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Medicaid offices raid deceased homes to recover medical costs

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WASHINGTON (AP) – As Salvatore LoGrande battled cancer and all of the pain that comes with it, his daughters promised to keep him within the white house with the pitched roof that he worked so hard for many years ago.

So Sandy LoGrande thought it was a mistake when, a 12 months after her father’s death, Massachusetts billed her $177,000 for her father’s Medicaid expenses and threatened to sue over his house if she didn’t pay up quickly.

“Home was everything,” LoGrande, 57, told her father.

But the bill and its accompanying threat weren’t a mistake.

The U.S. Department of Health and Human Services constructing, April 5, 2009, in Washington, DC. (AP Photo/Alex Brandon, File)

Rather, it was a part of a routine process the federal government requires of each state: recovering money from the estates of deceased individuals who, of their final years, relied on Medicaid, taxpayer-funded medical insurance for the poorest Americans.

An individual’s home is often exempt from qualifying for Medicaid. However, it’s subject to the estate recovery process for people who find themselves 55 or older and used Medicaid to pay for long-term care, similar to a nursing home stay or home health care.

This month, Democratic MP proposed completely abandoning the “cruel” program. Critics say this system collects too little – about 1% – of the greater than $150 billion in Medicaid spends annually for long-term care. They also claim that many states don’t warn individuals who join for Medicaid that their families could face large bills and claims on their estate after their death.

LoGrande says she became involved in a two-year legal dispute with Massachusetts after her father’s death. Just a few years before his death in 2016, she turned to an area nonprofit for advice on caring for her elderly father. The group suggested she enroll him in Medicaid. She even remembers asking a couple of home, but was assured that the state would only search for a house if it sent her father to a nursing home.

“He would never sign a contract for something that would put his home in danger,” she said.

For years, her father received an annual notice of profit renewal from the state’s Medicaid office. She says it wasn’t until after his death, when a state claim for $177,000 got here in, that she saw the primary bill for his care, which included a brief hospital stay for cancer pain, medications and hospice.

“That just blew my guts,” LoGrande said. “It was unfair.”

In 2019, the state reached an agreement with LoGrandes and withdrew its claims on the home.

State policies regarding this recovery process vary greatly, according to the 2021 Medicaid and CHIP Payment and Access Commission Reportwhich makes policy recommendations to Congress.

Some states place a lien – a right – on your private home, while others don’t. Meanwhile, some Medicaid offices try to recover all medical costs from patients, similar to doctor visits or prescriptions, while others simply recover long-term care costs. In recent years, Alaska and Arizona have foreclosed on just dozens of properties, while other states are foreclosing on 1000’s of homes price tons of of tens of millions of dollars.

New York and Ohio led the nation in such collections, recovering a complete of over $100 million in a single 12 months, Dayton Daily News investigation found.

Some investigation for the Kansas program, released Tuesday by the Health and Human Services Inspector General, found that this system was profitable – it brought in $37 million and only $5 million was spent recovering the cash. However, the state didn’t all the time collect money from eligible estates.

Last month, a foundation from one among the medical insurance industry’s largest giants called on Massachusetts to change its process for collecting reimbursements for many Medicaid costs, going beyond the federal government’s minimum requirements for recovering long-term care expenses. The Blue Cross Blue Shield Foundation of Massachusetts has really useful that the state legislature pass a bill that will prohibit such additional collections.

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Wealth recovery “can perpetuate wealth disparities and intergenerational poverty,” said Katherine Howitt, director of Medicaid policy at the muse.

In Tennessee, which recovered greater than $38.2 million from greater than 8,100 estates last 12 months, Imani Mfalme found herself in an identical situation after her mother died in 2021.

As her mother’s early-onset Alzheimer’s disease progressed, Mfalme continued to take care of her. But in 2015, when Mfalme was diagnosed with breast cancer and required a double mastectomy, she began to consider other options. She arranged a gathering at her mother’s house with the local Medicaid office. The representative told her to empty her mother’s bank accounts – money that Mfalme had transferred to her mother as a part of her assisted living payments – in order that her mother would qualify for this system.

She recalls feeling somewhat offended through the meeting when the representative asked her thrice, “This is your mother’s house?” The representative, Mfalme said, failed to mention that after her death, she may be forced to sell the home to settle her mother’s Medicaid bills.

Currently, Tennessee’s Medicaid office says she owes $225,000, and the state is looking for a court order requiring Mfalme to sell the home to repay the debt.

Imani Mfalme poses for a portrait outside her late mother’s home, Thursday, March 7, 2024, in Knoxville, Tenn. (AP Photo/Caitie McMekin)

Mfalme, now 42, said she wants to pay what she will, however the home is a selected problem. Her mother, a black woman, bought her dream home in Knoxville after she won a landmark discrimination lawsuit against her former employer, Boeing, for paying her lower than her colleagues.

