Connect with us

Rhode Island

Prospect Medical Holdings has underfunded two R.I. hospitals and affected operations, state says – The Boston Globe

Published

on

Prospect Medical Holdings has underfunded two R.I. hospitals and affected operations, state says – The Boston Globe


An investigation by the Rhode Island Department of Health revealed that as of Oct. 24, more than 250 of the hospitals’ approximately 830 vendors were operating with the hospitals on a “cash on demand” basis. That means they only deliver supplies if they are paid at the time of delivery, a policy generally reserved for customers with a history of nonpayment. Fatima Hospital and Roger Williams Medical Center have historically taken more than 90 days to pay vendors, state filings say.

Hip joints, catheters, endoscopes, and eye lenses are among the supplies for which vendors of Prospect’s Rhode Island hospitals were not paid. The procedures that were canceled included endoscopies, eye surgeries, and a spinal surgery, according to the investigation with the health department.

Advertisement

“These facilities need more consistent support from their corporate owners,” said Dr. Utpala Bandy, the interim director of health. “The action we took today will ensure immediate accountability and get the hospitals on sounder footing. This is critical for the state as a whole, and for the communities these facilities serve as safety net hospitals.”

Otis Brown, a spokesman for the two hospitals, could not be immediately reached for comment on Thursday.

State law requires hospitals to have local governing boards, even when their corporate owners are based elsewhere. But many of the financial decisions for Roger Williams Medical Center and Fatima Hospital are made in California, said Joseph Wendelken, a spokesman with the Rhode Island Department of Health.

“Prospect Medical Holdings sweeps all patient care revenue from Roger Williams and Fatima every day and then returns an operating allowance back to the hospitals once a week,” Wendelken wrote in a news release. “The amounts of these allowances vary and are determined by Prospect Medical Holdings.

“The amounts of these allowances are inadequate to pay vendors in a timely manner, leading to interruptions in services,” added Wendelken.

Advertisement

In late 2022 Prospect, a private equity firm, announced that it planned to sell its hospitals to a nonprofit foundation. At the time, it seemed like welcome news for the state’s health regulators and patients who have long worried about low-income Rhode Islanders’ ability to access care. But nearly a year later, Prospect and its prospective buyer, The Centurion Foundation, have yet to complete the first step in the sale.

Rhode Island Attorney General Peter F. Neronha and the Rhode Island Department of Health, both of which must approve the sale of any hospitals in the state, have twice rejected Centurion and Prospect’s application, deeming them incomplete. Under the Hospital Conversions Act, health care groups in Rhode Island must submit completed applications to both offices for evaluation before the reviewing process can even begin.

On Aug. 11, the two health care organizations were informed that they had not completed at least 244 questions on their application, according to a letter from the attorney general’s office and the health department, which was obtained by the Globe.

“Failure to provide complete, accurate, and forthright responses may result in a rejection of the Transaction Parties’ application on its face without prejudice,” wrote Special Assistant Attorney General Julia Harvey and Fernanda Lopes, the chief of the Office of Health Systems Development.

A third version of their application was due in late October, but the health care organizations requested and were granted an extension to mid-November.

Advertisement

Representatives of The Centurion Foundation have not responded to multiple requests for interviews by the Boston Globe.

Prospect has also been in the process of trying to unload its other hospitals across the United States. In Connecticut, three long-struggling Prospect-owned hospitals have been eyed for acquisition by Yale New Haven Health. One of those hospitals, Waterbury Hospital, reportedly owes vendors “tens of millions of dollars.” At Crozer Health, the struggling four-hospital system in Pennsylvania owned by Prospect, executives have been unable to pay vendors and contractors who provide vital services to patients. Pharmacists told WHYY earlier this year that they’ve run out of equipment to package drugs and are on a credit hold with a supplier.

In Rhode Island, Thursday’s compliance order says that Prospect must hire an independent fiscal monitor and cover all operating costs for Our Lady of Fatima Hospital and Roger Williams Medical Center, said Wendelken. The fiscal monitor will determine what those costs are, he said.

Prospect must also create a “cash on hand” escrow account to ensure the stability of the facilities, and have an independent operations monitor on site who will report to the health department daily.

The compliance order includes “many additional, stringent requirements in the areas of finance, operations, and oversight,” according to Thursday’s news release. The health department “reserves the right to order a cease and desist on the daily sweeping of patient care revenue from the hospitals to the parent company in California.”

