Patients For Profit: Kaiser Health News

KFF’s Kaiser Health News Investigates Private Equity’s Stealth Takeover of Health Care in the United States

 

A new investigation by KFF’s Kaiser Health News (KHN) lays bare the sizeable efforts by private equity investors to take over large and lucrative parts of the U.S health care system in recent years. KHN found that private equity firms have invested nearly $1 trillion through thousands of deals to acquire hospitals and specialized medical practices during the last decade alone.

The deals, many of them unnoticed by federal regulators, typically result in a ratcheting up of providers’ pursuit of profits – and higher prices for patients, lawsuits, and complaints about quality of care.

 

The investments range widely and include the acquisitions of physician practices, dental clinic management companies, companies that treat autism, drug addiction and other behavioral health care, and ancillary services such as diagnostic and urine testing labs and software for medical billing. Through other deals, companies tied to private equity have come to dominate specialized medical services such as dermatology, gastroenterology, and anesthesiology in certain markets around the country. All of it has come on top of better-publicized takeovers of hospital emergency room staffing firms as well as the buying up of entire rural hospital systems.

Federal regulators have been almost blind to the incursion. KHN found that more than 90 percent of private equity takeovers or investments fell below the $100 million threshold that triggers an antitrust review by the Federal Trade Commission and the Justice Department.

 

Whistleblowers and injured patients, however, have turned to the courts to press allegations of misconduct or other improper business dealings. KHN found that companies owned or managed by private equity have agreed to pay fines of more than $500 million since 2014 to settle at least 34 lawsuits filed under the False Claims Act. Most of the time, the private equity owners have avoided liability.

 

The latest story, published today in USA Today, is part of a broader ongoing series, “Patients for Profit: How Private Equity Hijacked Health Care” in which KHN has examined a wide range of private equity’s forays into the health care system. They include the marketing of America’s top-selling abortion pill, the establishment of “obstetric emergency departments” at some hospitals, investments in the booming hospice care industry and even takeovers of funeral homes and cemeteries. The series includes a video primer, “How Private Equity Is Investing in Health Care”.

 

KHN collaborates with many editorial partners, and media outlets can publish these and other KHN stories at no charge. KHN also will publish the stories on khn.org and promote them through its social media platforms. KHN journalists also are available for interviews about their stories. News organizations interested in working with KHN should contact the news service at [email protected], and those interested in helping to expand and improve health journalism around the country should contact KFF at [email protected].

 

About KFF and KHN

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis, Polling and Survey Research and Social Impact Media, KHN is one of the four major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

 

CONTACT:

Chris Lee | (202) 654-1403 | [email protected]


Filling the need for trusted information on national health issues,

KFF is a nonprofit organization based in San Francisco, California.

kff.org  |  khn.org

One-Hit Wonder by Carolyn Tucker

Keys to the Kingdom

 

In 1973, Vicki Lawrence became a one-hit wonder with her recording of “The Night the Lights Went Out in Georgia.“ Her husband, Bobby Russell, wrote the song and it reached #1 on the charts in the United States and Canada. Vicky is best known and loved for her successful comedy career on The Carol Burnett Show which aired from 1967 to 1978. Vicki actually introduced and performed her one-and-only hit song on the show. And then we never heard her sing another song on the airways again. She was a flash-in-the-pan  recording artist, but I still remember her and the song as being great!    

 

There’s an interesting account in the New Testament about a one-hit wonder named Ananias. He was a believer who lived in Damascus and one day the Lord spoke to him in a vision. He told Ananias to go to the house of Judas on Straight Street and ask for Saul of Tarsus. (Previously, Saul had been struck with blindness on the way to Damascus so his friends had to lead him on into town.)

 

Because Saul had a reputation for jailing and stoning believers, Ananias responded,  “’But Lord, I’ve heard many people talk about the terrible things this man has done to the believers in Jerusalem! And he is authorized by the leading priests to arrest everyone who calls upon Your name.’ But the Lord said, ‘Go, for Saul is My chosen instrument to take My message to the Gentiles and to kings, as well as to the people of Israel.’ So Ananias went and found Saul. He laid his hands on him and said, ‘Brother Saul, the Lord Jesus, who appeared to you on the road, has sent me so that you might regain your sight and be filled with the Holy Spirit.’ Instantly something like scales fell from Saul’s eyes, and he regained his sight” (Acts 9:13-15,17-18 NLT).

