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Recommendations take aim at Nebraska contracting failures

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Recommendations take aim at Nebraska contracting failures


Gov. Ricketts discusses little one welfare efforts in Nebraska


Nebraska ought to evaluate the fee realism and reasonableness of bids to keep away from a repeat of the state’s troubled contract with a Kansas-based nonprofit to supervise little one welfare circumstances within the Omaha space, in response to a newly launched report.

Ikaso Consulting, which wrote the report, additionally advisable extra standardization in Nebraska’s procurement course of and extra readability about what is important and what might be negotiated in a bid.

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In all, Ikaso supplied 33 suggestions to enhance the state’s contracting course of and practices after a five-month analysis. State lawmakers required the analysis after a legislative investigation discovered that the state has had a historical past of pricey procurement failures.

Individuals are additionally studying…

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The newest was in 2019, when Saint Francis Ministries bought the job of managing metro-area little one welfare circumstances by underbidding the contract, then negotiated a 55% enhance in funds when monetary shortfalls practically pressured its Omaha operations to close down. In the meantime, the non-public company by no means met contract phrases or complied with state legal guidelines limiting caseload sizes. The contract has since been terminated.

Sen. John Arch of La Vista, who led the investigation into the Saint Francis contract and launched the invoice calling for the procurement analysis, mentioned he was happy by the end result.

He mentioned Ikaso had adopted a really thorough course of and had give you very particular suggestions. He mentioned the suggestions addressed the issues seen within the Saint Francis contract and in two earlier circumstances that he beforehand described as “procurement failures.”

“We intend to observe these suggestions,” Arch mentioned. “I’ll be personally introducing payments to try this.”

Jason Jackson, director of the Division of Administrative Providers, mentioned he was inspired that the report discovered Nebraska’s contracting processes are much like these of different states. The analysis in contrast Nebraska intimately with Colorado, Iowa, South Dakota and Missouri.

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“Total, we discovered that the state’s procurement practices didn’t diverge considerably from nationwide requirements,” the advisor mentioned.

Jackson, who will stay DAS director underneath Governor-elect Jim Pillen, mentioned the division intends to work with the Governor’s Workplace and the Legislature to implement the suggestions.

One key advice requires the state to evaluate the fee realism and value reasonableness of a bid, that means whether or not the proposed value is low sufficient to recommend underbidding or excessive sufficient to recommend the state can be overpaying. The advice additionally known as for laws permitting the state to reject a bid that was not reasonable or affordable.

Within the case of Saint Francis, no state official questioned the Kansas nonprofit’s bid coming in at 40% lower than the state had been paying to the earlier contractor, regardless of issues raised by outdoors little one welfare advocates and specialists.

Saint Francis Ministries gained a five-year, $197 million contract, primarily based on a proposal that company officers later admitted had been underbid. Nebraska was later pressured to signal a brand new, emergency contract with Saint Francis to maintain the company working. The 25-month, $147.3 million contract erased the unique 40% value distinction.

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Different suggestions name for Nebraska to find out which contract phrases and situations might be negotiated and that are required.

Saint Francis initially proposed a case administration mannequin that might not adjust to a Nebraska legislation limiting caseload sizes. Though the state insisted that Saint Francis conform to comply earlier than signing the contract, the shedding bidder questioned why the state accepted the bid in any respect.

A number of suggestions name for the state to standardize its procurement processes between DAS, which handles most procurement for the state, and particular person businesses, which deal with some procurement. The suggestions embrace standardizing the appeals course of.

Together with the Saint Francis contract, different notable procurement failures embrace the state’s 2007 contract to develop a significant Medicaid claims processing and knowledge system and a 2014 contract for a brand new Medicaid eligibility and enrollment system.

Within the first case, state officers signed a $45 million contract with FourThought Group, primarily based in Arizona. HHS officers terminated the contract in July 2009, after solely 15 months, saying the corporate “didn’t have the capability to ship the system they proposed.”

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By then, the state had paid FourThought greater than $6.8 million in state and federal cash. Later in 2009, the state reached a settlement to pay one other $4.75 million.

Within the second case, state officers signed an $80 million contract with Wipro, primarily based in India. 4 years later, HHS officers ordered a evaluate of the mission after Wipro requested a fifth modification to its contract, which the state mentioned would have delayed completion of the mission by two years and added $28 million to the mission whole.

Officers concluded that there was no proof that Wipro had accomplished any a part of the mission, regardless of the corporate reporting it had put 200,000 hours into the mission. HHS terminated the contract in December 2018, after having paid Wipro $58.6 million.

