Strange but true. Enloe CEO Mike Wiltermood makes over $1,000,000 in salary and benefits. What’s his job, anyway? Well, apparently, he’s GOD. He certainly seems to have power over life and death, deciding who will receive life-giving treatment and who won’t, based on their income. That’s what he’s doing when he tells us Enloe won’t accept patients with Anthem Blue Cross – one of the cheapest plans you can find out there. He’s not just throwing out an insurance company, he’s throwing out patients who can’t afford Enloe’s new rates.
To see how Enloe’s rates compare to other hospitals, see this link. Ask yourself – how do they maintain “non-profit” status with that kind of mark-up?
http://www.hospitalcostcompare.com/hospitals/50039/inpatient
Read the ER story below:
By LAURA URSENY | lurseny@chicoer.com | Chico Enterprise-Record
“Anthem hasn’t given a contract increase in nine of the last 12 years” to physicians, he said Friday.
Wiltermood said Anthem wasn’t interested in offering a different contract, either not showing up prepared to negotiate or offering the same contract as has been in place for a number of years.
Wiltermood said Anthem “ … was telling enrollees that they were negotiating in earnest. That wasn’t the case.”
“It was basically take it or leave it,” Wiltermood said.
He said the last time the two sides met, Oct. 30, Anthem offered “less than the current contract.”
Wiltermood said Anthem is conducting similar negotiations around the country with small or rural groups that have no leverage.
Enloe also received a letter from CalPERS, encouraging the hospital to find common ground for a new contract. Wiltermood said the letter was “bullying.”
Wiltermood said he wondered if CalPERS sent Anthem the same letter.
While a comment from Anthem indicated the insurer would be happy to bring Enloe back into the network, Wiltermood said there were so many occasions to do that that didn’t happen.
“We’ve been told that Anthem is not going to budge off the original agreement.”
Wiltermood acknowledged the situation can hurt Enloe in the short term.
“We’ll have to see if people migrate to other commercial plans. In the short run, there will be an impact and we understand that. A lot of this just depends on how people react. If it’s important (to them) to stay local, they’ll go to another insurance plan.”
Wiltermood said he had talks with Butte County school districts and others that could deal directly with Enloe, and would entertain other groups that might be interested in that.
Finally, enrollees can find a toll-free phone number on the back of their medical cards, and can call with their questions.
Anthem representative Eric Lail sent this statement to the Enterprise-Record:
“Our priority during these ongoing negotiations with Enloe Medical Center continues to be protecting affordability for our consumers, while providing access to quality healthcare. We are negotiating in good faith to bring Enloe back into our network of care providers as soon as possible. In the meantime, consumers can access care at one of the many providers in the area who remain in our broad network.
“We do believe hospitals and doctors should be compensated fairly, and that has been reflected in our offers to Enloe. However, we cannot agree to rates that are not in line with what similar providers in the area receive. Those higher costs would be paid for by our consumers, many of whom are covered by self-funded plans and pay for their medical services directly.”
According to Enloe, “Anthem Blue Cross has indicated that many of its members may be able to continue their pre-authorized care plan at Enloe if they have pre-authorized surgeries or other procedures, if they are scheduled before the termination date and within 180 days after the contract terminates.
Anthem Blue Cross has said its members may also be eligible to continue their care or complete covered services for an acute condition, terminal illness, serious chronic condition, care of a child (age 0-36 months) or pregnancy, Enloe indicated.
I’m not a lawyer so I had a hard time trying to interpret the seemingly simple rule about using taxpayer money to run a tax measure campaign. I mean, it seems to me that using tax money to hire a consultant who will run a phone survey in your town, targeting certain people by demographics, using leading statements like, “would you like an ice skating rink?” to get voters to agree to a tax would be a prime example of illegal use of taxpayer funds to run a revenue measure.
This is exactly what both Chico Recreation District and the city of Chico have been up to. I’ve sat in meetings – most recently, a city finance committee meeting last month – and listened to one consultant after another tell elected officials that they must convince voters to vote for the measure before they put it on the ballot. It was the consultant who attended the city finance committee meeting that talked about measures he’d pushed in other towns, using a skating rink as bait in one example.
I wasn’t sure all of this is illegal, but after reading Dan Walters’ latest column COMMENTARY, DAN WALTERS I’m guessing the Fair Political Practices Commission might like to hear about it.
He quotes an article from publicceo.com, “a website devoted to governmental management, written by two lawyers well-versed in the subject.”
“There is ‘a fine line public agencies, officials and employees walk between legally disseminating information and illegally advocating for or against a ballot measure or candidate’ under California law.” He continues, “The article, essentially a warning, is timely because, throughout California, officials are at least straddling that line and may be crossing it as they attempt to persuade voters to support billions of dollars in bonds, taxes and fees.”
Like I’ve said, “A big example is Proposition 6, which would repeal last year’s $5-plus billion package of gas taxes and automotive fees. Anti-tax groups that placed Proposition 6 on the ballot complain that the state Department of Transportation has been colluding with other opponents of the repeal and last week, those complaints were bolstered by the Associated Press.”
“The AP reported that official emails it acquired reveal that “the state transportation agency coordinated frequently with the public affairs firm working to block the repeal on behalf of unions, construction companies and local government groups.
“The coordination, the AP said, included, ‘efforts to promote legislation to raise the tax to fund road and bridge repairs (and) after Gov. Jerry Brown signed it, the agency and the firm continued planning events and coordinating social media posts as opponents gathered signatures for repeal.'”
He also brings up the investigation the FPPC is conducting in Los Angeles County. “Two years ago, the Los Angeles County Board of Supervisors proposed a half-cent sales tax increase for services to the homeless and gave TBWB Strategies, a San Francisco consulting firm, a $1 million contract to work on the tax measure.
“TBWB’s campaign, including television and radio spots that touted the benefits of Proposition H, helped it win passage. However, the Howard Jarvis Taxpayers Association complained to the FPPC and filed a lawsuit challenging the campaign’s legality.”
And get aload of this – “Last month, an FPPC hearing officer found probable cause for a 15-count formal accusation that the county supervisors contributed to the Proposition H campaign without filing a campaign donor report and following other campaign laws.”
So our situation is hardly unique, and I’m beginning to wonder if we need some investigating around here. The stuff I’ve seen at meetings! I agree with Walters, we need to shine a flashlight on these people, before it’s too late.
“The Los Angeles tax measure is one of hundreds of local tax proposals facing voters this year, many of which also are being promoted by “consultants” such as TBWB under lucrative contracts supposedly for information but in reality to influence voters.
“It’s high time the FPPC, local prosecutors and/or Attorney General Xavier Becerra stopped this undemocratic practice before it becomes ingrained.”