Montana
Montana's Medicaid disenrollment is even a bigger catastrophe than previously reported – Daily Montanan
You wouldn’t believe how many different ways I tried to begin this column trying to find the perfect analogy or phrase to sum up just how badly the Gianforte administration has handled Medicaid in Montana.
Describing it as a dumpster fire, for example, would imply that a raging fire is contained in a small space. More importantly, it says nothing about the real Montanans who lives are upended by what is a political decision that has more to do with Republicans trying to out-Republican each other than it does with being earnestly concerned about fraud, the reason given for making Medicaid enrollment so severe in Montana.
Our ideologue governor has taken a system that was often cited as a model of how the Medicaid expansion could work and dismantled it, hurting Montanans who struggle, hospitals and healthcare professionals, and reneging on a financial set-up so sweet that it should make anyone with a little business acumen scratch their head.
Let’s begin with the basics: After the COVID-19 pandemic, everyone, including the federal government, knew that Medicaid rolls would need to be trimmed, and expected that many who were previously eligible would drop because they had either restarted employment or found a new job.
But Montana’s number of people dropped from the public insurance enrollment has literally been extraordinary. As it stands right now, 10% of the state’s entire population has been dropped – a sheer number that should raise eyebrows.
The Gianforte administration in its zeal to attack a successful government program that has meant better health for residents as well as more stability for our stretched rural-centered healthcare, has also thumbed their noses at a deal that costs the state just a fraction of what it could be spending. For every dime the state contributes toward Medicaid, Montana receives 90 cents from the federal government. Virtually no other state gets a deal quite this sweet, and if the Gianforte administration had half of the business acumen it touts, it would be doing everything it could to take advantage of this deal.
Who wouldn’t take a deal that guaranteed giving us nine times the money we invest?
Setting aside the most important point that seems to get lost in every Medicaid policy discussion: The effect of Medicaid expansion in Montana has meant that residents are living healthier lives because they have insurance, and Medicaid has also meant a financial lifeline to hospitals who were strapped with a growing number of uninsured and underinsured patients.
These rural healthcare facilities in Montana are often the economic backbones of smaller communities, often being the largest private employer in rural communities. What the Gianforte administration has done, with the legislature’s approval, is threaten the viability of rural healthcare in the state by booting residents off the Medicaid rolls, leaving those already strapped healthcare organizations to absorb the loss. The lawmakers decided that Montana should “redetermine” eligibility more quickly, meaning there’s more churn to Medicaid, meaning more instability for residents and the healthcare they rely upon. Look no farther than what has happened to our rural nursing homes to see the results of not funding healthcare adequately.
But don’t take my word for it, look at the statistics. Montana has been booting residents from the Medicaid roll at a clip that is around three times more than average nationally. What makes that fact even more troubling is the inconsistent, if not conflicting, reports lawmakers have gotten from the Department of Public Health and Human Services, whose answers have more closely resembled a choose-your-own-adventure book than transparency.
You may recall that as Montana started its Medicaid purge, the Biden administration placed the state on notice that it was booting residents so quickly while at the same time seeming to ignore that the state had created a situation that was nearly impossible for those same residents to talk to a live person to get help.
Keep in mind that Gianforte himself made close to a billion dollars by creating a technology company that served to create customer service call centers. So much, apparently, for running the state like a business. This should have been something that Gianforte could have solved himself.
As lawmakers from both parties expressed concern that Montana was booting too many residents too quickly off Medicaid, DPHHS director Charlie Brereton quipped that the state could actually speed up the process – a sort of veiled threat that lawmakers should step lightly.
Yet last week, when lawmakers continued to press for answers about why so many people were losing insurance, as well as other related matters, Brereton told legislators that his staff were so taxed, and spread so thin that they simply don’t have time to answer their questions – the same people who are charged with making policy decisions about this essential care.
So, I’ll ask: Which is it, Mr. Brereton? Is it that your staff could boot Montana residents even more quickly from health insurance that they need, or is it that you can’t even provide answers because your staff is so overworked?
An equally plausible answer is that the administration could start bumping off residents from Medicaid more quickly and won’t answer the lawmakers’ questions because the state is carrying out a political decision that has little to do with ensuring Montanans’ health, making a sound financial decision or worrying about the economic health or rural Montana.
Let me put it bluntly, though – in terms that would normally be hyperbole, but, in this case, are literal.
When people don’t have insurance, they suffer more and die sooner.
When rural healthcare facilities see a rise in uncompensated, uninsured patients, they close.
When lawmakers can’t get answers from their partners in government, public trust is eroded and government moves from function to dysfunction.
Maybe the Gianforte administration can help me: How is any of this an example of good government?
BUTTE, Mont. — The Sentinel Spartans are the kings of Montana AA baseball.
In the inaugural season of AA baseball in the Treasure State, Sentinel took the title by winning three games in two days at the State AA Tournament, culminating with a 6-3 championship game victory over the Gallatin Raptors.
“It’s tough to find words right now,” said Sentinel head coach Brian Moser. “It was pretty emotional celebrating with the guys. Just really happy for them. What an opportunity. They took advantage of it. Very proud of them. Very appreciative of everything they’ve done for me and Sentinel High School and Sentinel baseball. It’s a great night to be a Spartan.”
Junior Stellan Ridley was stellar for Sentinel, with two triples, two runs scored, and two runs batted in. Kaden Thennis added two hits, two runs, and an RBI while also drawing a hit by pitch. Owen Dale had a hit and a run batted in.
“We have a great mentality,” said Ridley. “I’m so proud of these young guys. As a junior and the seniors, leading us to this and showing how discipline works. We faced some chirpy people, and we just stayed with our level of the game and we performed, as you can see. We won the State Tournament!”
