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Complaint Regarding Four Members of the Medicaid Redesign Team

Complaint Regarding Four Members of the Medicaid Redesign Team

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Published by Elizabeth Benjamin

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Published by: Elizabeth Benjamin on Mar 25, 2011
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03/25/2011

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VIRGINIAM.APUZZOHON.RICHARDJ.BARTLETTJOHNM.BRICKMANVERNONS.BRODERICKGEORGEF.CARPINELLORICHARDD.EMERYHON.HOWARDA.LEVINEJOHNT.MITCHELLMARKG.PETERS
MEMBERS
BARRYGINSBERG
EXECUTIVEDIRECTOR
MITRAHORMOZI
CHAIR
NEWYORKSTATECOMMISSIONONPUBLICINTEGRITY
PHONE:(518)408-3976
FAX:
(518)408-3975540
BROADWAYALBANY,NEWYORK12207www.nyintegrity.org
March25,2011
VIA
ELECTRONICMAILandFIRSTCLASSMAIL
JoanneDoroshowExecutiveDirectorCenterforJusticeandDemocracy90BroadStreet,Suite401NewYork,NY10004RE:ComplaintRegardingFourMembersoftheMedicaidRedesignTeamDearMs.Doroshow:OnbehalfoftheCommissiononPublicIntegrity("Commission"),IamrespondingtoyourMarch8,2011letterinwhichtheCenterforJusticeandDemocracy("CJD")askstheCommissiontoinvestigatewhetherfourmembersoftheMedicaidRedesignTeam("MRT"or"Team")-MichaelJ.Dowling,KennethE.Raske,JeffreyA.SachsandDanielSisto(collectively"thesubjects")-violatedtheStateCodeofEthicssetforthinPublicOfficersLaw
§74.'
ThislettersummarizesthereasonstheCommissionhasdeterminedthatCJD'scomplaintfailstoestablishabasisonwhichtheCommissioncouldinvestigatethesubjectsforallegedethicsviolations.
I
TheCommissionhastreatedyourletterasaverifiedcomplaintsubmittedpursuanttoExecutiveLaw§94(12)(a),althoughyourattachedverificationdoesnotappeartosatisfyCPLR302l.ThegravamenofCJD'scomplaintisthatthesubjectsviolatedtheCodeofEthicswhentheyvotedtoapproveapackageof79proposalsMRTunanimouslyrecommendedtoGovernorCuomo.Specifically,
cm
allegesthatthesubjects"haveadirectconflictofinterestsastheiremployersstandtodirectlybenefitfromProposal131,"oneoftheproposalsinthepackageMRTapproved.
 
