West Virginia
Aetna Better Health of West Virginia provides $610,000 to Pressley Ridge
CHARLESTON, WV, Dec. 13, 2022 — Aetna Higher Well being® of West Virginia, a CVS Well being® firm (NYSE: CVS), introduced it has offered a $610,000 neighborhood funding to Pressley Ridge in West Virginia to help remedy applications at its residential campus and home- and community-based service enlargement initiatives for Kids with Critical Emotional Problems (CSED) waivers within the state.
Pressley Ridge is a multi-state, social-impact group supporting youth and households with advanced behavioral well being wants. At its Grant Gardens facility in Ona, WV, Pressley Ridge operates an intensive, residential-treatment program that addresses underlying trauma, whereas concurrently making ready kids, in addition to their households, for transition again to home- and/or community-based settings by way of CSED waiver companies. As a part of this ongoing work, Aetna’s contributions are serving to Pressley Ridge improve worker recruitment and retention, develop workers coaching to advance medical information and experience, and enhance expertise to extend security.
West Virginia’s CSED waiver program supplies eligible kids and youths with severe behavioral or psychological well being wants with a variety of intensive behavioral well being companies and helps. The objective of this system is to help kids with extreme emotional issues by serving to them stay with their households, of their properties and communities, with a help community, whereas receiving the companies they should enhance outcomes.
“In 2019, earlier than the State started constructing extra community-based capability by way of holistic and coordinated CSED waiver companies, Pressley Ridge served a bigger proportion of youth in residential remedy applications,” stated Angie Hamilton Thomas, govt director, Pressley Ridge West Virginia/Virginia. “With the assistance of Aetna and different stakeholder funding, we’ve been in a position to cut back the variety of kids in residential care and improve community-based companies. In the present day, 80% of our former high-acuity, residential shoppers are actually residing with household/independently or have stepped-down their service depth because of experiencing enchancment in functioning, and of these discharged, 100% reported a rise in well-being.”
“Aetna has long-been concerned in offering options that impression the state’s little one welfare system and the youth and households we serve by way of the Specialised Managed Take care of Kids and Youth contract in West Virginia,” stated Todd White, CEO, Aetna Higher Well being of West Virginia. “Pressley Ridge has been a valued collaborator, serving probably the most advanced instances by way of forward-thinking, best-practice approaches and the best requirements of trauma-informed care. We look ahead to our continued relationship.”
An instance of Pressley Ridge’s work to create a seamless, supportive transition is clear by way of the case of Timothy*, an Aetna Higher Well being member in foster care who was the sufferer of intense, long-term abuse and who struggled with aggressive outbursts and a excessive diploma of dysregulation. Timothy got here to Pressley Ridge in a deeply medicated state after having been by way of a number of ranges of different remedy applications with out success. Upon arrival, Pressley Ridge’s medical staff labored carefully with Aetna Higher Well being care administration to considerably cut back his treatment and convey him to a extra responsive state. This allowed Timothy to raised take part in all phases of remedy and finally transition again to his household with CSED waiver supportive companies and correct community-based remedy planning in place.
Aetna Higher Well being of West Virginia is the only real managed care group for the state’s Specialised Managed Take care of Kids and Youth contract. The statewide contract covers the bodily and behavioral well being care companies for kids and youth within the foster care system and people receiving adoption help, in addition to kids within the CSED waiver program. The well being plan has administered CSED waiver applications for members in West Virginia since March 1, 2020.
*Identify modified to guard privateness
About Aetna Medicaid
Aetna Medicaid Directors LLC (Aetna Medicaid), a CVS Well being firm, has over 30 years of expertise managing the care of probably the most medically weak, utilizing progressive approaches and a neighborhood presence in every market to attain each profitable well being care outcomes and efficient value outcomes. Aetna Medicaid has explicit experience serving high-need Medicaid members, together with those that are dually eligible for Medicaid and Medicare. At the moment, Aetna Medicaid owns and/or administers Medicaid managed well being care plans underneath the names of Aetna Higher Well being and different affiliate names. Collectively, these plans serve roughly 2.8 million individuals in 16 states, together with Arizona, California, Florida, Illinois, Kansas, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Pennsylvania, Texas, Virginia and West Virginia. For extra data, see www.aetnabetterhealth.com.
About CVS Well being
CVS Well being® is the main well being options firm, delivering care like nobody else can. We attain extra individuals and enhance the well being of communities throughout America by way of our native presence, digital channels and over 300,000 devoted colleagues – together with greater than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and at any time when individuals want us, we assist them with their well being – whether or not that’s managing persistent ailments, staying compliant with their medicines or accessing reasonably priced well being and wellness companies in probably the most handy methods. We assist individuals navigate the well being care system – and their private well being care – by enhancing entry, decreasing prices and being a trusted associate for each significant second of well being. And we do all of it with coronary heart, every day. Comply with @CVSHealth on social media.
Media contact
Aetna
Robert Joyce
joycer@aetna.com
West Virginia
WVU QB Greene says he’ll enter NFL draft as WR
West Virginia quarterback Garrett Greene, who finished his college career Wednesday in the Scooter’s Coffee Frisco Bowl, is headed to the NFL draft as a wide receiver.
Greene noted the position change in his NFL draft announcement Thursday night on social media. He started the past two seasons at quarterback for West Virginia and finished his career with 5,370 passing yards, 36 touchdown passes and 19 interceptions.
