therapy and referrals to specialists, such as mental health providers. Some were ending up in local emergency rooms for treatment – the poorest choice from both a financial and continuing care perspective. Trilliums owners have said they were beefing up cash reserves to meet state standards and to protect against increased costs from a surge of new patients. But taxpayers and Medicaid patients have no way of knowing if this is accurate; state regulators wont discuss it. In addition to the money being funneled into cash reserves, shareholders in the parent company also awarded themselves dividends totaling $22 million shortly before the sale of Agate to Centene. All of this was acceptable under state regulations, which put no limits on how much profit a CCO could make – or how little could be spent on patient care. That is changing as of this year – CCOs will now be required to spend at least 80 percent of the Medicaid money they receive on actual health care for the patients, increasing to 85 percent in 2018, but the remainder can be spend on pretty much whatever the CCO wants, including dividends to the owners. Nor are there any severe penalties – such as cancellation of a contract – for a CCO that doesnt meet the states benchmarks for the services it provides. Instead the state provides financial incentives to encourage CCOs to improve their performance, incentives they can collect even if they still end up below the states benchmarks for patient care.
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RELATED: 19 Signs Your Thyroid Isn’t Working Right But logging more sleep didnt help, and other bizarre things started happening. During two separate workouts, I nearly fainted. I felt hot all the time. So hot that one dayI found myself sweating through a thin tank top even though it was 40 degrees out and windy. I was always hungry. job huntingI ate full meals and then got the shakes from low blood sugar just two hours later. I lost 15 pounds. My heart rate sped up every time I walked down the street, and I got winded after climbing one flight of stairs. When my headaches no longer responded to the max daily dose of Tylenol, I finally went to my schools health center. The nurse put a gadget on my finger to take my pulse.
For the original version including any supplementary images or video, visit http://www.foxnews.com/health/2016/09/10/have-disease-that-makes-my-thyroid-go-haywire.html