Maine Writer

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Location: Topsham, MAINE, United States

My blogs are dedicated to the issues I care about. Thank you to all who take the time to read something I've written.

Monday, February 03, 2025

Without advance notice or explanation federal funds were frozen by Evilism-Trumpziism and harm caused to millions

Dateline Maine Monitor: On Tuesday morning, Claire Berkowitz, the CEO of the Midcoast Maine Community Action in Bath, Maine got some unusual and frightening news: her organization couldn’t access the federal funding it needed to run its Head Start program.  Echo report by Josh Keefe, Rose Lundy, Emily Bader, Stephanie McFeeters in Maine Monitor.
Soon, she was hearing the same thing from her counterparts across Maine.

“My first thought was ‘How can that be❗❓’” said Berkowitz, who also serves as the chair of the statewide Maine Community Action Partnership. “This is money that was already approved and appropriated by Congress for these exact expenses.”

Head Start, which serves nearly 3,000 children in Maine, was one of several programs whose operations appeared to be in jeopardy last week when the Trump administration abruptly announced a freeze on federal payments for grants and other programs.

The freeze caused an outcry, and was temporarily halted by a federal judge right before it was set to go into effect on Tuesday evening. 

On Wednesday, the administration rescinded the order behind the freeze but said it stood by its intention to have agencies evaluate their programs to ensure they align with Donald Trump’s priorities❓❓. 

This includes complying with executive orders to halt federal diversity, equity and inclusion programs and undo protections for transgender people.

The chaotic sequence of events, and lack of clarity from the administration, left groups across Maine confused and anxious.

Steven Michaud, president of the Maine Hospital Association, said that even though the federal funding freeze memo was rescinded, it still created a lot of uncertainty about the future of programs and grants that rely on federal funding.

“Nothing is worse than uncertainty,” Michaud said. “You don’t want a payment cut or to lose money, but the uncertainty is in some ways worse because you don’t know how to manage or proceed on whatever you’re doing.”

Initially, his primary concern was the impact on Medicaid payments and processing, but the Trump administration later clarified that Medicaid, along with Medicare, would not be affected. 

But there were other impacts, such as a bed capacity management system it was working on with the state that would have made it easier to find open beds — now paused.

Maine’s hospitals receive grants for all kinds of research, which may be on hold due to the uncertainty created by the funding freeze. These research grants don’t make up a significant portion of a hospital’s budget, but they are “meaningful,” Michaud said.

“That’s the kind of stuff where you go ‘Are we still going? Do we hit pause? Do we pull the plug?’ That’s the uncertainty it creates,” he said.

Michaud said his counterparts across the country were struggling to figure out the full impact.

“It was so brand new, nobody’s got a good tally,” he said.

‘Crisis mode’:  It’s hard to say exactly how much Maine funding would have been — or could still be — jeopardized by the freeze and the associated review.

Federal grants constitute around one-third of state budgets, according to the Center on Budget and Policy Priorities.

A spokesperson for the Maine Department of Administrative and Financial Services said the state government received and spent approximately $4.8 billion in federal funds in fiscal year 2024. This was just the money that went to the state, not money that was passed through to nonprofits, the University of Maine system or quasi-state agencies such as MaineHousing, nor funds that went directly to other government entities.

“Because the Trump Administration’s memo through the Office of Management and Budget was not clear about which sources of Federal funding it sought to limit, it is not clear how much of that $4.8 billion in Federal funding would have been impacted,” Dept of AFS communications director Sharon Huntley wrote in an email.

The memo was accompanied by a list of around 2,600 programs under review, including: Preventing Trafficking of Girls; Opioid Affected Youth Initiative; Assistance to High Energy Cost Rural Communities; Rural Business Development Grant; Homeless Veterans Reintegration Program; Disaster Unemployment Assistance; Indian Health Service Behavioral Health; Boating Safety Financial Assistance; Assistance to Firefighters Grant; Flood Insurance; and much more.

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Thursday, January 03, 2019

Maine hospitals now posting prices for services

Reported in the Lewiston Sun Journal by Lindsay Tice



LEWISTON, ME — Mainers can now find the price of a hospital visit with a click, because of new federal rules, Mainers can now find the price of a hospital visit with a click.
However, experts warn the new costs posted online amount to sticker prices. Patients’ circumstances vary — including whether they have insurance coverage — so actual cost may be different from the list price.

