Medicaid

The Pine Ridge Indian Health Services hospital has regained accreditation status and can now bill Medicare for services.  

The Great Plains Area Director for the IHS says the announcement is thanks to lasting changes in facility operations. 

The Centers for Medicare and Medicaid Services ended its provider agreement with the Pine Ridge IHS facility in 2017, citing the facility’s failure to meet care standards. Losing that agreement meant the facility couldn’t reimburse treatments through those programs

The state public health lab is organizing mass COVID-19 testing in nursing homes over the next month—starting in communities with substantial spread of the virus.

Long-term care facilities in the state face two overwhelming challenges. Their residents are some of the most vulnerable to COVID-19. In fact, more than half of the state’s COVID fatalities are older patients.   The pandemic is also exacerbating existing financial challenges.      

Six nursing homes in South Dakota closed over the last year and a half--including the Hudson Care and Rehab Center within the last month. The closures are driven by low Medicaid reimbursement rates from the state. 

The legislature approved a 10% reimbursement increase earlier this year. But testimony during last week's Government Operations and Audit Committee meeting shows the problem is far from solved. 

Legislators approve a ten percent ongoing increase in Medicaid reimbursement in response to the statewide nursing home crisis. That equals nearly 18 million additional dollars. 

Loren Diekman is the president and CEO of Jenkins Living Center in Watertown. He’s followed the Medicaid reimbursement issue closely and made several phone calls to the governor’s office and legislators. He says he’s very happy about the approved increase.

In The Moment ... February 28, 2019 Show 525 Hour 2

The legislative session marches on, but no clear solutions yet for the state’s nursing home crisis. Low Medicaid reimbursement rates are putting a strain on South Dakota’s longterm care facilities, but the legislature has killed the only bills brought forth to increase funding. Jackie Hendry joins us now with more.

Education and healthcare reporting on SDPB is supported by Regional Health, helping patients and communities live well.

SDLRC

In order to spur development of other long-term care options, South Dakota placed a limit on the number of nursing home beds in the state in the 1980’s. When a nursing home closes, that facility’s beds are held by the state’s Department of Health until they’re assigned to other facilities through an application process. In light of increasing nursing home closures, a senate bill seeks to add some flexibility to the process of re-allotting beds from a closed nursing home.

In The Moment ... January 31, 2019 Show 506 Hour 2

House Bill 1060 hopes to prevent further nursing home closures by raising Medicaid reimbursement rates. SDPB's Jackie Hendry is with us to dig into the bill further.

It’s official: Sanford Health and the Evangelical Lutheran Good Samaritan Society finalized their merge on the first of the year. Together they employ nearly 50 thousand employees across more than 20 states, providing healthcare to patients from birth to old age. But as nursing homes continue to face financial struggles in South Dakota, the organizations expect to work closely with state legislators to prevent further closures. 

Discussing Daugaard's Budget And Legacy

Dec 5, 2018

In The Moment ... December 5, 2018 Show 473 Hour 2

Governor Dennis Daugaard has proposed a $1.7 billion budget for the fiscal year that begins July 1, 2020, that includes spending increases for education, state employees and Medicaid providers.

Dakota Political Junkies Seth Tupper and Jonathan Ellis go over details of Daugaard's plan and they visit about the legacy of South Dakota's outgoing governor.

Attorney General Marty Jackley says he wants legislation designed to restrict the supply of methamphetamine in South Dakota.  Jackley says there's a nationwide meth epidemic, and South Dakota lawmakers have a chance to lessen its effects in the state. 

South Dakota’s State Supreme Court Chief Justice David Gilbertson is pointing to the success of drug courts in reducing recidivism.  During his annual State of the Judiciary speech, Gilbertson called for similar courts for veterans and mental health.

South Dakota Governor Dennis Daugaard delivers his final State of the State address to a joint session of lawmakers. He discusses workforce development, teacher salaries and extending the Open Waters Compromise.

Kealey Bultena / SDPB

South Dakota’s congressional delegation is still intent to repeal and replace the Affordable Care Act, or Obamacare.

Healthcare leaders in South Dakota say congressional legislative proposals could hurt the state.

Barb Storbeck helps people enroll for health insurance through the exchange set up by the Affordable Care Act.

She says many of her clients were getting health insurance for the first time.

Lee Strubinger / SDPB

For about a decade the rate of uninsured Native American children in South Dakota declined by almost fifty percent. In the same period, the rate of uninsured adults went up.

That’s according to a recent study out of Georgetown University, which finds South Dakota is one of two states in the country where that happened.

According to a nationwide study of health insurance coverage rates from 2008 to 2015, the uninsured rate for American Indian and Alaska Native children and families has declined.

Kealey Bultena / SDPB

South Dakota’s United States Senators say their health care plan is better than the Affordable Care Act. Thursday Senate Republicans released a draft of the highly-anticipated health care overhaul bill.

US Senator Mike Rounds says the Better Care Reconciliation Act is more moderate than the US House health care overhaul bill. He says it's a draft until the congressional budget office scores the bill.

Kealey Bultena / SDPB

South Dakota’s governor says federal health care reform can benefit the state’s working poor. The United States Congress failed to repeal and replace the Affordable Care Act. South Dakota’s top official says a different federal change can save tens of millions of dollars.

