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This morning consumer advocacy group Families USA released a report along with the NC Community Health Center Association and the NC Justice Center showing that most people who stand to benefit from closing our state’s health insurance gap are working. Many of these folks are in low-wage service jobs. The report also examines the top occupations in North Carolina where employees would benefit from Medicaid expansion.

There are 59,000 construction workers who would benefit from Medicaid expansion and 56,000 food service workers. When these employees are in good health we are all better off. Construction workers at home with a serious illness and food preparers with untreated diseases decrease productivity and threaten public health.

Chid care workers and home health aides are also disproportionately impacted by our state’s stance on Medicaid expansion, which means that the people who help nurture our children and tend to the elderly can’t take care of their own health needs.

It is a positive sign that Gov. McCrory says that he is keeping the door open to Medicaid expansion in the state. Still, this passive stance will not move us anywhere. If we are going to prevent unnecessary deaths, extend needed preventive care, and help the people who make our food and care for our kids then we need the Governor to lead.

Joe Hauck Source: LinkedIn

Joe Hauck
Source: LinkedIn

The Associated Press had this report over the weekend about the slim amount of work product taxpayers received in exchange for $310,000 paid to a contractor with personal connections to N.C. Health and Human Services Secretary Aldona Wos.

Joe Hauck, who has since returned to his previous job working for a company owned by Wos’ husband, was one of several controversial expensive hires and personal services contracts Wos, a Greensboro physician and Republican fundraiser, used to build her executive team.

In the year Wos has led DHHS, several of her top hires have departed, including then-24-year-old McCrory campaign worker Ricky Diaz who earned $85,000 a year as  Wos’ communications director, and Carol Steckel, who worked as the state’s Medicaid director for eight months before leaving her $210,000-a-year job. Wos’ former chief-of-staff Thomas Adams received a $37,000 settlement payment after spending just a month on the job, despite state hiring practices that bar severance packages in such situations.

NC HHS Sec. Aldona Wos

NC HHS Sec. Aldona Wos

AP reporter Michael Biesecker first requested records related to Hauck in September and recently received a pair of memorandums from the agency no longer than three double-spaced pages as evidence of the 11 months Hauck spent working at the state agency.

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The head of the embattled N.C. Department of Health and Human Services will appear before legislators this morning to answer more questions about the agency’s most recent mishaps.

Aldona Wos, a Greensboro physician and wealthy Republican fundraiser, is expected to address the mailing of nearly 49,000 children’s Medicaid cards with private medical information to the wrong addresses as well as the recent disclosure that the U.S. Department of Agriculture may penalize the state for the bungled food stamps delivery program.

Gov. Pat McCrory has reiterated his support for Wos, telling media that Wos took over a department that had been in disarray under Democrats.

DHHS records show that the agency’s backlog has seen an uptick, with more than 30,000 households in December unable to access their food stamps vouchers.

Audio from today’s 10 a.m. hearing can be heard here, or Raleigh television station WRAL will live-stream today’s meeting here.

You can also follow me, Sarah Ovaska, on Twitter at @SarahOvaska.

 

The state Medicaid system, and its very troubled billing system called N.C. Tracks, is the topic of a much anticipated legislative oversight committee hearing happening this morning. You can watch here, through a live stream offered by Raleigh TV station WRAL.

Also check out this story today from. N.C. Health News that found McCrory administration appointees at the N.C. Department of Health and Human Services removed explanations behind cost overruns in the state’s Medicaid system and other findings from a critical audit released in late January

That audit has been held up by Gov. Pat McCrory and DHHS Sec. Aldona Wos as a reason to open up the state’s $13 billion Medicaid program to private managed care companies.  Staff in place during the end of former Gov. Bev Perdue’s administration had responded to draft versions of the audit with explanations that many of the cost overruns were due to impractical funding levels set by the state legislature, and that the overhead cost comparisons to

From the N.C. Health News article:

Soon after taking control in Raleigh in early 2013, people hired by Gov. Pat McCrory to run the Department of Health and Human Services made strategic edits to the departmental response to State Auditor Beth Wood’s audit of the North Carolina Medicaid program.

Documents obtained by North Carolina Health News through a public records request show that in January, incoming Sec. Aldona Wos and Medicaid head Carol Steckel eliminated detailed explanations of alleged high administrative costs, management problems and budget overruns in past years.

The resulting document accepts the criticism in Wood’s assessment wholesale and paints the health care program that covers 1.6 million North Carolinians as “broken.”

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Note: This post has been changed from its original form to reflect a correction. Scroll down for more information.

It’s hard to keep up with all the stories being written about the N.C. Department of Health and Human Services and the many questions being raised about the experience and pay for Secretary Aldona Wos’ recent hires.

Here’s the recap of stories that were flying around yesterday.

DHHS Sec. Aldona Wos

DHHS Sec. Aldona Wos

The big story of the week has been Wos’ hire of a relatively inexperienced former Tea Party activist to serve as an adviser, despite little background in health care and policy other than serving as a lecturer at East Carolina University in the late 1990s.  (read more in this story from Raleigh TV station WRAL) Margaret “Mardy” Peal, who donated $1,250 to the McCrory campaign, has been out of the workforce for much of the last decade and was active in the Greenville area Tea Party gatherings and also is a past board member of the Carolina Pregnancy Center, an anti-abortion ministry group. She is joining the state agency as it prepares to make new rules for abortion clinics in the state.

She’ll make $95,000 a year, well above the $45,000 to $74,000 range the job normally has.

(Note: McCrory said Wednesday he wasn’t involved in Peal’s hiring.)

The News & Observer also reported Peal wrote on an Internet site that she wanted to move out of the United States in 2008 because of concerns about the country’s direction and a “socialized [healthcare] system in which folks who move outside the system are punished.”

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