 

The name “Ananias” means “the Lord’s gracious gift.” Saul needed this obedient believer to pray for him so he could receive his sight and be filled with the Holy  Spirit in order to fulfill the calling God had placed on his life. You might say Ananias was a New Testament flash-in-the-pan because we never hear anything about him again. I’ve wondered what would have happened if Ananias had refused to obey God‘s instructions. I’m thankful he rejected the spirit of fear and chose to obey, inspiring us to do the same.   Ananias was a man of God who didn’t let his trust rust — he used it to greatly advance God’s kingdom. His prompt obedience got Saul off the starting blocks with his ministry.

 

The important lesson to grasp is that Ananias obeyed God. As far as we know, he  was simply a believer, not a high priest, religious leader, pastor, or teacher. He received the strength and power from God to obey and perform his assignment. Any believer can be used to do God’s work. You don’t have to be qualified, you just have to be available — and willing to trust and obey.

 

Christ followers should have a full-fledged trust in God. Perhaps Ananias was quoting these verses on his way to pray for Saul: “But I trusted in, relied on, and was confident in You, O Lord; I said, You are my God. My times are in Your hands; deliver me from the hands of my foes and those who pursue me and persecute me” (Psalm 31:14,15 AMP).

 

The Key: When the Lord says, “Go,“ let’s trust Him enough to obey in a flash.

Letter to the Editor: Jordan Holdridge Family

Mrs. Autumn Durosette is a first grade teacher at Winfield Scott Elementary School.

She is the literal definition of God sent.

She is the perfect example when you hear of someone speak of how one single teacher can impact a child’s life and she did just that!

Our son is a engergic, sweet, loving boy when given the chance. He struggles with ADHD and a learning disability, so school is a tough place for him to thrive in.

Mrs. D, as he likes to call her, never once judged him or let this become an issue.

She made his ADHA his super power. She built his confidence up and helped him thrive. She took the time to get to know the little things about him that made the biggest differences. She strives to build a relationship with him so he could be his best self at school. She took a struggling little boy out of his shell and helped him thrive and loved him through the tough days. She went above and beyond for him in and out of school and kept in close contact with his parents.

We prayed for someone with a kind heart to help him in school and God heard our prayers and delivered Mrs. D.

Our son has since moved on to second grade and she continues to check in on him and care about him. We are beyond blessed to have had Mrs. D enter our lives and she deserves the world for her kind heart. Winfield Scott is full of amazing teachers that we have had the privilege of getting to know over the years but Mrs. D is God sent and should never go unnoticed. She deserves all the recognition for her dedication towards all of her students!

Thank you Mrs. D for everything!

The Jordan Holdridge Family

Opening on FS Street Advisory Board

November 11, 2022

 

There is an opening on the Fort Scott Street Advisory Board. The function of the Board is to provide suggestions to the City Commission regarding road improvement projects throughout the City of Fort Scott. When submitting your letter/email of interest, please provide any specific knowledge or training you have that would complement you being a member of this Board. All Boards and commissions serve on a volunteer basis and are not compensated. If you would like more information please contact Lisa Lewis, City Clerk at [email protected] or by calling 620.223.0550. Please submit your letter of interest by December 9th, 2022, at 12:00 p.m.

 

Nov. 15th Agenda for Fort Scott City Commission

NOTICE OF AND AGENDA FOR
MEETING OF
FORT SCOTT CITY COMMISSION
CITY HALL COMMISSION MEETING ROOM

123 SOUTH MAIN STREET
November 15 th, 2022
6:00 P.M.

I. Roll Call:

J. Jones T. Van Hoecke M. Wells K. Harrington

II. Flag Salute:

III. Invocation: Led by Matthew Wells

IV. Appointment of City Commissioner: Consideration of Robert Uhler, Bill Michaud, Cindy Bartelsmeyer, and Edwin Woellhof


V. Consent Agenda:

A. Approval of minutes of the regular meeting of November 1, 2022, and minutes of the special meeting of November 7, 2022

B. Request to Pay – J. Richardson Construction – $54,210.27 – 17 th and Eddy Stormwater Improvements

C. Request to Pay – HDR Engineering, Inc. – $14,294.96 – Phase II Dam Improvements – Engineering

D. Earles Engineering & Inspection, Inc. – $37,622.15 – work performed during October


VI. Public Comment:

(Sign up required. Comments on any topic not on agenda and limited to five (5) minutes per person, at Commission discretion)