Advertisement

Alexa Gagosz can be reached at alexa.gagosz@globe.com. Follow her @alexagagosz and on Instagram @AlexaGagosz.





Source link

Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Rhode Island

Aetna Bridge Co. awarded state contract to demolish westbound Washington Bridge • Rhode Island Current

Published

on

Aetna Bridge Co. awarded state contract to demolish westbound Washington Bridge • Rhode Island Current


The Warwick-based company that previously worked on the westbound Washington Bridge before its sudden closure last December is the state’s choice to tear it down.

The Rhode Island Department of Transportation’s (RIDOT) public bid portal Friday afternoon revealed Aetna Bridge Co. was awarded a tentative contract to demolish the bridge by March 2025.

Aetna was one of two vendors that responded to RIDOT’s request for proposals. The other bidder was Manafort Brothers Inc., headquartered in Plainville, Connecticut, but has an office in Cumberland.

Manafort will receive $100,000 as part of the state’s incentive to attract bidders.

Advertisement

Aetna estimated the cost to demolish the bridge was $45.8 million — over $5 million more than the state’s price tag. Manafort’s bid was for $43.8 million. The overall cost to demolish and rebuild the westbound highway over the Seekonk River is tagged at over $400 million.

A technical review group found that Aetna’s plan was overall a better value and at they indicated they could do the work in 50 days fewer than the bid request asked for, said RIDOT Communications Director Liz Pettengill.

“Secondly, they are assuming all the risk,” she said.

The demolition process is divided into four parts: the Gano Street ramp, west end of the bridge, east cantilever spans, and east end of the structure. The initial RFP noted that the existing substructure “shall remain in place for the potential repair and reuse” in the reconstruction of the bridge.

RIDOT plans to impose a $30,000 daily “disincentive” if Aetna misses the March 20, 2025 completion date. Meanwhile, the department is still soliciting bids for the roughly $368 million contract to rebuild a new bridge by August 2026.

Advertisement

Final bids are due July 3.

Aetna had previously worked on the now-canceled $78 million rehabilitation of the Washington Bridge as part of a design-build team led by Barletta Heavy Division. The project came to a stop after engineers last December discovered broken anchor rods that put the westbound lanes of I-195 at risk of collapse.

The company was also one of 12 contractors that received a letter from lawyers for Gov. Dan McKee’s administration notifying them that they may be sued over Washington Bridge work. 

“Aetna Bridge Company is proud to be identified as the ‘apparent best value respondent’ by the Rhode Island Department of Transportation,” Aetna spokesperson Frank McMahon said in an emailed statement.

“With over 79 years of experience in bridge construction, repair, and demolition, our team is ready to get to work on this critical transportation infrastructure project for the State of Rhode Island,” he continued 

Advertisement

Aetna is also working on the ongoing rehabilitation of the Gold Star Memorial Bridge linking New London and Groton, Connecticut, via I-95. That project is expected to be completed June 25, 2025, according to the Connecticut Department of Transportation.

GET THE MORNING HEADLINES DELIVERED TO YOUR INBOX

Advertisement



Source link

Continue Reading

Rhode Island

Rhode Island women’s basketball conference schedule unveiled. Here’s a look

Published

on

Rhode Island women’s basketball conference schedule unveiled. Here’s a look


There will be a lone scheduled rematch of last year’s Atlantic 10 women’s basketball title game, and the University of Rhode Island will play it on the road. 

The Rams will visit Richmond at a date and time to be determined. That’s courtesy of conference schedule pairings that were released Thursday afternoon. 

The Spiders and VCU should offer a pair of rugged road tests after finishing a combined 31-5 in league play last season. URI also visits Davidson, Fordham and St. Bonaventure for single contests. Jim Crowley enters his second year of this stint with the Bonnies – he returned to Olean for 2022-23 after seven seasons at Providence. 

Saint Joseph’s sets up as a headlining single home game for the Rams. The Hawks closed 15-3 in league play last year and have played in two straight postseasons. Dayton, La Salle, George Washington and Loyola Chicago will also visit Kingston. 

Advertisement

More: URI men’s basketball faces rough road schedule in 2023-24

URI’s home-and-home opponents include a pair of teams who contended for a conference title last season. George Mason closed 14-4 and Duquesne was one game behind at 13-5. Saint Louis and regional rival Massachusetts both finished in the bottom half of the standings – the Minutewomen struggled to a 2-16 mark after Tory Verdi qualified for three straight postseasons and left for Pittsburgh. 