The Centers for Medicare & Medicaid Services (CMS) began requiring hospitals to post prices Jan. 1. The postings must be easy to download and read, and they must include current charges for every service and item provided by the hospital, including medications.

Hospitals that do not follow through are at risk of being penalized by CMS, a large payer of medical care included Medicare.

Maine hospitals began posting charges on their websites this week.

Some price sheets are easier to find than others. They typically are available by going to the hospital’s website, clicking on “patient information” or “billing information” and finding “billing price estimates” or “pricing transparency” among the options.


Some price sheets are also easier to understand than others. 

With tens of thousands of items to list, hospitals abbreviated many procedures or medications, leading to listings such as the $1,191 “manip knee jnt w/anes, bilat” — a bilateral manipulation of knee joint with anesthesia — at Northern Light Eastern Maine Medical Center in Bangor.

“In the coming weeks, we plan to refine and simplify this information even further for our patients as we strongly believe health care should be accessible and straightforward,” Northern Light Health spokeswoman Rebecca Parent said of the hospital’s price sheet.

While hospitals must post their charge lists, CMS is encouraging them to add extra data, such as quality information and additional pricing information. Some Maine hospital leaders say they will post more.

“We fully support being transparent and empowering potential patients to make well-informed decisions about their health care,” said Steven Jorgensen, president of St. Mary’s Regional Medical Center in Lewiston. “We’ve posted hospital, procedure and pharmacy prices. In addition, to make this data more comprehensive yet still consumer-friendly, we expect to post bundle prices for a variety of standard procedures soon.”

This is the first time hospitals have been required to publicly post their full charge sheets online. However, Maine hospitals have been required by state law to provide some information to patients on request and have been required for years to send some cost information to the Maine Health Data Organization for its price comparison website: www.comparemaine.org.

Ann Woloson, executive director of Consumers for Affordable Health Care in Augusta, said she likes pointing patients to the CompareMaine site, but she believes this new comprehensive, hospital-by-hospital listing will be helpful, too.


“Any transparency with health care costs, especially hospital costs, is very important to Maine consumers who are paying more out of pocket for the health care they need,” she said. “Any information they can gain that reflects what their bottom line is going to be is obviously important.”

She cautioned, though, that a hospital’s list price may not reveal the full cost for a procedure. An anesthesiologist’s fee, for example, may be additional.

“It’s probably helpful to do a little bit more work,” she said. 


“Don’t just think that if you’re going to get a knee operation at some hospital that that price truly reflects all of the costs associated with it.”

At the same time, experts cautioned that hospitals are listing their sticker prices — the amount they charge to people who are uninsured or earn too much to qualify for charity care. The average patient typically pays a lot less after insurer-negotiated discounts and insurance coverage.

“Many patients are interested in their exposure to costs, which generally requires a conversation with their insurance company since that is who sets deductibles and co-pays and can provide patients the most up-to-date info on those cost factors,” said Jeff Austin, spokesman for the Maine Hospital Association.

“We encourage patients to speak to their providers and their carriers to get an estimate of costs.”


To make sure potential patients do not get scared by that list price, hospital officials encourage people to call their hospital’s billing department or other patient services department for more information about the listed procedures and their actual costs.

Where to find your hospital’s charge list:

Central Maine Healthcare (including Central Maine Medical Center in Lewiston, Rumford and Bridgton hospitals): https://www.cmhc.org/billing-and-financial-information/billing-price-estimates

MaineGeneral Medical Center, Augusta: https://www.mainegeneral.org/Pages/Appointments-and-Bill-Pay/Billing-and-Insurance.aspx


MaineHealth (including Franklin Memorial Hospital in Farmington, Stephens Memorial Hospital in Norway and Maine Medical Center in Portland): https://mainehealth.org/patients-visitors/billing-insurance/public-health-services-act

Northern Light Health (including Northern Light Eastern Maine Medical Center in Bangor): https://northernlighthealth.org/Locations/Eastern-Maine-Medical-Center/Patients-Visitors/Billing/Price-Transparency

St. Mary’s Regional Medical Center, Lewiston: https://www.stmarysmaine.com/patient-and-visitor-information/pricing/pricing-transparency


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Friday, October 06, 2017

MaineBiz reports business response to "Yes on 2" Medicaid

Maine referendum on Medicaid Expansion continues to build positive momentum, reported in MaineBiz:


More than 150 small business owners endorse Medicaid expansion
The Maine Small Business Coalition reported that more than 150 Maine small business owners support a "Yes" vote on Question 2, the Medicaid expansion referendum question that will be on the Nov. 7 ballot.