The corporate filed a lawsuit alleging that Nebraska didn’t pay $15.5 million for work accomplished. The case continues to be pending.

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Nebraska

High-speed chase in central Nebraska ends in crash and arrest

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High-speed chase in central Nebraska ends in crash and arrest


Elias Areyzaga

LINCOLN, Neb. (KLKN) — An Illinois man was arrested Tuesday after a high-speed chase in central Nebraska.

About 10:15 a.m., a trooper saw an SUV going 125 mph on Interstate 80 near Kearney, according to the Nebraska State Patrol.

The driver refused to pull over, the patrol said, so the trooper gave chase.

The SUV got off I-80 at the Kearney interchange and headed south on Highway 44, authorities said.

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The chase continued for several miles to the intersection with Highway 6/34, where troopers said the driver — 23-year-old Elias Areyzaga — ran a stop sign.

Areyzaga then crossed railroad tracks at a high speed, lost control and crashed in a field, the patrol said.

He was arrested and taken to a Kearney hospital to be checked out.

Areyzaga was then booked into the Buffalo County Jail on suspicion of flight to avoid arrest and willful reckless driving.

Categories: Nebraska News, News





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Rural Nebraska hospitals plead for higher reimbursement, say some are at risk of closing

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Rural Nebraska hospitals plead for higher reimbursement, say some are at risk of closing


LINCOLN, Neb. (KLKN) – For many rural hospitals in Nebraska, the challenge isn’t just providing care; it’s staying open.

They said at a press conference Tuesday that they’re facing a financial crisis and struggling to meet the needs of their communities.

In rural Nebraska, a single hospital is often the only source of care for miles.

But they are facing a tough battle as they deal with a shortage of funds.

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SEE ALSO: ‘It will save lives’: As rural Nebraska hospitals struggle, one gets a boost

They said large urban hospitals such as the University of Nebraska Medical Center receive higher reimbursement rates from insurance and government programs, while smaller rural hospitals are left to scramble for resources.

“We need to make sure that reimbursement models are fair, and they bring dollars to the table for the services that we do have,” said Arlan Johnson, CEO of Howard County Medical Center.

Sen. Brian Hardin said as health care costs rise, the financial gap only widens.

“In 2023, the average retail value of a Tier 4 drug in America was $257,000 for the year,” he said. “Who can afford that? Short answer, no one.”

He wants to make sure rural hospitals can participate in the 340B program, which allows them to purchase drugs at a discount.

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“In order to give top-notch care and provide extra services in the community we have, we have to ensure that Medicaid and 340B programs are protected,” said Laura Gamble, CEO of Pender Community Hospital.

SEE ALSO: Nearly 60% of rural Nebraska hospitals losing money on operations, officials report

Health officials said if rural hospitals don’t get higher reimbursement, some will have to close.

For families living in remote areas, those closures mean longer drives to receive basic care and, sometimes, delayed treatment.

State leaders are aware of the challenges and said it’s one of their top priorities this upcoming legislative session.

But the solutions are far from simple.

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Sen. Mike Jacobsen of North Platte said this upcoming year, he plans to work with the Nebraska Medical Association to work on a bill that would allow higher reimbursement for doctors and other practitioners.

Hardin said Congress needs to step up and remodel 340B.





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LIVE: Nebraska hospital leaders to highlight critical health care issues, call for policy action

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LIVE: Nebraska hospital leaders to highlight critical health care issues, call for policy action


LINCOLN, Neb. (KOLN) – The Nebraska Hospital Association (NHA) and the Nebraska Rural Health Association (NeRHA) will provide an overview of the 2025-26 Roadmap to Strong Rural Health Care during a press conference on Tuesday at 10:30 a.m.

The NHA and NeRHA will be joined by Nebraska hospital leaders and state senators to highlight state and federal issues important to the future of rural health care in the state.

You can watch the news conference when it begins in the video player above.

Rural hospitals make up about 35 percent of all hospitals nationally, and over 68 percent of hospitals in Nebraska, according to a joint press release from NHA and NeRHA. More than 41 percent of those are at risk of closure.

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In addition, Nebraska has more rural residents living at least 25 minutes away from an ambulance than all but two other states. About 16 percent of Nebraska mothers must travel at least 30 minutes to find a maternal care provider, about twice the national rate, and more than half of Nebraska’s counties are considered maternity deserts.

NHA and NeRHA said 85 of Nebraska’s rural communities are considered medically underserved areas for primary care services alone. Projections show that Nebraska will experience a workforce shortage of over 5,000 nurses in 2025.

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