Canadian, Mexican, Argentinian, Chilean, Bolivian, Peruvian, Columbian, Brazilian, Ecuadorian and a Venezuelan walk into a bar. The bartender looks up and says, “Sorry. I cannot serve you without a Thai.”
Posted in Humor
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Hey Mariners, check your rear view mirror!
Thanks to Mike C.
Posted in Sports
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Trump Demands Special Master Be Fired and Replaced with Extra-Special Master
Thanks to Pam P.
Posted in Crime
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45 Major Companies Commit to Hiring Over 20,000 Refugees at Tent Business Summit
Thanks to Pam P.
NEW YORK, September 19, 2022 – With the United States welcoming tens of thousands of refugees from Afghanistan, Ukraine, and other crises, today, dozens of America’s largest employers and best-known brands are announcing new commitments to hire 22,725 refugees in full time positions in the U.S., helping to advance the economic and social integration of refugees across the country. This is the most significant set of business commitments in support of refugees on record.
The U.S. Business Summit on Refugees, organized by the Tent Partnership for Refugees (Tent) — a network of 260 major businesses committed to supporting the economic integration of refugees — brings together leading companies including Amazon, Hilton, PepsiCo, Pfizer, and Tyson Foods, to announce commitments to hire and train thousands of refugees in the United States over the next three years. The Summit is the first in a series of milestones to continue to mobilize companies in support of refugees.
“The American business community is showing incredible leadership, and I am so proud of the companies standing up for refugees today,” said Hamdi Ulukaya, CEO of Chobani and founder of Tent. “These companies will benefit from welcoming these hard-working, loyal, and resilient individuals – but my hope is that this is only the beginning. As refugee crises start to fade from the headlines, companies must recognize that hiring refugees is not only the right thing to do, but also the smart thing to do.”
The United States is set to welcome hundreds of thousands of refugees in the coming years, including almost 100,000 Afghans by the end of 2022, 100,000 Ukrainians who have fled Russia’s invasion, and up to 125,000 refugees per year from other parts of the world who will arrive through the resettlement program. As refugees in the U.S. often face significant challenges finding work – including language barriers, difficulty certifying their credentials, and lack of a professional network – business leadership is critical to help refugees secure jobs.
Among the commitments companies are announcing today:
- Amazon will hire at least 5,000 refugees over three years
- ManpowerGroup will place 3,000 refugees in jobs at its corporate clients over three years
- Tyson Foods will hire 2,500 refugees over three years
- Blackstone portfolio companies and real estate properties will hire 2,000 refugees over three years
- Hilton will hire 1,500 refugees over three years
- Marriott International will hire 1,500 refugees over three years
- Cargill will hire 1,000 refugees over three years
- Gategroup will hire 1,000 refugees over three years
- ISS will hire 1,000 refugees over three years
- Hyatt will hire 500 refugees over three years
- PepsiCo will hire 500 refugees over three years
- Pfizer will hire 500 refugees over three years
“We believe that Amazon is a stronger company because of the diversity of our workforce, and we actively seek to hire people with different backgrounds, skill sets, and levels of experience. Being displaced from your homeland and having to start again somewhere is never easy, which is why we are committed to helping where we can, by providing refugees and other displaced people with access to meaningful employment, as well as immigration support, through our Welcome Door program. It’s our privilege to help people make a new start.”, said Janet Saura, VP, Employee Relations, WW Amazon Stores and Corporate.
“Our experience connecting refugees with meaningful work across Europe tells us that finding a job is a critical first step for people to get settled, build relationships and integrate themselves and their families into new communities,” said Jonas Prising, ManpowerGroup Chairman and CEO. “We believe collective partnership is critical to achieve impact at scale and we are pleased to partner with Tent in mobilizing the business community to improve the lives and livelihoods of millions of refugees. This is how we will create a path to sustainable employment so refugees can rebuild their lives and improve their prospects for a better future.”
The following companies are making additional hiring commitments: Accenture, Aimbridge Hospitality, Albea, Amcor, Atento, C&S Wholesale Grocers, Carrols, Chobani, Deloitte, Fedex, Gap Inc., Genpact, Graham Packaging, Great Lakes Cheese, Henry Schein, IHG Hotels & Resorts, Kellogg, Kimball Midwest, La Colombe, Mastercorp, Oneida Nation Enterprises, Panda Express, Red Roof, Silgan Dispensing, Sodexo, Spencer’s & Spirit Halloween, Sumitomo Electric, The Body Shop, Transdev, US Xpress.
These hiring commitments are estimated to generate $913 million in income for refugees in the U.S. each year. They will not only help thousands of refugees start their new lives in the U.S. with security and dignity, but also harness the skills and resilience of refugees to strengthen the U.S. workforce, fill key labor gaps, and boost the economy.
In addition, LinkedIn, Coursera, Ipsos, and others, are announcing commitments to provide 13,850 refugees with training opportunities, which will help them gain a better understanding of the U.S. job market, develop skills, and grow their professional networks.
A complete list of the commitments can be found here.
Tent has been active in the U.S. since its founding in 2016. In September 2021, in the wake of the mass evacuation of Afghans to the United States, Tent launched its Coalition for Refugees in the U.S. – which now counts more than 110 U.S. employers – to provide companies with U.S.-specific guidance and resources on how to set up effective refugee hiring and training programs.