Will Jack Be One Tough SOB Tomorrow Morning?

How much you want to bet that more than one person in Tourism signed off on the language this firm is being blamed for? Kentucky is canceling its $179,900-a-year contract with a British marketing firm that touted “Roadkill Bingo” as one of the state’s tourist attractions. [John Cheves]

Surely you find it highly entertaining that Republicans in Warshington are now screaming about energy programs they used to wholeheartedly support. [HuffPo]

Just like that, teabagger Phil Moffett withdrew from the 32nd District State House race. [SoS]

Time Warner has taken over Insight Communications. So when should we start bending over? [FOX41]

President Barack Obama’s re-election team is hitting back at the Koch Brothers and the teabaggers. The very folks who hijacked the tea party. [WaPo]

Mitch McConnell says President Barack Obama is imposing his own idea of fairness on the American people. So what exactly is it Mitch McConnell is trying to do? [The Hill]

Anyone else notice that Papaw pushed the announcement of this up a couple weeks just a few hours after Jack Brammer started calling about that tax check box? [WTVQ]

Steve Beshear needs to move on from the horsey gambling issue this legislative session. He’s proved, what, four times that he’s incapable? Time to leave those dead horses alone. [BGDN]

It only took a couple years for Shae Hopkins to start talking out of her rear end. It’s a shame she’s doing so with our tax dollars. There’s not a soul in Kentucky who believes Hal Rogers is the KET savior. [KET]

What do Republican Presidential candidates say about the national foreclosure crisis? Little to nothing, obviously. [Pro Publica]

NASCAR’s racing fortunes are stalling after years of growth. Could this spell less than great news for the Kentucky Speedway? [The Economist]

Jack Conway is supposed to testify before the U.S. Congressional subcommittee on Commerce, Manufacturing and Trade regarding prescription drug abuse tomorrow at 10:00 A.M. The testimony is called “Prescription Drug Diversion: Combating the Scourge.” [Watch It Live]

Here’s Mitch McConnell On Wanting It Both Ways

Mitch McConnell can’t let a day go by without trying to blame President Barack Obama for rising gas prices.

Here he is on the Senate floor:

What is that, again, about wanting it both ways?

Because we’ve yet to hear Mitch offer a solution or alternative to anything, ever.

Also, the jokes just write themselves for the homophobes and people who believe Mitch McConnell loves nothing more to have sex with young men. When will the old coot learn to stop giving ammunition to the attackers who believe he’s a closet case? Come on, Mitch! Titling the video “On Energy, the President Wants It Both Ways” and giving that floor speech? You’re doing yourself no favors. Please stop. Just stop.

Fischer Continues Trail Of Campaign Finance Lies

Still remember Greg Fischer’s latest campaign finance mess? The one where he’s lied umpteen times to the press about inaugural fund contributions from Bruce Lunsford and Ed Hart? The funds he and his people pulled a bait-and-switch with to use as campaign contributions to retire Greg’s personal debt?

Here’s your refresher:

  • Fischer’s Crew Still Don’t Get Campaign Finance [January 13]
  • A Greg Fischer Prediction… [January 20]
  • More On Fischer-KREF-Elliott-Corruption Mess [January 20]

His inaugural account filed amendments for its December 2010 and March 2011 Quarterly reports with the Kentucky Registry of Election Finance last week:

Still no mention of the contributions from Bruce Lunsford or Ed Hart.

So it’s clear Greg Fischer is continuing to illegally handle those funds.

If this ever gets to court? A judge looks at it and says, “Uh, you corrected other problems but not these glaring issues backed up with a paper trail? You’re a Steve Henry-style criminal.”

It’s time for Jack Conway to appoint a special prosecutor in this case so the Kentucky State Police Special Investigations Unit can dig in.

New Medicaid Managers Hit In Auditor’s Report

Adam Edelen made ten recommendations to improve Kentucky’s Medicaid managed care system this morning.

“The three new MCOs are sitting on more than a quarter of a billion taxpayer dollars while small-town doctors, hospitals and other health care providers have had to open or extend lines of credit to keep their doors open,” Edelen said. “That requires an explanation.”

The organizations have received $708 million in taxpayer funds but have only paid out $420 million (as of February 15).

Here are Edelen’s recommendations:

  1. The Cabinet, MCOs and provider community should develop an agreed-upon metric for measuring and reporting the timeliness of provider reimbursements and implement action plans to resolve identified deficiencies in a timely manner.
  2. The Cabinet should better monitor and enforce the governing MCO contracts, specifically as they relate to the timeliness of billing.
  3. MCOs and pharmacy benefit managers (PBMs) should use secure, modern technology to process pre-authorizations and reimbursement claims and transmit information to providers and pharmacists.
  4. MCOs should train providers and their billing agents to use the automated systems in place to track the submission of claims and their status in real time; providers and pharmacists should utilize those systems to verify claims’ status, correct errors, reduce duplicate claim submissions and speed the payment process.
  5. Each MCO should adjust staffing as needed to clear existing backlogs in claims and pre-authorizations and ensure that processing of claims and pre-authorizations adheres to the time frames in the contracts.
  6. MCOs and PBMs should better communicate to providers and pharmacists the process for appealing denied claims and, related to specific prescription costs, the process for appealing the maximum allowable cost and dispensing fees.
  7. MCOs and PBMs should streamline and expedite the appeal process to reduce the risks to the health and safety of patients.
  8. MCOs and PBMs should more diligently review claims to ensure relevant patient information is considered before making final decisions and provide detailed explanations when claims are denied.
  9. The Cabinet should study whether behavioral health patients and others who receive specialized medical services would be better served under the Medicaid fee-for-service structure administered by the Cabinet.
  10. MCOs and PBMs should streamline the process for a more timely execution of pre-authorizations.

