Former state legislator sentenced for bank fraud

A former Kansas state legislator was sentenced Monday to 1.5 years in federal prison for defrauding Farmers and Merchants Bank of Colby, Kan., of more than $460,000, some of which he deposited in his campaign account, U.S. Attorney Barry Grissom said. He also was ordered to pay $461,000 in restitution.

Trent K. LeDoux, 40, Holton, Kan., a former Republican state representative from the 50th District from 2011 to 2013, pleaded guilty to one count of bank fraud.

In his plea, he admitted he applied for three loans from the bank, falsely representing that he was going to use all the funds to buy cattle that would serve as the collateral for the loans. In fact, he used some of the money to pay off existing debts and to make contributions to his political campaign account, the U.S. attorney’s office stated.

Grissom commended the FBI and Assistant U.S. Attorney Richard Hathaway for their work on the case.

Car spins, flips over on I-35 after flat tire

A Honda Accord was traveling northbound on I-35 near 18th Street Expressway in Kansas City, Kan., at 2:12 p.m. Monday, April 20, when it had a flat tire, rotated, and then overturned, according to a Kansas Highway Patrol trooper’s report.

The trooper’s report stated the car was traveling at highway speeds when it had a flat tire on the driver’s side rear. The vehicle rotated clockwise and entered the grass, the trooper’s report stated. As it traveled through the grass, it rotated counter-clockwise and then overturned, the report stated.

The Accord then came to rest in the ditch on its roof, the report stated.

The driver, a 20-year-old Kansas City, Kan., woman, was injured and taken to a Kansas City, Mo., hospital, the report stated.

Health care expert says changes afoot for Medicare and Medicaid

by Mike Sherry, Heartland Health Monitor
The public should expect to see significant evolutions in Medicare and Medicaid in coming years, a national health care expert told a Kansas City audience Friday.

Genevieve M. Kenney of the Urban Institute said an inevitable component of Medicare’s need to save money will be a discussion about raising the eligibility age. The current age of eligibility is 65, but life expectancy has increased since enactment of the program 50 years ago.

“I think that is a reasonable question – what is the right age?” said Kenney, a senior fellow and co-director of the institute’s Health Policy Center.

Kenney addressed about 60 people, including officials of the four organizations sponsoring the event: the Health Care Foundation of Greater Kansas City, the Henry W. Bloch School of Management at the University of Missouri-Kansas City, the Department of Health Policy and Management at the University of Kansas Medical Center and a student organization from KU Med.

Her talk focused on the history of the Medicare and Medicaid programs, which President Lyndon Johnson signed into law in 1965 at the presidential library of former President Harry Truman in Independence, Mo. Truman attended that ceremony.

Other items up for discussion, Kenney predicted, will be increased cost-sharing for well-off seniors along with a move toward quality-based reimbursements for providers and away from simply paying them for providing services.

Kenney also predicted similar reforms for Medicaid, including changing reimbursement criteria for providers and new cost-sharing requirements for enrollees.

She said some states already are achieving this through waiver agreements with the federal government as part of their expansion of Medicaid through the Affordable Care Act. Those waivers, she said, also allow states to reward patients for healthy behaviors.

Kenney also anticipates more talk of making the federal contribution to states a block grant rather than a percentage match of costs with the states.

She also said there will probably be ongoing discussions in state capitals about expanding Medicaid as envisioned by the ACA, which provides an enhanced federal match to states that increase Medicaid eligibility to 138 percent of the federal poverty level. Twenty-one states, including Missouri and Kansas, have chosen not to expand Medicaid.

Kenney envisioned the opposite debate too.

“In states that have adopted it,” she said, “I think there will be debate about whether to continue it.”

Kenney said both Medicare and Medicaid had succeeded in achieving their initial aims of extending health care coverage to the elderly and to poor children and families.

She noted that the percentage of seniors with hospital insurance jumped from 54 percent in the years just prior to Medicare’s enactment to 96 percent after enactment. In 1966 there were 19 million enrollees; in 2013, there were more than 50 million.

And as has been the case with the Affordable Care Act, all states were not eager to join Medicaid at its inception. Twenty-six states were participating as of January 1967, Kenney said, and Arizona was the last to join in October 1982.

Meanwhile, Medicaid enrollment has climbed from well below 10 million beneficiaries in 1966 to nearly 60 million now.

The program, she said, has made great strides in reducing the rate of uninsured poor children – falling from 30 percent in 1984 to less than 10 percent in 2012.

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