If Maine voters approve the question, it would expand access to Medicaid for about 70,000 Mainers.

Maine Hospital Association, which represents all of Maine's 36 community hospitals, also has come out in support of Question 2.

Maine Public reported that Brent Littlefield of the Maine Welfare to Work PAC, said that another small-business group, the Maine branch of the National Federation of Independent Business, opposed expansion. Littlefield told Maine Public that Medicaid expansion could send the state budget into crisis.

The Maine State Chamber of Commerce hasn't taken a position on the issue yet but will consider it during a board meeting next week, according to Maine Public.

Why some businesses support expansion

In a Maine Small Business Coalition news release, Tim Soley, the owner of the Hyatt Place Portland and several other businesses, spoke about the need to ensure that more Mainers have access to quality, affordable health care.

"I support expanding Medicaid because I believe there to be compelling moral, philosophical and business reasons demanding it," Soley said. "I want to make sure that no citizen is deprived of access to health care due to a lack of financial capacity. ... As more people get regular checkups and quality preventative care, they live healthier lives and avoid expensive trips to the emergency room. This leads to both healthier people AND lower health care costs for everyone."

Cate DiMarzio, a licensed clinical professional counselor who owns and operates a private behavioral health practice in Yarmouth, cited a Maine Center for Economic Policy estimate that expanding MaineCare would create more than 3,000 new permanent jobs in Maine.

"Expanding Medicaid will mean more Mainers can afford care and will mean more jobs for health care professionals like me," DiMarzio said.

Jim Britt also attended on behalf of Nate Barr, the owner of Zootility Tools in Portland, and read a written statement by Barr at the press conference describing why his manufacturing company supports passage of Question 2.

"Too many Mainers currently can't afford the basic health care coverage that means they can afford regular checkups and other types of preventative care," Barr said. "Instead they are forced to wait until they get very sick and go to the hospital, where care is much more expensive, and we all bear the cost. Expanding will help to hold down health care costs for everyone."

A list of the endorsing businesses can be found here.

For more information about the "Yes on 2" campaign go here.

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Thursday, September 28, 2017

Senator Susan Collins-Thank you from 300 advocates

More Than 300 Advocacy Groups Oppose Graham-Cassidy

September 28, 2017

Physicians, Patient Advocates, Insurers, and Hospitals Agree: 

Graham-Cassidy Would Have Devastating Implications for Millions of Americans in Maine and Across our Country

Washington, D.C. - More than 300 health care advocacy groups, including several representing Mainers, oppose the Graham-Cassidy health care proposal. This astonishing number of advocacy groups representing physicians, patients, insurance providers, and hospitals highlighted a wide range of reasons for their opposition to the proposal, including:

The American Medical Association wrote that the Graham-Cassidy proposal “would result in millions of Americans losing their health insurance coverage, destabilize health insurance markets, and decrease access to affordable coverage and care.”

The Blue Cross Blue Shield Association opposed the Graham-Cassidy proposal because it “contains provisions that would allow states to waive key consumer protections, as well as undermine safeguards for those with pre-existing medical conditions.”

The Alzheimer’s Association wrote that “The proposed changes to Medicaid outlined in the Graham-Cassidy Amendment could have a drastic impact on [the more than 5 million Americans currently living with Alzheimer’s] given that more than 1 in 4 seniors with Alzheimer's and other dementias are currently on Medicaid.”
The American Cancer Society urged Senators to vote “no” on the Graham-Cassidy proposal, citing that the bill could cause insurers to: “Charge cancer patients and survivors far higher rates to make coverage unaffordable; eliminate coverage for cancer care in their health plans; and re-institute arbitrary caps on annual and lifetime coverage.”

According to Avalere, a respected firm that specializes in health care policy, Maine would ultimately lose $1 billion between 2020 and 2026, $2 billion by 2027, and $17 billion by 2037. Huge Medicaid cuts down the road more than offset any short-term influx of money under this “give with one hand, take with the other” approach.

The Maine Hospital Association has also cited analysis that shows Maine could lose up to $1 billion over the next decade. This would be a serious loss to Maine where the hospitals, with the exception of the largest hospital in Portland, lost $50 million dollars in the aggregate last year. Some of our hospitals could not survive cuts of this magnitude, thus depriving local residents of easily accessible health care.