Each win for Sentinel in the tournament came in vastly different fashion.
The Spartans earned a nine-inning victory in their quarterfinal against Butte on Thursday, then came back from a 6-0 deficit after 4.5 innings in their Friday semifinal matinee against the Glacier Wolfpack. But on Friday night, in a game that started at 10 p.m. and ended at 12:08 a.m., Sentinel took an early lead and never trailed enroute to a victory over a Raptors team that had lost just one game all season.
“I had never played a game that late. Going from the early game, it was good that we had that little gap, we got to recuperate and take a solid power nap and come back out here with a lot of energy. Because if we came out flat, there was no way. But we came out with a lot of energy, and we stuck it to them. I mean, that team was good,” said Ridley of their hot start in the title game.
“Baseball is a funny game. There’s a lot of ways to win, there’s a lot of ways to lose. Just happy for the guys for sticking to it and never giving up.” said Moser. “Honestly, it takes a couple of lucky bounces here and there in a State Tournament, and we got those and took advantage. Beat a really, really good Gallatin team tonight. Just extremely proud.”
Gallatin managed to tie the game at 3 apiece in the fifth inning before the Spartans scored one in the sixth and two in the seventh, allowing freshman pitcher Lucas Johansson to earn the win and the save on the mound.
“It’s a big deal. 3 runs are way more than 1. It takes a lot of what the offense can do away. So those were huge, huge runs,” said Moser.
Johansson picked up two of the three wins in the tournament for Sentinel, while fellow freshman Paxson Onstot had the victory in the triumph over Glacier.
“I’m not going to say that’s how we drew it up, but that hopefully gives them confidence to come back next year ready to go,” said Moser. “We’ll have a target on our backs, but that’s okay. A lot of youth, it’s fun.”
Keaton Elliott tossed the first 4.1 innings of the title game for Sentinel, allowing just two hits, three earned runs, and five walks while striking out two.
The title marked the end of a remarkable turnaround for a Spartans team that started the season with a record of 5-7 before winning 10 of their last 11.
“(We got) absolutely shamed by our entire school (at assembly). It sat with me this whole time and I hated that. I just had so much drive,” said Ridley. “What are they going to say now?”
Wyatt Ford pitched a complete game for Gallatin, allowing three earned runs, five hits and a hit by pitch while striking out 10 on 103 pitches.
Ford and Louis Musial had the Raptors only two hits on the night, a triple and double, respectively, while Harvey Kimmel had two runs batted in.
Sentinel ends their season with a record of 15-8, while Gallatin concluded their campaign at 18-2.
“I think Gallatin came in here a little cocky. One loss the whole season, thinking they were going to probably roll us,” said Ridley. “No. We showed them up. Their eyes got big, and they realized we’re not a team to mess with.”
HELENA, Mont. — Montana counties have accepted enough signatures for Seth Bodnar, running for U.S. Senate and Michael Eisenhauer, running in Montana’s 2nd Congressional District, to be on the November ballot, although counts are still unofficial.
County election officials are continuing to verify signatures submitted by Tuesday’s deadline as part of the candidate petition process.
The Montana Secretary of State’s Office has not yet verified, certified or accepted the petitions, according to the Secretary of State’s office.
Counties must submit candidate petitions to the Secretary of State’s office by June 1.
The Secretary of State’s office will then conduct its “statutory review to ensure the petitions meet the necessary legal requirements under law.”
The deadline for the November general election ballot to be certified is Thursday, Aug. 20. By then, all qualifying candidates and any potential ballot issues that qualify for the general election will be officially certified.
The following was out by the Montana Secretary of State’s Office:
The attached report is unofficial. It includes totals that the county election officials have processed and entered in the system. These totals do not represent what the Secretary of State’s Office has received, reviewed, tabulated, or certified. The certified totals may differ from what is reflected.
Seth Bodnar, U.S. Senate
- 13,327 required
- 18,772 accepted
- 7,812 rejected
Kimberly Persico, MT-01
- 6,742 required
- 563 accepted
- 156 rejected
Michael Eisenhauer, MT-02
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- 7,274 required
- 7,754 accepted
- 4,720 rejected
Severe storms moved through parts of Montana on Thursday, prompting a total of 5 Severe Thunderstorm Warnings. Reports included strong wind gusts and hail in several communities, including Augusta, Choteau, Sunburst, Bigfork, Kalispell and Evergreen.
The strongest reported wind gust was 60 mph near Augusta, while hail up to 1 inch was reported near Evergreen and Kalispell.
STORM REPORTS:
12 SE Grant — 56 mph thunderstorm wind gust
7 NNE Augusta — 60 mph thunderstorm wind gust
5 ENE Choteau — 59 mph thunderstorm wind gust
Sunburst — 54 mph thunderstorm wind gust
Ennis — 59 mph thunderstorm wind gust
3 SSW Ennis — 52 mph thunderstorm wind gust
2 E Helena — 54 mph thunderstorm wind gust
19 E Swan Lake — 56 mph thunderstorm wind gust
2 NNW Yaak — thunderstorm wind damage – Multiple downed trees reported along Highway 2 between MM 3 and 8
3 WSW Blacktail — 53 mph thunderstorm wind gust
1 NNW Troy — 49 mph thunderstorm wind gust
5 ENE Choteau — 56 mph thunderstorm wind gust
Turah — 0.88″ hail
1 NNW Bigfork — 0.75″ hail
3 SW La Salle — 0.50″ hail
2 N Evergreen — 1.00″ hail
1 W Kalispell — 1.00″ hail
3 WNW Kalispell — 0.75″ hail
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