The Rams never quite hit full stride prior to March last season, finishing 21-14 overall and 10-8 in league play. A home win over No. 25 Princeton was followed by road losses to Providence and St. John’s, two defeats that damaged URI’s postseason chances. The Rams took out Dayton, Saint Joseph’s and Saint Louis in the conference tournament before suffering a 65-51 defeat to Richmond in the title round. 

URI and the rest of the league will return to the Henrico Sports & Events Center from March 5-9 for the second straight edition of the league championship. The facility secured hosting rights after two previous years at Chase Fieldhouse in Delaware. 

Advertisement

bkoch@providencejournal.com

On X: @BillKoch25 



Source link

Continue Reading

Rhode Island

Immigration policy fought over by Biden and Trump in Atlanta debate • Rhode Island Current

Published

on

Immigration policy fought over by Biden and Trump in Atlanta debate • Rhode Island Current


Immigration occupies center stage in the 2024 presidential campaign and also was a major focus during the first presidential debate Thursday night between President Joe Biden and the presumptive GOP nominee, Donald J. Trump.

Immigration is a top issue for voters and for Trump, while the Biden administration has struggled to deal with the largest number of migrant encounters at the southern border in 20 years.

Biden during the 90-minute debate at CNN in Atlanta defended his administration’s handling of immigration and blamed Trump for tanking a bipartisan U.S. Senate border security deal.

Biden and Trump trade insults, accusations of lying in acrimonious presidential debate

Advertisement

Biden also pointed to that deal as a reason he should be reelected, because the White House was able to forge the agreement in the first place.

“We worked very hard to get a bipartisan agreement,” Biden said.

Senate Republicans rejected the bipartisan border security deal earlier this year, siding with their House colleagues and Trump. The agreement would have significantly overhauled U.S. immigration law by creating a temporary procedure to shut down the border during active times and raising the bar for asylum claims.

Trump in the debate argued that Biden did not need legislation to enact policy changes at the southern border because “I didn’t have legislation, I said close the border.”

In early June, Biden made the most drastic crackdown on immigration of his administration, issuing an executive order that instituted a partial ban on asylum proceedings at the southern border.

Advertisement

Trump called that action “insignificant.”

The debate came the day after U.S. Department of Homeland Security Secretary Alejandro Mayorkas gave a briefing from Tucson, Arizona, about a decline in migrant encounters following Biden’s executive order.

He said the Tucson sector has “seen a more than 45 percent drop in U.S. Border Patrol encounters since the president took action, and repatriations of encountered individuals in Tucson have increased by nearly 150 percent.”

“Across the entire southern border, Border Patrol encounters have dropped by over 40 percent,” Mayorkas said.

‘Remain in Mexico’ policy

Trump cited his prior policies that he felt were successful and criticized Biden for rolling them back, such as one that required migrants to remain in Mexico while they awaited their asylum cases.

Advertisement

Biden slammed Trump’s “zero-tolerance” policy that separated parents from their children in efforts to deter unauthorized immigrants at the border.

“When he was president he was … separating babies from their mothers and putting them in cages,” Biden said.

And, without citing evidence, Trump blamed immigrants for crime, calling it “migrant crime.”

Overall violent crime in the country is down by 15%, according to recent FBI statistics, and researchers have found that immigrants are less likely to commit crimes than U.S. citizens.

Trump brought up the death of a Georgia nursing student, Laken Riley, and blamed Biden’s immigration policies.

Advertisement

“All he does is make our country unsafe,” Trump said.

In late February, Riley, a 22-year-old nursing student at Augusta University, was reported missing by her roommate when she did not return home after a run on the campus of the University of Georgia at Athens.

Local police found her body and shortly afterward arrested a 26-year-old man from Venezuela for her murder — an immigrant previously arrested in Georgia on a shoplifting charge who entered the country without authorization in 2022, according to U.S. Immigration and Customs Enforcement. U.S. House Republicans in reaction passed the Laken Riley Act.

Trump was asked by debate moderators how he would carry out mass deportations, but he did not go into detail.

He has repeatedly claimed he would carry out a mass deportation campaign of undocumented immigrants by utilizing local law enforcement, the National Guard and potentially the U.S. military. He’s done so on the campaign trail and during a lengthy interview with Time Magazine. 

Advertisement

“We have to get a lot of these people out and we got to get them out fast because they’re destroying our country,” Trump said during the debate.

GET THE MORNING HEADLINES DELIVERED TO YOUR INBOX

Advertisement



Source link

Continue Reading

Trending