From a release:

An initial review of information shows that the Cabinet failed to learn the lessons of the difficult transition to Passport 14 years ago and was ill-prepared to monitor and enforce its contracts with the new MCOs, Edelen said.

Those organizations, in turn, did not appear to have adequate systems, staffing or communications in place despite assurances they were ready to launch the program last fall.

And to a lesser extent, Kentucky’s health care providers and their third-party billing organizations were not prepared to properly bill MCOs for services provided.

Click here (Warning: PDF Link) to review Edelen’s complete letter of recommendations.

Yep, yet another damning day for the Cabinet for Health and Family Services within the Beshear Administration.

You can be this will be covered up with some sort of legislative announcement or press conference.

Beshear Apparently WANTS To Be A Lame Duck

This is what Steve Beshear’s crew is all about. And people still try to tell me they’re golden and wonderful people. [H-L]

Whaaaat? You mean Bob Stivers is now pushing a pseudoephedrine bill that sounds dead up like 90% of the alternatives we suggested? Funny how that works. [WKYT]

March is American Red Cross Month in Kentucky. Officially. So why aren’t the Fairness folks complaining about that? It’s an organization that discriminates on the basis of sexual orientation. And the Commonwealth’s government officially approves of it. [SoS]

A growing number of Americans are struggling to buy food. But everything is puppies and rainbows here! Nothing to see in Kentucky. No poverty at all. [HuffPo]

You’re living on an alien planet if you believe Cindy James replacing David Ray isn’t one of the biggest, most corrupt scandals in Frankfort in a few years. And I’m telling you – keep your eyes peeled for some upcoming scandals. Maybe one involving highway painting by a firm owned by a former legislator’s relative. [C-J/AKN]

It’s a shame this big city editorial didn’t bother mentioning that Steve Beshear only turned down the University of Louisville Hospital merger with the catholic church because of political pressure. Had next to nothing to do with discrimination against women. [NYT]

Hal Rogers is photographed prior to a meeting to discuss the NYPD-Muslim spying scandal. If you feel safe with him in charge of your budgets, something is wrong with you. [SPI]

He’s in that position because his friends love a good knob slob. Especially when it comes to pretending he’s done anything remotely resembling protecting public broadcasting. [Lane Report]

Look at these photographs. Does it remind you of any Democratic legislators with rail thin their trophy wives? No wonder a few of them are so askeerd of the meth. Their wives are probably having meth-fueled sexytime with men a third their age. [Wonkette]

HAHAHA! PEE ALERT! MAJOR PEE ALERT! Mittens Romney is such a failure that he had the Secret Service prevent reporters from publications like The Economist from entering a less than crowded ballroom to hear his speech. [HuffPo]

Rick Santorum may have many qualities, but the main one is that he isn’t Mittens Romney. [The Economist]

Kentuckians are quite familiar with Paulbots. They’re almost as bad and incestuous as the good old boy network of the Kentucky Democratic Republican Party. So this story about Ron Paul loyalists won’t surprise you. [NPR]

How would it be possible for this random guy in Kentucky to know whether or not bullying played a role in the Ohio school shooting? Right. He wouldn’t. [WKYT]

How Hard Will Greg & David Fight This Time?

Ruh ro, it’s Greg and David kitteh cat fun times in Frankfort again. [H-L]

Jack Conway’s efforts to combat prescription drug abuse among Kentucky’s youth is admirable. But also sad – because it doesn’t stop the problem. So what will this Commonwealth do to combat the problem? [WHAS11]

Cindy James, a former assistant state auditor, was appointed special assistant to the secretary at the Kentucky Transportation Cabinet. [Press Release]

Kentucky has the #2 worst well-being of all 50 states in the United States of America. The only state worse is West Virginia. And that’s just barely. [HuffPo]

Mitch McConnell basically says nothing but oil is ever going to power anything, forever. Because Mitch knows right based on campaign contributions. [The Hill]

Here’s how the Associated Press is headlining the Jane Beshear story: Jane Beshear didn’t make tax-form donation to breast cancer research. Naturally, a handful of KDRP staffers are on the defensive claiming this is an unecessarily negative story while wholly ignoring that Beshear just a few weeks ago held a presser urging everyone to check the damn box – insinuating that she does so herself. What the mainstream won’t tell you: This was brought to the attention of the Beshears last year. [C-J/AKN]

Opponents of the University of Pikeville proposal are making their voices heard with the state legislature. Greg Stumbo wants to sue every single one of them, break up their marriages, steal their children and burn down their houses. That’s how angry he is this week. [H-L]

Will Steve Beshear’s early childhood initiatives encourage more partnerships that matter? How will those $15 million be spent? [WFPL]

Crime and politics – the Chicago way. This reads almost like it was written about Frankfort. [The Economist]

500 people are dead because law enforcement tased them. So maybe it’s time to make that a bit more safe? [Alternet]

Smegma-lipped poutmonster Rick Santorum, continuing his streak of saying only and at all times sensible and logically sound things, reminded Americans today that it was President B. HUSSEIN Obama who retroactively caused the housing crash because of how he is a Gaia-worshipping lesbian Wiccan dildonic priestess who hates America, and low gas prices, and Jesus. [Wonkette]

Corporations are people, too, you know. Oh, look, the Supreme Court is ready to side with Shell in a crazy human rights case. Because corporate immunity is what America is all about, obviously. [HuffPo]