HomeMy WebLinkAboutCOM 0852.002 2018-2020 P/Council
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Sent: Monday,April 06, 2020. 9:40 AM
To: Council Testimony
Subject: Letter with regard to upcoming Council testimony
Attachments: Ann B Chiodini Response to Testimony.pdf; Hawaii County Resolution[40978].docx
COUNTY CLERK
Please see the attached correspondence in support of the attached resolution. COUNTY OF HAWAI'I
RECEIVED
Thank you for your help in expediting this document. Time 1N 1OoWt By
Date APR 0 6 2020
Ann B.Chiodini,CPA,CMA
Sent from Mail for Windows 10
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Ann B. Chiodini, CPA, CMA
April 6, 2029
CHHthipdrson &Presiding Officer
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- -Cohncit-of th6-County of Hawaii Council Members
Dear Council Members:
On. Tuesday, April 7, 2020, the Council of the County of Hawaii will be considering a resolution
in support of maintaining all four Medicaid plans on neighbor islands. I am writing this letter in
support of testimony in support of this resolution. My interest in this proposal lies in the fact that
I am a patient at the West Hawaii Community Health Center,the current Chairperson of its
Board of Directors and a career healthcare financial service professional.
One of the basic tenets in support of any Medicaid Managed Care program, such as Hawaii's
Quest Program, choice of plan on the part of participants has been an important factor is
providing cost-effective and quality patient tare.
In my thirteen years of professional experience as the Finance Director of a program in the State
of Rhode island that received Federal approval in 1994, the same year and under the same
waiver as Hawaii's Quest Program, I am well aware of the problems that occur when a limited
choice of health plan is given to recipients.
In a change from four to only two plans in short period of time, recipients are faced with difficult
choices. These choices include potential loss of access to their customary primary care doctors,
changes in benefits based on plans' ability to offer optional services at their ownexpense and a
"rush" to enroll in plans that provide better customer services. The result of this is confusion
among participants and failure to use services correctly.
From the provider's perspective, not all plans are equally attentive in prompt payment of claims,
resulting in some physicians refusing reimbursement from those plans that result in higher
amounts of uncollectible medical claims.
I am now a resident of the County of Hawaii and appreciate your interest in hearing this
testimony and moving it forward.
Sincerely,
AIAAA, r3. , GPA, CMA
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