Open Letter to Louisville Metro Council About Indigent Care Funding.

Louisville City Hall
Full Disclosure needed to keep UofLHonest.

Here is a letter I sent to all our Metro Council Members in Louisville.  I attached a copy of the article immediately before this one. The University’s mystery cuts and impact on the hospital are meaningless unless their context in the entire Hospital and University budgets are known. Continue reading “Open Letter to Louisville Metro Council About Indigent Care Funding.”

University Hospital Cuts Funding to UofL for Teaching: Or Did It?

UofL plays chicken with state and local officials.

[Addendum, June 14. On reading this morning’s printed report in the Courier-Journal, I clearly misinterpreted the University’s motivation.  This was no hat-in-hand response to community criticism, but a continuation of the threatening and even bullying behaviors of the past.]

This evening, the Courier-Journal reported on its website that at a earlier meeting with its editorial board, officials of the Medical School and presumably its Hospital, said that they will “cut in half the money they give the University of Louisville Health Sciences Center, ” from $11 to $5.5 Million. They follow up with an additional statement that perhaps next year they might decrease that amount even more!  At the time I was interviewed, I initially [and incorrectly] assumed that the University felt compelled to make some  reduction in response to criticism from the community about its funding of research at a time when it was crying poor!  It was increasingly hard to swallow the Hospital’s claim of having not enough money for indigent care when they were giving in excess of $12 million to research every year! Continue reading “University Hospital Cuts Funding to UofL for Teaching: Or Did It?”

Governor Beshear Releases Critical Report on Passport Medicaid Managed Care.

Louisville’s Passport loses its Medicaid Monopoly.

Why is it, whenever the bright light gets turned on, that the University of Lousiville doesn’t look so good? Last month, a friend reported some doctors lounge gossip that the University folks were all in a tizzy over some breaking event related to Passport or indigent care. With the announcement of the release of the highly critical review by State Auditor Edelen of the University’s management of the Quality Community Care Trust which provides public money for indigent care University Hospital, I thought I had an explanation. Continue reading “Governor Beshear Releases Critical Report on Passport Medicaid Managed Care.”

University of Louisville Hospital Threatens To Let Patients Die!

Tell Me It Isn’t True!

On yesterday’s Courier-Journal Website was a report of a presentation made by officials of University Hospital to the Metro Council urging them to increase the amount of money that the Mayor’s budget targeted to the QCCT fund for indigent care by $2.8 million more that the University actually received last year.  I have written before about this longstanding and less-than-forthwright deal between the City and the University.  Now it is coming back to bite them!  This is one of the consequences of transparency and accountability.  Sometimes when  the bright light gets shined on you, you get caught, and sometimes even have to give money back, as in the Passport scandal in which the University had also played fast-and-loose with public finds.  I am quite confident that we have not yet heard all the stories out there.

I have heard enough threats from the University about what they will or won’t do unless it gets its way again.  Patients are to be served, not held as hostages.  The University of Louisville and the Hospital it controls have put themselves in a position where the appropriate community posture is “trust, but verify.”  If the University says it does not have enough money to do the job we have asked of it, then it must open up its books and prove it to us.  Neither the recent Kentucky State Auditor’s Examination, nor the just-released blockbuster state review of Passport, nor even the University’s own Ad Hoc Internal Review were true financial audits designed to “follow the money.”  I have read them all.  On their face they do not justify the University’s claims.  The public which provides this money deserves full disclosure before we and our elected officials drink the Cool-Aid again. Continue reading “University of Louisville Hospital Threatens To Let Patients Die!”