Groups in opposition to Graham-Cassidy include:

Asthma and Allergy Foundation of America
AARP
Adult Congenital Heart Association
Alpha-1 Foundation
ALS Association
Alzheimer's Association
Alzheimer's Impact Movement
Academy of Nutrition and Dietetics
America's Essential Hospitals
America’s Health Insurance Plans
American Academy of Actuaries
American Academy of Family Physicians
American Academy of Pediatrics
American Cancer Society Cancer Action Network
American College of Cardiology
American College of Emergency Physicians
American College of Physicians
American College of Preventive Medicine
American College of Rheumatology
American Congress of Obstetricians and Gynecologists
American College of Surgeons
American Diabetes Association
American Foundation for the Blind
American Health Care Association
American Heart Association
American Hospital Association
American Liver Foundation
American Lung Association
American Medical Association
American Nurses Association
American Occupational Therapy Association
Academy on Violence and Abuse
American Osteopathic Association
American Psychiatric Association
American Psychological Association
American Public Health Association
American Society for Addiction Medicine
American Society for Radiation Oncology
American Society of Clinical Oncology
American Speech-Language-Hearing Association
Amputee Coalition
ANA-Maine and the American Nurses Association
Arthritis Foundation
Association for Community Affiliated Plans
Association of American Medical Colleges
Association of Oncology Social Work
Association of Public Health Associations
Association of University Centers on Disabilities
Autism Society
Autism Speaks
Autistic Self Advocacy Network
Big Cities Health Coalition
Blue Cross Blue Shield Association
Cancer Support Community
CancerCare
Catholic Health Association
Center for Medicare Advocacy
Children’s Hospital Association
Coalition to Stop Opioid Overdose
Consortium for Citizens with Disabilities
COPD Foundation
Crohn’s & Colitis Foundation
Cystic Fibrosis Foundation
Deadliest Cancers Coalition
Disability Rights Legal Center
Emergency Department Practice Management Association
Envision Healthcare
Epilepsy Foundation
Families USA
Family Voices
Federation of American Hospitals
Fight Colorectal Cancer
Genesis Healthcare***
HIV Medicine Association
Hypertrophic Cardiomyopathy Association
Infectious Diseases Society of America
International Myeloma Foundation
JDRF
Kaiser Permanente
LeadingAge
Living Beyond Breast Cancer
Lung Cancer Alliance
Lutheran Services in America
Lymphoma Research Foundation
March of Dimes
Medicare Rights Center
Michael J. Fox Foundation
National Association of County and City Health Officials
National Association of Medicaid Directors
National Association of Pediatric Nurse Practitioners
National Association of School Nurses
National Association of Social Workers
National Association of State Directors of Special Education
National Brain Tumor Society
National Center for Assisted Living
National Coalition for Cancer Survivorship
National Comprehensive Cancer Network
National Council for Behavioral Health
National Council of Urban Indian Health
National Foundation for Transplants
National Down Syndrome Congress
National Health Council
National Institute for Reproductive Health
National Kidney Foundation
National Network to End Domestic Violence
National Multiple Sclerosis Society
National Organization for Rare Diseases
National Patient Advocate Foundation
Ovarian Cancer National Alliance
Pediatric Infectious Diseases Society
Planned Parenthood
Prevent Cancer Foundation
Prevention Institute
Public Health Institute
Pulmonary Hypertension Association
Robert Wood Johnson Foundation
Sara Collins, The Commonwealth Fund
Sarcoma Foundation of America
Susan G. Komen
The Arc
The Children's Cause for Cancer Advocacy
The Leukemia & Lymphoma Society
Trust for America's Health
United Steelworkers
Volunteers of America
VoteVets
WomenHeart

America’s Health Insurance Plans (AHIP) – whose members include:

Affinity Health Plan
Aflac
AgeWell New York
Alignment Healthcare
AllCare
Allstate Insurance
AlohaCare
AMA Insurance Agency, Inc.
American Fidelity Assurance Company
American Republic Insurance Company
American Specialty Health Incorporated
Amerigroup Corporation
AmeriHealth
AmeriHealth Administrators
AmeriHealth Caritas Family of Companies
Anthem, Inc.
Arkansas BlueCross Blue Shield
Aspire Health Plan
AultCare Corporation
Avera Health Plans
AvMed Health Plan
Axis Global Accident & Health
Bankers Life and Casualty Company
Baptist Health Plan
Blue Cross and Blue Shield of Georgia
Blue Cross and Blue Shield of Illinois
Blue Cross & Blue Shield of Louisiana
Blue Cross Blue Shield Blue Care Network of Michigan
Blue Cross and Blue Shield of Minnesota
Blue Cross and Blue Shield of Montana
Blue Cross and Blue Shield of New Mexico
Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of North Carolina
BlueCross BlueShield of Oklahoma
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Texas
BlueShield of Northeastern New York
Blue Cross of Idaho
Blue Shield of California
Cambia Health Solutions
Capital Blue Cross
Capital District Physicians´ Health Plan
Care 1st Health Plan
Care N’ Care Insurance Company, Inc.
CareConnect
CareFirst BlueCross BlueShield
CareMore Health Plan
CareSource
Celtic Insurance Company
CENTENE Corp.
Chinese Community Health Plan
CHRISTUS
Cigna Corporation
Clover Health
CNO Financial Group
Colorado Choice Health Plans/San Luis Valley HMO
Commonwealth Care Alliance
Community Health Network of Connecticut
ConnectiCare, Inc.
CoreSource
DAKOTACARE
Dean Health Plan, Inc.
Delta Dental Plans Association
DentaQuest Group, Inc.
Denver Health Medical Plan
EmblemHealth
Empire Blue Cross and Blue Shield
Express Scripts Medicare
Eyemed Vision Care HMO of Texas
Fallon Health
Family Care, Inc.
Federated Insurance Companies
FirstCare Health Plans
First Choice Health
Florida Blue
Fresenius Health Plans
Gateway Health
Geisinger Health Plans
Gen Re LifeHealth
Group Health Cooperative
Group Health Cooperative of Eau Claire
Guarantee Trust Life Insurance Company
Gundersen Health Plan, Inc.
Harvard Pilgrim Health Care
Health Alliance Medical Plan
Health Alliance Plan
Health Care Service Corporation
Health Tradition Health Plan
HealthEquity
Healthfirst, Inc.
HealthMarkets
HealthPartners
HealthPlan Services
Highmark Health
Hometown Health Plan
Horizon BC/BS of New Jersey
HSABank
Humana, Inc.
Independence Blue Cross, Philadelphia, PA
Independent Health
Indiana University Health Plans
InnovaCare Health Solutions
InnovAge Care Management
Insurance Administrative Solutions, L.L.C.
Inter Valley Health Plan
John Hancock Financial Services
Kaiser Permanente
L.A. Care
LifePlans, Inc.
LifeSecure Insurance Company
Lighthouse Guild/GuildNet
Long Term Care Partners, LLC
Magellan Health
MagnaCare
Martin’s Point Health Care
Medica Health Plan
Medical Card System (MCS)
Medical Mutual of Ohio
Memorial Hermann Health Insurance Company
Meridian Health Plan
Moda Health
Molina Healthcare
Munich Re America HealthCare
Mutual of Omaha Insurance Company
MVP Health Care
Neighborhood Health Plan
Neighborhood Health Plan of Rhode Island
New York Life Insurance Company
Oscar Insurance Corporation
PacificSource Health Plans
Passport Health Plan
Peoples Health
Physicians Health Plan of Northern Indiana
Physicians Mutual Insurance Company
Piedmont Community Health Plan, Inc.
PreferredOne
Prominence Health Plan
Providence Health Plans
QualCare, Inc.
QualChoice of Arkansas
Regence BC/BS of Oregon
Regence BlueCross BlueShield of Utah
Regence Blue Shield
Regence BlueShield of Idaho
Resolution Health
Sanford Health Plans
San Francisco Health Plan
SCAN Health Plan
Security Health Plan of Wisconsin
Senior Health Insurance Company of Pennsylvania
Senior Whole Health, LLC
Sentara Healthcare
Sharp Health Plan
SilverScript Insurance Company
SummaCare
Sutter Health Plan
Starmark
State Farm Insurance Companies
Swiss Re America
TakeCare Insurance Co.
Thrivent Financial for Lutherans
Trillium Community Health Plan
TriPlus
Trusted Health Plan
Trustmark Insurance Company
Tufts Health Plan
UCare
UMB Bank Healthcare Services
UNICARE Life & Health Insurance Company
Unity Health Insurance of Wisconsin
Universal American Corp
University Health Alliance
UPMC Health Insurance Plans
USAA
VillageCareMAX
Virginia Premier
VIVA Health, Inc.
WEA Trust
Western Health Advantage
WPS Health Insurance
Zurich North America

***Genesis Healthcare has 1000+ employees in Maine.

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