“She fought hard for equal pay and equal rights. “Just seeing it torn away just because she was sick and I was sick is just devastating,” Mfalme said of her mother.

TennCare, Tennessee’s Medicaid office, said in an email to the Associated Press that it could not comment on specific cases.

A report by the Commission on Payments and Access to Medicaid and CHIP really useful that Congress repeal a 1993 law that required states to recoup money from estates, as a substitute making it optional.

Earlier this month, Democratic Rep. Jan Schakowsky of Illinois reintroduced laws that will have ended the mandate of the federal government. Schakowsky believes the rule is a lose-lose proposition for families who hand over their homes and taxpayers who don’t see much profit from recovery efforts.

“This is one of the most cruel and ineffective programs we see,” Schakowsky told the AP. “It’s a program that doesn’t work for anyone.”

In a deadlocked Congress, with some Republicans calling for limits on Medicaid eligibility, the bill is unlikely to gain the bipartisan support needed to change into law.

There is a minimum of one one who admits this rule doesn’t work: the person who created it.

Many people do not know in regards to the decades-old order, which was intended to encourage people to save for long-term care – otherwise they risk losing the equity of their home, explained Stephen Moses, who now works for the conservative Paragon Health Institute.

“The plan was to provide long-term care options for people who need long-term care, but you have to plan ahead to be able to pay privately so you don’t end up in a public health care program,” Moses said.


This article was originally published on : thegrio.com

Politics and Current

Ex-boyfriend out on bail kills woman minutes after she shared a video on Snapchat of him stalking her as she parked next to a police car out of fear

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Ex-Boyfriend Out on Bail Kills Woman Minutes After She Shares Snapchat Video of Him Stalking While She Was Parked Next to a Police Car Out of Fear

A 24-year-old white man from South Carolina was sentenced to 60 years in prison after being found guilty of murder within the 2021 ambush shooting death of his Black ex-girlfriend.

Justin Cole Carroll was sent back to custody by Judge Robert Bonds after a Colleton County jury convicted him of killing Donasia Alexus Holloway greater than three years ago within the parking zone of her residence in Walterboro, about 50 miles west of Charleston.

The April 24 verdict brought an end to a tragic tale of domestic violence that had unfolded over several years, culminating in Holloway’s senseless murder and the following trial that brought justice to Carroll.

Ex-boyfriend out on bail kills woman minutes after she shared a video on Snapchat of him stalking her as she parked next to a police car out of fear
Justin Cole Carroll was sentenced to 60 years in prison for allegedly shooting his ex-girlfriend, Donasia Alexus Holloway, in 2021. (Photos: 14th Circuit Solicitor’s Office)

Prosecutors said Carroll became furious when Holloway broke up with him after just a few months together because of his aggressiveness.

“Donasia was trying to end this toxic relationship and protect herself from her ex-boyfriend’s jealous rage,” said U.S. Attorney Hunter Swanson of the 14th Circuit, who prosecuted the case. “But Justin Carroll didn’t take no for an answer. He ignored the no-contact order, stalked her and killed her.”

Holloway ended her relationship with Carroll in January 2021 after Carroll was arrested for beating her, which led to domestic assault charges.

Five months later, on May 22, 2021, Carroll was out on bail when he reappeared on the Forest Point apartment complex where the woman lived and waited for Holloway to return home.

After pulling into the parking zone around 10 p.m., Holloway immediately spotted Carroll’s truck, prompting her to close the doors and park next to a Walterboro Police cruiser owned by a neighbor within the complex.

However, this small defensive move didn’t deter Carroll, who was now on foot and heading towards Holloway’s silver Lexus.

Not knowing what to expect, Holloway made the split decision to start recording herself live on Snapchat, which later revealed Carroll coming up from behind.

“She followed me to my apartment, I saw him behind me and locked herself in the car,” Holloway reportedly wrote on Snapchat in the ultimate minutes of her life. “I have asked him many times to leave me alone, trying not to feed him, but it has to stop!”

Carroll’s presence on the complex also violated a court order to steer clear of Holloway, who was now alone inside his reach, and he turned to social media relatively than calling police for help.

By the time authorities arrived, it was too late.

The officer Holloway’s patrol car was parked next to ran outside and discovered that a woman had been shot within the front seat.

Holloway was shot 4 times with a .40-caliber Smith & Wesson pistol, with fatal wounds to her head and neck.

The shooter fired through the car windows, which couldn’t protect Holloway.

Carroll fled the scene, but police caught up with him inside hours of the shooting.

That same night, Carroll’s truck was spotted at a traffic light, where police stopped him and checked his hands for gunshot residue.

