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County considers health care change


Fri, Jul 6th, 2007
Posted in Government

PRESTON - Social Services Director Thomas Boyd again discussed with the commissioners the possibility of joining Houston, Mower, and Winona counties in County Based Purchasing (CBP) at their July 3 meeting. In 1999, the CBP model of managed care was implemented under Minnesota statutes.

Statute 256B.692 states, "County boards or groups of county boards may elect to purchase or provide health care services on behalf of persons eligible for medical assistance and general assistance medical care...Counties that elect to purchase or provide health care under this section must provide all services included in prepaid managed care programs." The county board is the governing body and in the proposed multi-county program, the governing body would be a joint powers board.

Boyd presented statistics and estimated scenarios for over a five year period. The four counties would pay in a total of $2,000,000 with each county paying in their portion proportional to their population. The counties would need to work together since each of them on their own would not have adequate populations to make the program feasible. The initial investment would be reimbursed over time through federal payments. However, the reimbursements will not exceed what are determined to be reasonable costs for the county or region. The county will be doing a great deal of additional administrative work.

The statute requires the group to ensure covered services and provide a choice of providers and health plans. The county in essence would be acting as an insuring body.

The conclusion of the report was that it could be financially feasible only if there is a single competitor or a substantial competitive advantage allowing enrollment greater than 50% of the market.

Commissioner Chuck Amunrud explained that a private insurance company can pick and choose people more profitable to insure. The state mandates that the county must take care of all those who qualify for the programs. Amunrud noted that Fillmore County has a relatively high number of elderly residents. He added that other counties have already used CBP successfully and efficiently.

Boyd complained that the problem is that the state does not work with the counties as partners in the process, but see the county as a provider. Commissioner Duane Bakke stated that he has actually heard the county being referred to as "a special interest group." Boyd said that this needs to change at the legis .....
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Proposed walking trail pros and cons

Fri, Jul 6th, 2007
Posted in Government

Lanesboro - When the Lanesboro City Council held a hearing on a proposed walking trail as part of their regular meeting July 2, they heard plenty-both pro and con! The walking trail project currently has been allocated $1,200 of the $12,000 TMI gran ..... 
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Spring Valley accepts low bid on sewer project

Fri, Jun 29th, 2007
Posted in Government

SPRING VALLEY - It was a night of financial housekeeping at the Spring Valley City Council at their June 25 meeting.

Mike Bubany of David Drown Associates presented to the Council the results of the bond sale for the Stormwater/Sewer project ..... 
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Rushford considers police contract options

Fri, Jun 29th, 2007
Posted in Government

RUSHFORD - Continuing with a proactive attitude, the Rushford City Council spent much of their regular council meeting June 25 discussing possible police service options to offer the City of Rushford Village (CRV). The former police contract expired ..... 
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County Board hires zoning attorney on retainer

Fri, Jun 29th, 2007
Posted in Government

Norman Craig asked the county board at their June 26 meeting to approve the hiring of Scott Anderson, a land use attorney, on an hourly basis to answer zoning questions. Anderson is hired or put on retainer by other counties as a consultant on a con ..... 
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Lanesboro City Council Report: Walking trail proposed

Fri, Jun 22nd, 2007
Posted in Government

Jeff Redalen and Julia Borgen, representing the Bluffside Trail group, approached the Lanesboro City Council with plans for a hiking and walking trail for the north side of the river in Lanesboro at the council meeting June 18. The trail would run f ..... 
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Preston council scales back sidewalk improvements

Fri, Jun 22nd, 2007
Posted in Government

The Preston City Council worked through its agenda with barely a quorum at its June 18 meeting. Mayor Kurt Reicks and David Harrison were absent. Bill Cox, Public Works, told the council that a third quote had been received for the 2007 sidewalk imp ..... 
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Rushford takes positive approach with police issue

Fri, Jun 15th, 2007
Posted in Government

RUSHFORD - The Rushford City Council isn't sure exactly what to do in the stand-off over police protection with the City of Rushford Village, but the members agree that they wish to remain proactive and positive.

Mayor Les Ladewig advised ag ..... 
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Commissioners Report: New campus for Zumbro Valley Mental Health

Fri, Jun 15th, 2007
Posted in Government

Patricia Carlson, Executive Director of Zumbro Valley Mental Health Center (ZVMHC), updated the Fillmore County Board at their June 12 meeting on the progress toward consolidating its programs onto one campus. The new campus is located at 343 Wood L ..... 
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