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Author Topic: Federal report alleges Florida mismanaged AIDS Drug Assistance Program funds  (Read 2313 times)

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Offline Miss Philicia

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A bit long to cut/paste but at least half explains why one state has such a disproportionate amount of trouble.

http://floridaindependent.com/27984/federal-report-alleges-florida-mismanaged-aids-drug-assistance-program-funds

"I’ve slept with enough men to know that I’m not gay"

Offline denb45

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A bit long to cut/paste but at least half explains why one state has such a disproportionate amount of trouble.

http://floridaindependent.com/27984/federal-report-alleges-florida-mismanaged-aids-drug-assistance-program-funds



Who mismanaged  all of the funding, and where is the dam money , probably in some rich asshole polictian's pocket, I'm sure  ::)
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline mecch

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If they don't come up with the list of hundreds taken off the waiting list with those missing millions, maybe some lawyer could get up a class action lawsuit??
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline denb45

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  • "1987 Classic Old School POZ+"
If they don't come up with the list of hundreds taken off the waiting list with those missing millions, maybe some lawyer could get up a class action lawsuit??

Shit in Florida, they probably paid-off all the lawyers  in some back-room state-house, and I'm sure they all got a big piece of that pie  NOT to do any of this ???
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline leatherman

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Quote
•The Bureau of HIV/AIDS has used AIDS Drug Assistance Program money to pay the salaries of officials with little or no role in administering the program. The report cites the example of program coordinators, and one “Senior Health Program Specialist” whose salary is paid through the Ryan White program despite having a “primary duty” with no relation to Ryan White.
•The Bureau of HIV/AIDS was awarded $3.05 million to take 357 clients off the waiting list, but these funds do not show up in financial reports provided by bureau. The report recommends that the bureau provide documented expenses for the use of those funds, with a list of the 357 clients taken off the waiting list.
reading the report, it seems there is a lot of non-communication between agencies across the state which lead to a lot of bad planning and bad expenditure of ADAP funds. The bit about the 357 clients is particularly damning.

Quote
•The program developed an ineffective cost-containment strategy. The report lists at least five cost-containment strategies that need to be implemented to continue to reduce the number of patients on the waiting list.
this is basically from part V (opportunities for improvement), section A finding 2, and to me seems a bit troubling in the big scheme of things. Reducing the amount of patients on the waiting list is not the same things as treating the patients on the waiting list. ;)

While I understand that ADAP should have/could have used cost containment strategies sooner, cost containment strategies aren't so nice to the clients in the first place. These strategies reduce formularies, and FPL requirements.

So basically, this section says that Florida could have thrown some clients to the wolves sooner and that would have saved the system money so that they wouldn't have gone totally bankrupt. Those have got to be some hard decisions to make - cutting people off from ADAP because they make a few dollars more that someone else, or not paying for meds that are prescribed for problems that HIV meds have given to clients, all so that the majority of the really poor ADAP clients can continue to be medicated. Ouch! Tough calls.

hopefully something like the Centers for Medicare and Medicaid Services (CMS) 1115 waiver can help out in situations like that.
Quote
What is an 1115 waiver?

An 1115 waiver gives a state flexibility to expand its Medicaid program.  The waiver is particularly important for the HIV/AIDS community because of the cruel “catch 22” of current Medicaid law, which requires people living with HIV to wait until they are disabled by AIDS to qualify for Medicaid.  Health care reform eliminates this “catch 22” when, starting in 2014, most people with income at or below 133% of the federal poverty level will be eligible for the program.  While this is great news for the HIV/AIDS community, people living with HIV cannot wait until 2014 to access lifesaving care and treatment.  An 1115 waiver will allow a state to provide a bridge to 2014 and immediately cover pre-disabled people living with HIV under its Medicaid program.
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leatherman (aka mIkIE)


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