Due to the domestic violence case, Carroll immediately became the prime suspect within the murder, and police soon questioned him in reference to the shooting, but Carroll denied any involvement after which ended the interrogation by asking for a lawyer.

At the time, police lacked the murder weapon or another physical evidence to hold Carroll, and he was released from custody, although he was not released as a suspect.

Two days later, investigators discovered a terrifying video recorded on social media by Holloway, by which Carroll was clearly visible within the background.

The apartment complex’s surveillance also captured Carroll approaching the woman’s car.

Several witnesses told police they saw a man running to his pickup truck and running away moments after they heard gunshots, prosecutors said.

It is price noting that Carroll had a head full of hair within the surveillance footage, but when he was arrested a few hours later, his entire head and face were clean shaven.

The footage, together with evidence of gunshot residue on Carroll’s hands and his attempt to erase his phone and alter his appearance, ultimately led to his arrest.

The video Holloway posted on Snapchat played a key role in Carroll’s conviction.

It is unclear whether Holloway was ever aware of Carroll’s troubled past.

Four years before meeting Holloway, Carroll was found guilty of first-degree assault and battery in 2016 and sentenced to eight years of probation. However, Carroll had his probation revoked following arrests for illegally carrying a pistol and possession of a controlled substance.

He served three years in prison before being released in 2020 and started dating Holloway.

Holloway’s mother said she received no consolation after Carroll’s conviction, which is able to never make up for the loss of her daughter.

“There should be tougher punishment for people who do this. They need to stay in jail, stay in jail because they are only hurting other families” – Shameka Holloway he told WCSC. “If he had stayed in prison, our daughter would be here today.”

She said her family is devastated by Holloway’s murder, while criticizing the U.S. justice system for failing to protect the general public from dangerous ex-convicts like Carroll.

“It’s so sad that (we knew) how this system worked. It’s terrible, they have to do better,” Shameka Holloway told the station. “We have a life sentence of heartache and pain that we will carry for the rest of our lives.”

This article was originally published on : atlantablackstar.com
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Watch: The White House responds to former Baltimore prosecutor Marilyn Mosby’s clemency request

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The White House has signaled that it doesn’t want to tip the scales of justice in its response to a possible failure to support the clemency request.

Mosby faces 40 years in prison when she is sentenced later this month. A former progressive prosecutor was convicted of lying on forms wherein she claimed she was having difficulty withdrawing money from her pension to buy a house.


This article was originally published on : thegrio.com
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Nathan Wade defends actions after resigning over Trump case

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Nathan Wade, Fani Willis, Trump


Former Fulton County Attorney Nathan Wade is speaking out in his own defense after resigning from the Georgia election interference case against Donald Trump. Wade withdrew from the trial resulting from his controversial relationship with Fulton County District Attorney Fani Willis.

Despite a lengthy battle and Willis’ testimony denying any wrongdoing, a Georgia judge ruled that each lawyers couldn’t take part in the historic trial. Wade stepped down as top special prosecutor hours after the choice was released.

Now Wade is publicly commenting on the extra hearing that threatens to derail the complete trial. According to the attorney, workplace romances are ingrained in American culture.

“Workplace romances are as American as apple pie. It happens to everyone. But it happened to both of us,” Wade said during his interview of May 5.

When asked if he regretted his relationship with Willis, Wade said his only remorse stemmed from the media attention.

“I regret that this private matter has become the focal point of such an important prosecution,” he explained. “This is a very important issue.”

He added: “I hate that my personal life has started to overshadow the real issues in this case.”

Wade left the prosecution team in March after an evidentiary hearing about his past with Willis. Trump’s defense team accused Willis of misconduct after discovering their personal relationship, prompting an investigation into allegations that Willis took advantage of compensation Wade received for his role on their vacation together.

Judge Scott McAfee found there was insufficient evidence to determine a conflict of interest. However, the removal of either Wade or Willis was deemed essential resulting from a “substantial appearance of misconduct” on condition that their relationship occurred while they were each working on the trial.

After resigning, Wade returned to the private legal sector. However, he admitted that the 2 could have planned their relationship schedule higher to avoid jeopardizing the case.

“Absolutely, absolutely. “I admit that might have been the approach,” Wade said when asked in the event that they should consider ending their relationship. “But again, once you’re inside, those feelings develop and you get to the point where they’re so strong that, you know, you start wanting to do things that aren’t really of any concern to the public.”

In March, Trump’s defense filed an appeal looking for to overturn the judge’s decision to not disqualify Willis. However, the Georgia Court of Appeals has not yet made a call on this motion. In the meantime, Willis will proceed to pursue the trial against Trump and his associates, albeit with no date set.


This article was originally published on : www.blackenterprise.com
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