Suffredin- An Advocate for All of Us  
 

Accountability
Forest Preserves
Public Safety
Cook County Budget
Forest Pres. Budget
Property Tax Appeal
Health & Hospitals
Land Bank Authority
Policy Resolutions
Unsung Heroine

 

   
 
   
   
 
   
     
  Office phone numbers:  
   
 
 

The Cook County Code of Ordinances are the current laws of Cook County.

   
 

Search current and proposed Cook County Legislation in Larry's exclusive legislative library.

   
  Cook County has the largest unified trial court system in the world, disposing over 6 million cases in 1990 alone.
   
     
     
     



A stronger pulse
Carvalho, like Batts before him, needs to give Cook's health system intensive care

Wednesday, August 15, 2012
Chicago Tribune

The independent panel that runs Cook County's health system has a new chairman, David Carvalho. Chosen by his fellow board members last week, he replaces the no-nonsense Warren Batts, who grappled with meddling county pols and spreadsheets that dripped red ink.

Carvalho needs to lead the health panel with the same do-it-better-for-less attitude that Batts championed in his four years as the panel's first and only chairman. Here's why:

As is, the county health system clings to annual fantasies of overly optimistic revenues, only to bust its budgets year after year. That doesn't build confidence, either among members of the Cook County Board or among taxpayers whose dollars fund much of the medical care. What's more, the system never has the momentum, or the money, to focus primarily on delivering better quality care. That's never been more crucial than it will be as more of its patients gain the freedom to get their care elsewhere.

Carvalho has a strong background. He chaired the panel's Finance Committee the last four years and, before that, helped get Stroger Hospital built. He knows that the county's system has an improving but still thready pulse: As of the end of July, the health system was $21.7 million short of its budget in collecting patient fees, health system CEO Ram Raju tells us.

But that's better than the numbers at the same point in 2011: Then, the county was $60.1 million short.

Credit Raju's aggressive streamlining for the improved bill of health. Raju has whittled down a mountain of backlogged billing statements that weren't being mailed to patients and their insurers, and he has helped the county grab more federal funding.

This is vital because as the county's health and hospital system budget goes, so goes the financial health of Cook County government. Last year, for example, the health system burst its $911 million budget by nearly $170 million. At the same time, the county's roughly $3 billion total budget hemorrhaged red by nearly the same amount. That is, the county had a deficit mostly because its health system had a deficit. This year, as of the end of May, county government was running an $11 million surplus — yes, a surplus — that would be larger if the health system was delivering all of its expected revenue.

Carvalho leads a panel with four new members but the same urgent mission: Stabilize the patient.

One key: Attract and retain Medicaid patients. In 2014, when Obamacare fully kicks in, thousands of county patients suddenly will be covered by insurance. They can choose where they get their care. Carvalho & Co. need to make sure the county keeps most of those patients and their Medicaid reimbursements.

The county needs to make the system "more attractive to patients," Carvalho tells us, "or once they have choices, they will go elsewhere." If that happens, the system will be left mainly with the uninsured poor who can't pay for the services they receive. No insurance or government program will reimburse Cook County taxpayers for their care.

That's one reason Cook County officials are asking federal officials for permission to add 115,000 of those new Medicaid patients to the rolls early, before their 2014 eligibility. Most of these patients already are being treated in county clinics and hospitals. Signing them up for Medicaid early wouldn't cost the state a penny it isn't already paying. The federal reimbursement, which covers about half of Medicaid treatment costs, could be a $198 million windfall for the county health system, Raju tells us.

These early arriving Medicaid patients would be able to obtain care only in the county's system until 2014. After that, yes, they could go anywhere for treatment. But those months would give the county a prime opportunity to earn the loyalty, trust — and future business — of those patients.

Raju is driving a smart shift in focus from inpatient care to outpatient services. That shift to a more robust primary care model provides preventive and other early services so that people don't end up in the hospital for expensive stays that they — and hard-pressed county taxpayers — can't easily afford.

Carvalho is a lawyer, not a doctor, but he needs to be a healer of the county's health system. The patient is improving. But it needs intensive care.



Recent Headlines

Nearly a century after a brutal murder, Chicago’s only lynching victim gets memorial
Thursday, March 21, 2019
The Grio

County harassment survey shows mixed faith in reporting system
Thursday, March 21, 2019
Chicago Sun-Times

Recovery Behind Bars: Cook County Jail’s Opioid Treatment Program
Wednesday, March 20, 2019
Medill Reports

Judge: Labor unions don't owe non-union state workers refunds, despite unconstitutional fees
Wednesday, March 20, 2019
Cook County record

The language of justice: Court interpreters fight for client rights and their rights in Cook County
Tuesday, March 19, 2019
Medill Reports

Cook County General Hospital's $90-Million Redevelopment Saves a Chicago Icon
Tuesday, March 19, 2019
Engineering News Rec ord

Preckwinkle sends out harassment survey to staff after harassment controversy in her office
Tuesday, March 19, 2019
Chicago Tribune

Illinois Land Title Association Granted Summary Judgment in Case against Cook County Recorder of Deeds
Sunday, March 17, 2019
Illinois State Bar Association

Grand Jury Indicts Debt Collector of Bribing Cook County Clerk Dorothy Brown
Friday, March 15, 2019
WBBM Chicago

Indictment: Cook County's hired debt collector charged with bribing county officials to secure county contract
Friday, March 15, 2019
Cook County record

Karen Chavers Honored as 2019 Unsung Heroine
Thursday, March 14, 2019
Special to suffredin.org

Pappas to announce deadline for Cook County property owners to pay late taxes
Wednesday, March 13, 2019
Chicago Sun-Times

Courts Cause Confusion For Woman Trying To Resolve Her Case
Wednesday, March 13, 2019
CBS Chicago

Census changes raise fears of Illinois undercounting
Monday, March 11, 2019
Chicago Sun-Times

Cook County Sheriff Warns of Apple Phone Scam
Monday, March 11, 2019
WTTW News

Caller poses as Apple to get victims personal info in scam targeting Cook County residents
Monday, March 11, 2019
WGN Chicago

Should Young Adults Be Sent To Juvenile Courts?
Sunday, March 10, 2019
NPR Radio

Cook County Jail hires 2nd consecutive mental health professional as warden
Wednesday, March 06, 2019
Chicago Sun-Times

Lawsuit: Sheriff jailed dozens because of faulty electronic monitoring devices
Monday, March 04, 2019
Chicago Sun-Times

Woman dies while in custody at Cook County Jail
Sunday, March 03, 2019
Fox 32

all news items

Paid for by Larry Suffredin and not at taxpayer expense. A Haymarket Production.
^ TOP