Ms.JoanneDoroshowPage2
I.MEDICAIDREDESIGNTEAMA.Description
Soonafterhetookoffice,GovernorCuomoissuedfiveexecutiveordersestablishingadvisorybodies,includingMRT?Facinga$10billiondeficitintheState'sFiscalYear2011-2012budget,GovernorCuomodirectedMRTtodevelopproposalstoreducetheState'sshareofMedicaidspendingby$2.85billioninthecomingfiscal
year.'
TheGovernorappointed25votingMRTmembersincluding,asrequiredbyExecutiveOrderNo.5:Stateofficersoremployeeswithrelevantexpertise;twomembersoftheNewYorkStateAssembly,onerecommendedbytheSpeakeroftheAssemblyandonerecommendedbytheMinorityLeaderoftheAssembly;twomembersoftheNewYorkStateSenate,onerecommendedbytheTemporaryPresidentoftheSenateandonerecommendedbytheMinorityLeaderoftheSenate;andstakeholderswithexpertiseinareassuchashealthcaredelivery,healthcareinsurance,healthcareworkforce,economics,businessandconsumerrights."TheGovernordesignatedMr.Dowling,NorthShore-LUHealthSystems,andDennisRivera,SEIUHea1thcare,asMRT'sco-chairs.iJasonHelgerson,NewYorkStateMedicaidDirector,servesastheTeam'sExecutiveDirector.
6
TheothermembersoftheTeamandtheiraffiliationsaresetforthinthePowerpointpresentationgivenatMRT'sinitialpublic
2
See
ExecutiveOrderNo.4,issuedonJanuary5,2011(establishingSpendingandGovernmentEfficiency("SAGE")Commission);ExecutiveOrderNo.5,issuedonJanuary5,2011(establishingMRT);ExecutiveOrderNo.6,issuedonJanuary5,2011(establishingMandateReliefRedesignTeam);ExecutiveOrderNo.7,issuedonFebruary9,2011(establishingPrisonClosureAdvisoryTaskForce);ExecutiveOrderNo.8,issuedonFebruary17,2011(establishingRemovingBarrierstoMinorityandWomen-OwnedBusinessEnterpriseTeam).AccordingtotheExecutiveOrders,GovernorCuomoestablishedtheseadvisorybodies(aCommission,threeteamsandataskforce)andappointedtheirmemberstoprovidehimwithguidanceandadvice.SomememberswereappointedonthenominationofotherStateofficers,suchaslegislativeleaders.Themembersarenotpaidfortheirserviceonthesebodies,althoughsomemembersserveinStatepositionsforwhichtheyarecompensated.
3
SincetheStateanticipatesbudgetdeficitstocontinueforseveralyears,theExecutiveOrderanticipatesthatMRTwillcontinuetodevelop,evaluateandrecommendMedicaidcost-savingproposals.
4
ExecutiveOrderNo.5,~.2.
5
Mr.DowlingisPresidentandCEOofNorthShoreLIJHealthSystems."RedesigningTheMedicaidProgram,"NewYorkMedicaidRedesignTeam,January13,2011,at4,http://www.health.ny.gov/healthcare/medicaidlredesignldocs/2011-01-13redesignteampresentation.pdf.
6
"RedesigningTheMedicaidProgram,"
supra
at4;ExecutiveOrderNo.5,~.5.
II
 
Ms.JoanneDoroshowPage3meetingandtheGovernor'spublicannouncementofMRT'sestablishment.'Aquorumconsistsof,andallrecommendationsmustbeapprovedby,amajorityofthetotalnumberofmembersappointed."MRTisrequiredto"attempttoengageandsolicittheinputofabroadanddiverserangeofgroups,organizationsandindividuals.,,9MRT'sExecutiveDirectorisrequiredtoestablishparametersforproposalsandrecommendationsbystakeholdersandinterestedparties.AfterconsultingwithDivisionoftheBudget("DOB"),whosedirectorisan
exofficio,
non-votingmemberoftheteam.l''theExecutiveDirectorisrequiredtoevaluatethefeasibilityofimplementingproposalsand,ifso,thesavingsthatmightberealized.
II
TheTeamwasrequiredtobeginworkimmediatelyandtosubmititsfirstreporttotheGovernoronorbeforeMarch
1,2011
concerningitsfindingsandrecommendationsforconsiderationinthebudgetprocessforFiscalYear
2011-12.12
B.MRTActions
MRThasreceivedover
4,000
proposalsandideasfromavarietyofsources.
13
TheDepartmentofHealth("DOH")askedtheTeamtorateasubsetofproposalsselectedduetomajorfiscalorpolicyimplications.MRTmembersratedtheproposalsonfiveindicators:quality,efficiency,overallimpact,savingsforyear1,andsavingsforyears2and3.
14
7
Mr.RaskeisPresidentoftheGreaterNewYorkHospitalAssociation.Mr.SistoisPresidentoftheHealthcareAssociationofNewYorkState.
!d;
seealso
"GovernorCuomoIssuesExecutiveOrderCreatingMedicaidRedesignTeam,"PressRelease,January5,2011,http://www.governor.ny.gov/press/01052011medicaid.Dr.Sachsisa'principalofSachsConsulting,whichprovidesconsultingservicestohospitals,longtermresidentialfacilities,humanserviceagencies,laborunionsandothersonissuesinvolvingpublicpolicy,strategicplanning,reimbursementandcrisismanagement.
Id;
8
ExecutiveOrderNo.5,~.7.
9
!d.,
~.8,0.1and0.2.
10
Id.,
~.6.
IIId.,~.3.
12
Id.,~.4.
13
NewYorkMedicaidRedesignTeamMeeting,February24and25,2011,presentationat14.http://www.state.health.ny.gov/healthcare/medicaid/redesign!docs/2011-02-24presentation.pdf.
14
Id.at16
i.
!
I

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