To understand health care in South Dakota’s future, start in the past. The Affordable Care Act offers subsidies for people with low incomes down to the poverty line. Below that the law needed states to expand Medicaid to cover the working poor.

Kealey Bultena / SDPB

Some South Dakota lawmakers want to loosen regulations on nursing home beds. One measure allows nursing homes to move certain beds within organizations or sell them. A split committee in the State House is sending the legislation to the full chamber.

Kealey Bultena / SDPB

Governor Dennis Daugaard says South Dakotans should not expect millions of dollars from IHS. A deal with the Indian Health Service would have covered medical care for Native Americans who qualify for IHS and Medicaid. The governor says that can’t happen for now.

Indian Health Service leaders agreed to cover millions in medical costs that South Dakota picks up using Medicaid. Governor Dennis Daugaard says that arrangement hinged on the state’s expansion of Medicaid. Because that isn’t happening, does the deal still work?

SDPB

South Dakotans don't have the answers to many of their health care questions. Between federal administration changes and decisions at the state level, the issue of delivering quality, cost-effective health care is bathed in uncertainty. SDPB's Kealey Bultena joins Dakota Midday host Lori Walsh to answer many of those frequently asked questions.

Kealey Bultena / SDPB

South Dakotans don’t have answers to many of their health care questions. Between federal administration changes and decisions at the state level, the issue of delivering quality, cost-effective health care is bathed in uncertainty. Local advocates say patients should not panic; instead they say people can better understand the factors at play nationally and within South Dakota – and know that people are fighting for their wellness.

Kealey Bultena / SDPB

Medicaid expansion in South Dakota may not happen, but many health care providers say they’re not giving up on reforms that could help the working poor. Some health leaders are looking for other ways to deliver medical care to thousands of people.

Doctor Tim Ridgway says the point of the complicated medical system is to take care of people and improve the health of all individuals in communities.

Ridgway says navigating those elements and figuring out how to pay for all of it is an intricate process.

SDPB

SDPB political reporter Lee Strubinger visits about changes in the South Dakota Legislature after last week's election as he joins Lori Walsh on Dakota Midday.

Kealey Bultena / SDPB

State lawmakers say improving quality of health care remains a legislative priority. This on the heels of Governor Dennis Daugaard’s announcement that he will not support Medicaid expansion in 2017. That has lawmakers examining work between the state and federal government.

Kealey Bultena / SDPB

South Dakota political leaders say Medicaid expansion is off the table in the 2017 legislative session.  But one lawmaker says that doesn’t solve the problem of people not being able to afford health coverage.

Governor Dennis Daugaard announced Tuesday that he will not prioritize Medicaid expansion in the next legislative session. He says he made the decision to not expand Medicaid in South Dakota after a meeting with Vice President Elect Mike Pence.

Dakota Political Junkies Kevin Woster and Jonathan Ellis join Dakota Midday host Lori Walsh for a look behind the top political headlines of the week. Topics include the launch of a smaller GEAR UP summer program, the evolving relationship with Donald Trump and the state GOP, and the possibilities of Medicaid expansion in South Dakota.

sd.gov

Governor Dennis Daugaard says he won’t call a special session of the state legislature to vote on Medicaid expansion.  

Daugaard says he has a plan that would not cost the state additional money, and guarantees the federal government will pay for Native American healthcare.

Daugaard says several legislators requested more time to study his plan for Medicaid expansion. His plan would expand coverage to 50,000 South Dakotans between the ages of 18 and 65.  

Representative Jim Bolin says there wasn’t enough support in the House to approve the governor’s plan.

Troy Jones is the new administrator of the Human Services Center in Yankton. The state of South Dakota recently completed a correction plan to address findings from a Centers for Medicaid and Medicare Services report. Jones joins Dakota Midday to talk about his vision for HSC and the value of leadership and collaboration going forward. 

Courtesy photo

Members of the South Dakota Health Care Solutions Coalition continue to crunch the numbers to see if Medicaid expansion is feasible in South Dakota. Kim Malsam-Rysdon is the Secretary of the State Department of Health. She says Governor Dennis Daugaard continues to support a special session of the legislature if the plan is ready and if it makes sense to move forward before the regular session. She says officials are working on firming up commitments from providers.  

Regional Health CEO Backs Medicaid Expansion

Mar 29, 2016
Charles Michael Ray

The CEO of Regional Health, Brent Phillips, says the talk on Medicaid expansion in South Dakota has too often missed the point.  

Phillips says expanding Medicaid to thousands of uninsured residents will not only help Native people but also be a huge boost to the economy.  

Regional Health is among the largest employers in western South Dakota, and one of the largest health care providers in the state.

Brent Phillips, Regional Health CEO grew up on a Dairy Farm.

SDPB

State Lawmakers have finished the main part of their work for the 2016 legislative session.

Statehouse Podcast: Abortion, Education, Vehicular Homicide

Mar 2, 2016

The Statehouse Podcast for March 2nd, 2016 includes coverage of legislation on abortion, education, vehicular homicide, elder abuse, CAFOs, and Medicaid expansion. 

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