VII. Old Business:

A. Change Order #1 – L.G. Barcus and Sons, Inc. – $19,466.03 – Review itemized bill

VIII. Appearances:
A. Jack Ryan-Fellman of BakerTilly October Financial Statements and Status of Engagement

B. Bailey Lyons – Splash Pad

IX. Public Hearing:

Financial Assistance and Pre-Application with U.S. Department of Agriculture and Rural Development to Repair and/or Replace Two (2) Storm Sirens –
Presented by Fire Chief Dave Bruner and Emily Diebolt


X. New Business:

A. Consideration of Special Assessment Waiver – Fort Scott Manor – Shane Lamb – Sgt. W. Downey presenting

B. Consideration of Amendment of Boat License Ordinance 3054

C. Consideration of Approval for Auction of Seized Vehicles Awarded to Fort Scott Police Department – Police Chief Travis Shelton presenting

D. Consideration of Interim City Manager position


XII. Reports and Comments:

A. Interim City Manager Comments

B. Assistant City Manager Comments

C. Engineering Updates and Comments

D. Commissioner’ Reports and Comments

E. City Attorney Reports and Comments


XIII. Executive Session If requested, (please follow script in all motions for
Executive Sessions)

IX. Adjournment:

Veteran Owned Veterinary Center: Russ Baxley

Dr. Russ Baxley purchased the Gorman Animal Hospital in March 2022.

Renamed the Southeast Kansas Veterinary Center, it is located at 1251   240th St., Fort Scott.

The SEK Veteraninary Center is located at 1251   240th St., Fort Scott. Submitted photo.

Hours of operation are Monday – Thursday: 8 a.m.-5 p.m., Friday:  8 a.m.-3 p.m. Saturday and Sunday, closed.

The phone number is (620) 223-1171

Dr. Baxley is a veterinarian and a veteran.

All together he has served in three wars, Baxley said.

“As a youngster, I was in the Air Force,” he said.

He started as a veterinarian in the U. S. Army in Afghanistan where he worked on dogs that detected explosives and narcotics.

He then left the army and returned to Kansas and worked for a mixed animal veterinarian.

A hankering for more adventures led him to Afghanistan, Iraq, Morocco and Egypt, as a contractor for the U.S. State Department, again working with detection dogs.

Returning to the U.S., he worked in Destin, Florida for a year and a half until the COVID 19 Pandemic restrictions made the job “undesirable,” he said.

Returning to Kansas, he traveled the state filling in at clinics for manpower shortages. It was then that he came to Fort Scott to the clinic he purchased in March 2022.

Dr. Baxley loves animals and the best part of his career is “returning a sick animal to health, seeing how happy the animal is and pleased the owner is.”

He is concerned about the misinformation for the care of animals that is on the internet and recommends that people look to information on academic or government sources.

The best source for veterinary advice is a veterinarian, he said.

In the industry there are new drugs coming for small animals that will help minimize pain and many new diagnostics for detecting and treating them.

For livestock, there have been new scientific studies for treating parasites, which helps decrease disease in cattle, while lowering production costs. “The hard part is getting people to change from old to new ways,” he said.

Coming in 2023, cattle producers won’t be able to buy common antibiotics over the counter.

“There is a paradigm shift coming to the livestock business in 2023,” Dr. Baxley said.

“They will need to get these (antibiotics) from a veterinarian, which requires a Veterinary-Client-Patient-Relationship,” he said. “This means that your vet has sufficient knowledge of a producers animals to make diagnosis.”

“I love helping people…save money and make money,” he said.

Kennel/Vet Assistant Needed

SEK Veterinary Center has an immediate opening for a Kennel/Vet Assistant. The position is part time- possibly more, if wanted/needed. Please apply in person at :
1251 240th St
Fort Scott, Ks 66701

 

 

 

U234 Board of Education Agenda for Nov. 14

BOARD OF EDUCATION REGULAR MEETING

NOVEMBER 14, 2022 – 5:30 P.M.