The 5-foot-11, 201-pound Greene showcased his mobility as a quarterback with 2,136 career rushing yards and 28 touchdowns on 352 carries. He caught four passes during the 2022 season, when he primarily backed up J.T. Daniels.
Greene had 328 passing yards, 95 rushing yards, two passing touchdowns and a rushing score in Wednesday’s 42-37 loss to Memphis in Frisco, Texas.
“I look forward to this next chapter in my career and the opportunity to continue playing the game I love at the next level,” Greene wrote on social media.
West Virginia
Patrick Martin, 31, in line to be youngest West Virginia Senate majority leader – WV MetroNews
Patrick Martin, 31, of Jane Lew is set to be the West Virginia Senate’s youngest majority leader.
The incoming Senate president, Randy Smith of Preston County, has announced that Martin will be his wingman.
“Patrick is a bright and talented individual. I have said for a while that he is the hidden gem in our chamber and everyone is about to find out how gifted this young man is,” Smith said in the announcement.
“I have full confidence that he will no doubt be one of the most effective majority leaders in our state’s history.”
While Smith will typically preside over floor sessions from a dais, the majority leader regularly makes procedural motions. The majority leader also plays a big role on the Senate’s leadership team and promotes the majority party’s agenda.
Martin, R-Lewis, was elected to the Senate in 2020 and was re-elected this year, when he was unopposed in both the primary and the general. He served in the House of Delegates starting in 2017.
The Senate leadership is changing because the current president, Craig Blair of Berkeley County, was defeated in a primary election. So Blair is set to leave.
The Republican majority in the Senate met earlier this month and selected Smith to be the next president. He defeated two members of the outgoing leadership team, senators Tom Takubo and Eric Tarr.
Smith is now in line to be formally nominated and elected as president when the Senate gathers Jan. 8 for an organizational session.
Smith is likely to make significant changes across the leadership roles and committee chairs. Martin is the first that he has publicly announced.
“I am honored to serve under Randy Smith as he becomes Senate President and excited to work alongside all my colleagues in the Senate,” Senator Martin stated.
“Randy is a Godly man whose dedication to faith, family, and the people of West Virginia sets a strong example for us all. As the youngest Majority Leader in West Virginia Senate history, I’m eager to bring fresh energy to our work and help guide our state toward a brighter future.”
West Virginia
New labor rule will prevent coal operators from putting black lung liabilities on taxpayers’ backs • West Virginia Watch
A new final rule was issued by the federal Department of Labor last week that will require coal operators who self-insure to post adequate security bonds that cover all of their black lung benefit liabilities.
The rule comes as a protection for coal miners who currently or could in the future receive black lung benefits, which are supposed to be paid by the operators who employed them and who, through that employment, exposed them to dangerous silica dust that causes black lung disease.
“This is a long-overdue rule that will have a significant impact in helping to ensure benefits to miners who have contracted black lung will be paid, and be paid by those responsible — the coal companies,” said Cecil Roberts, president of the United Mine Workers of America, in an emailed news release earlier this week.
The finalized rule requires self-insured coal companies to post collateral — through surety bonds or other forms — that is equal to 100% of their black lung benefit liabilities.
With the new rule, coal companies that merge or file for bankruptcy will not be able to buck their responsibility for paying out benefits. Roberts said coal companies often use the bankruptcy process to shift these expenses to taxpayers by transferring the responsibility to the federal Black Lung Disability Trust Fund.
“That means taxpayers are now picking up the tab for coal companies that did not adequately protect their workers from dangerous levels of respirable coal dust,” Roberts said in his statement.
The trust fund exists to cover benefits for miners when no specific coal operator can be held responsible for their illness or when the operators fail to pay their share. Self-insured coal operators, however, are obligated to pay their own expenses.
Between 2014 and 2016, bankruptcies at just three coal companies resulted in an estimated $865 million in benefit payments being transferred to the taxpayer-funded trust, according to a 2020 report from the U.S. Government Accountability Office. The new rule came partially in response to that report, Muckian-Bates said.
The finalized rule is especially timely as two of the country’s largest coal producers — Arch Resources and CONSOL Energy — are in the middle of a merger that, once complete, will create a new, $5 billion coal company based in Pennsylvania.
Those companies combined, Muckian-Bates said, report at least $300 million in black lung liability that — without the rule — could potentially be passed on to the trust fund.
Nationwide, Muckian-Bates said, it’s known that black lung benefit liabilities at self-insured coal companies total at least $615 million, but Milliman — a risk analysis consulting group — estimates that amount could actually be much higher, totaling between $9 billion and $14 billion.
Despite the high liability, Roberts said that only $119 million in security has been posted by self-insured coal companies to cover the costs of benefits.
If bankruptcies or mergers occur — which is likely given the ongoing decline in the coal market — the difference between what is posted and what is owed would be passed on to the trust fund, threatening its solvency and the access of benefits for coal miners who rely on it, Muckian-Bates said.
“This is a powerful rule to ensure that as the coal market becomes a bit more unstable — knowing that large companies have used these bankruptcies to shed their liabilities — this ensures that they can’t do that now,” Muckian-Bates said. “They can’t transfer that [liability] to a trust fund that’s … been a target sometimes of certain administrations.”
The rule is scheduled to go into effect on Jan. 11.
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