AGENDA SUMMARY

 

1.0            Call Meeting to Order

           

2.0       Flag Salute

 

3.0       Approval of the Official Agenda (Action Item

 

4.0       Approval of the Consent Agenda (Action Item)

 

            4.1       Minutes from October 10, 2022, Board of Education Meeting

            4.2       Financials-Cash Flow Report

            4.3       Check Register

            4.4       Payroll – October 20, 2022 – $1,572,916.54

            4.5       Activity Fund accounts

            4.6       Parent/Teacher Conference Statistics

4.7       Orchestra Extended Trip Application

 

5.0       Student Recognition – Anna Laubenstein

 

6.0       Leadership Reports (Information/Discussion)

 

            6.1       Fort Scott KNEA Report

            6.2       Superintendent’s Report

            6.3       Assistant Superintendent’s Report

            6.4       Finance Director’s Report

 

7.0       Old Business

 

            7.1       Communications Update

7.2       ESSER III Budget Approval (Action Item)

 

8.0       New Business

8.1       Proposal for full-time construction services for the roof replacement proje

 

8.2       State of Kansas Municipal Investment Pool Resolution

8.3       RPS Benefits By Design, Inc. Consulting Agreement

            8.4       Premium Rate Schedule

8.5       District Health Insurance Recommendation

 

9.0       Public Forum

10.0     Other Business – Personnel Matters

10.1     Enter Executive Session – Personnel Matters (Action Item)

10.2     Exit Executive Session

10.3     Approval of Personnel Report (Action Item)

 

11.0     Adjourn Meeting

Getting Rid of Moths and Cloaks by Patty LaRoche

A beekeeper once told author/pastor F.B. Meyer how some of the young bees are nurtured to ensure their healthy development. The queen lays each egg in a six-sided cell which is filled with enough pollen and honey to nourish the egg until it reaches a certain stage of maturity. The top is then sealed with a capsule of wax.

When the food is gone, it is time for the tiny creature to be released. The wax is so hard to penetrate that the bee can make only a very narrow opening. It is so narrow that in the agony of exit, the bee rubs off the membrane that encases its wings. When it finally does emerge, it is able to fly.

The man telling the story said that one time a moth got into the hive and devoured the wax capsules. As a result, the young bees crawled out without any effort or trouble. But they could not fly.                                                                                                                                                           F.B. Meyer said this: “Remember, it is through the struggle of the trial—the journey out of the pit—that the very best part of us takes flight. One day soon, you will look around to see that you are coming out of the dark.”

In Mark 10, we read about Bartimaeus, a blind beggar, who, when Jesus passed by, recognized him as the Messiah and called on him to show him mercy. Jesus’ disciples rebuked the beggar for such a display, but Bartimaeus continued to cry out.   How was it possible for a blind man to recognize what others did not?  Perhaps his spiritual eyes, the ones that really matter, were open, even though his physical eyes were not.  Bartimaeus recognized that he was a sinner in need of a touch from his Savior. Which is exactly what he got.

Verse 49-52 explains what happened next.  Jesus stopped and said, “Call him.” So they (the disciples) called to the blind man, “Cheer up!  On your feet!  He’s calling you.”      Throwing his cloak aside, the beggar jumped to his feet and neared Jesus who asked what he wanted.  “Rabbi,” he said, “I want to see.” Jesus’ response had to still the crowd. “Go, your faith has healed you.” Immediately, the blind man could see and followed Jesus down the road.

This man was in such a hurry to meet Jesus, he flung his outer cloak away.  Nothing would impede his haste to meet the one who would change his life forever.

Missionary Elizabeth Elliott once wrote, “Long-suffering is sometimes the only means by which the greater glory of God will be served.” Whatever you are going through, however dark your journey might appear, remember that the struggle can lead to your victory.  We all will go through dark periods…some much darker than others. Many times, all we need to do is choose light and get rid of whatever hinders us (like moths or cloaks). We need to look at our problems in the light of Jesus’ power instead of looking at Jesus in the darkness of our problems.

Yes, it can be as simple as that.

Free COVID-19 Tests Reordering Available for All Kansas Households

TOPEKA – The Kansas Department of Health and Environment (KDHE), in partnership with The Rockefeller Foundation’s public charity, RF Catalytic Capital and Project Access to Covid Tests (Project ACT), is providing a second round of free at-home COVID-19 tests to households in all Kansas communities. All Kansas households can now visit AccessCovidTests.org to place an order for an additional five at-home COVID-19 test kits. Amazon will deliver the test kits directly to your house.

Testing before holiday gatherings is one way to prevent spreading COVID-19 to family and friends. Frequent testing is especially important for those with more exposure outside the home, such as kids in school or people who spend time in a group setting. By visiting AccessCovidTests.org, Kansans will be able enter their zip code to order free, rapid, at-home COVID-19 test kits.

Kansans who need more support in ordering can call 866-534-3463 (866-KDHEINF).

If you need additional testing, please visit KnowBeforeYouGoKS.com to find a free testing site in your community.

Friends of the Fort Receives Grant for Sharing Stories

Friends of the Fort Scott National Historic Site Announces Grant

from the Freedom’s Frontier National Heritage Area

 

The Friends of the Fort Scott National Historic Site, Inc. have received a discussion grant for $2,500 from the Freedom’s Frontier National Heritage Area.  The grant will fund the project “Sharing Stories.” The monies will pay for a community read of four books about Native Americans and author visits from Congresswoman Sharice Davids, David Grann, Steve Sheinkin, and Angeline Boulley. These community reads are just a few of the upcoming  activities building up to the Wahzhazhe Osage Ballet.

Next July, 2023, the Friends of the Fort and the Fort Scott National Historic Site will bring the Wahzhazhe Ballet to perform in Fort Scott!

 

Freedom’s Frontier National Heritage Area (FFNHA) tells the stories and builds awareness of our region’s past, present, and future: the Kansas-Missouri border war, the Civil War, the settlement of the western frontier and rural America, and the enduring struggle for freedom. FFNHA supports and promotes approximately 323 willing partners, including historic sites, museums, historical societies, libraries, and other cultural-heritage tourism destinations in 41 counties across the Kansas-Missouri border.

The Friends of the Fort Scott National Historic Site, Inc. was formed in 2009 to work in cooperation with Fort Scott National Historic Site. Members primary purpose is to support, advocate, and promote the importance of the Fort and its history through education, fundraising, volunteerism, and preservation.

River Room Still Open For Business

Last week, Luther’s BBQ Restaurant at 3 W. Oak, closed.

The building’s second story business, the River Room Event Center, is getting a new phone number and will honor any reservations that were made, according to Al Niece, owner of the building.

“There were some reservations in place for some events (at the River Room), I am honoring them all,” Niece said. “The River Room is one of the largest event centers in the area.”

Niece is in the process of having a phone line set up for the River Room to redirect those interested in reserving the event center.

This story will be updated when the phone number is in place.

The owners of the restaurant business, David and Tina Lipe and Luther Salisberry  opened the BBQ restaurant at the corner of Oak Street and National Avenue in December 2019.

“They were behind on rent,” Niece said.  “Having to go through the (COVID 19) pandemic we were trying to work with them. After they got shut down by the government last week…We had to terminate their lease for non-payment.”

“I’m told the government shut them down for taxes,” Niece said.

KDOR Executed Tax Warrants and Seized Assets


On November 1, 2022, agents from the Kansas Department of Revenue (KDOR) accompanied by the Fort Scott Police Dept. and the Bourbon County Sheriff’s Dept. executed tax warrants and seized the assets of Luther’s BBQ LLC for nonpayment of Liquor Enforcement Taxes and Sales Taxes: totaling $38,783.96, according to a press release from the KDOR.


The warrants were filed in Bourbon County.

The types of assets seized include all known bank accounts, on-site cash, business inventory, as well as personal property belonging to the owner. The business was sealed closed with a public notice posted on the outside.

“Luther’s BBQ LLC has paid all outstanding judgements and assets have been released to the business,” according to an email from KDOR on November 9.


KDOR’s policy and practice is to work with taxpayers in delinquent status to voluntarily enter into repayment agreements, according to the press release. It is only after these efforts and multiple failed collection attempts that the Department is forced to execute a tax warrant, utilizing such actions as bank levies, till taps, and ultimately asset seizure to ensure compliance with the law.


KDOR’s responsibility to recover delinquent taxes not only ensures fairness for individuals and business owners who do pay their taxes, but also ensures that money is lawfully collected to fund state and local programs on which Kansans depend, according to the press release. These programs include education, highways, public safety, and human services.


Customers, employees or others that may have items at the business may contact the agent assigned to
this case at 785-250-5084.


New Business Soon

Niece feels confident that the lower floor restaurant space will be leased soon, he said.

“We’ve been approached several times to see if we would entertain another restaurant,” Niece said. “We’ll get somebody else in there.”

To view the prior story on the opening of Luther’s:

Luther’s BBQ Opens