Medicaid expansion — with conditions

Governor unveils ‘Healthy Pennsylvania’ plan
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20 Under 40: JenniferDessoye

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Dr. Jennifer Dessoye is assistant professor of occupational therapy at Misericordia University and owner of Bright Beginnings Early Learning Academy (BBELA). Discontent with the early education curriculum and understanding of human development and neurolo (read more)

20 Under 40: Amy Hlavaty Belcher

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Amy Hlavaty Belcher, 39, owner and artistic director of Abrabesque Academy of Dancing, believes that for those who have been given much, much is expected. “I just try hard to do my best,” she said. I have been blessed with many opportunities and many gift (read more)

20 Under 40: Christopher Hetro

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Chris Hetro, 33, works hard and plays hard. “A strong work ethic is important, but finding balance outside of work is important because life is too short and you need to enjoy it,” he explained. As an electrical engineer and project manager at Borton-Laws (read more)

20 Under 40: C. David Pedri

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For attorney C. David Pedri, 37, it’s all about a combination of qualities that contribute to success. “My philosophy is simple: be open and honest, treat people the way you would want to be treated, with respect, and work hard to attain your dreams. The (read more)

20 Under 40: Ed Frable

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Ed Frable, 28, believes “if I work hard and stick to my word, good things will happen. My crew will not be deterred. We will re-evaluate our game plan and not give up until the job is complete,” explained Frable, the owner/operator of Ed Frable Constructi (read more)

20 Under 40: William H. Bender II

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William H. Bender II, CFP, CIMA, CRPC, loves what he does. “I’m lucky. I come to work every day excited to help the people and institutions we work with,” explained Bender, 34, first vice president at Bender Wealth Management Group, Merrill Lynch. The fam (read more)

20 Under 40: Angelo Venditti

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Angelo Venditti, 38, heard a call to the helping professions early on. Geisinger Northeast’s chief nursing officer answer was to volunteer for his local fire company. After high school, he became a paramedic, then enrolled in nursing school. Three years a (read more)

20 Under 40: Donald Mammano

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At 20, Donald Mammano began his own company, while attending the University of Scranton. Mammano, now 33, and president of DFM Properties, recalls, as a youngster, holding a flashlight while his father fixed the kitchen sink. “From that point on I was fas (read more)

20 Under 40: William J. Fennie III

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William J. Fennie III, 27, is always knocking on the proverbial door, because he knows one day, one will open. As an investment specialist with Integrated Capital Management (iCM) he cannot take “no” for an answer. “I make cold calls every day to invite f (read more)

20 Under 40: Marcus Magyar

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As an advisor at CAPTRUST Financial Advisors, Marcus N. Magyar, CFP, 30, provides comprehensive wealth management and investment portfolio services to business owners, executives, families and high-net worth individuals. His multi-disciplinary team of pro (read more)

20 Under 40: Heather Davis

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Heather M. Davis, 33, director of marketing and communication, is responsible for creating, overseeing and implementing a strategic marketing and comprehensive communications plan for The Commonwealth Medical College (TCMC). She is also responsible for pr (read more)

20 Under 40: Alexandria Duffney

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Alexandria Duffney, 30, is competitive by nature and loves a good challenge. These qualities have led her to her position as associate director of graduate admission at Wilkes University. Here she works with prospective students interested in enrolling in (read more)

20 Under 40: John Culkin

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John Culkin’s tenets inform: “Less haste equal more speed; the same boiling water that softens the potato hardens the egg, it is all about what you are made of, not the circumstances surrounding you; and don’t ask someone to walk a mile in your shoes, bef (read more)

20 Under 40: Conor O'Brien

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“What could be worse than getting to the end of your life and realizing you hadn’t lived it,” mused Conor O’Brien.” As co-founder and executive director of the Scranton Fringe Festival, O’Brien, 25, is responsible for leading the development of the overal (read more)

20 Under 40: Jessica Siegfried

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Jessica Siegfried, 38, is senior designer with BlackOut Design Inc., where she is responsible for all creative design at the full-service agency, from traditional branding and print to collateral and front end web design. “I’ve always had an interest in t (read more)

20 Under 40: David Johns

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David Johns’ career path has been shaped by his diverse experiences. As director of structural engineering at Greenman-Pedersen Inc., Moosic, Johns, 39, ensures that his engineering and consultant teams provide clients with their best effort. “We complete (read more)

20 Under 40: Robyn Jones

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Robyn Jones, 38, president of ReferLocal LLC, has learned just as many lessons from her business successes as she’s had from her failures — and she believes it’s important to share that knowledge with her employees. After graduating from American Universi (read more)

20 Under 40: Nisha Arora

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Nisha Arora, 36, tries to be the best version of herself every day. As general counsel for ERA One Source Realty Inc., she realized she cannot control other’s behavior so “I try to focus on myself and how I can be better,” she explained. Arora’s responsib (read more)

20 Under 40: Justin Sandy

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Starting at a young age in Hazleton, Justin C. Sandy, 33, found a passion for running. He became a member then a coach for Misericordia University’s cross country and track and field programs. “It was at Misericordia that I also garnered the profound sati (read more)

20 Under 40: Dr. Ariane Conaboy

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As a doctor of internal medicine at Physicians Health Alliance, Dr. Ariane M. Conaboy, 34, realizes the importance of human life and how fragile it can be at times. Conaboy graduated from Scranton Prep and the University of Scranton with a double major in (read more)

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Gov. Tom Corbett was joined Sept. 16 in Harrisburg by health-care professionals and advocates as he unveiled his Healthy Pennsylvania plan to increase access to quality, affordable health-care options for all Pennsylvanians.
“My plan for a Healthy Pennsylvania works to ensure that every child has access to health-care coverage and that every Pennsylvanian has access to a family doctor or health-care provider,” Corbett said. “It’s a Pennsylvania-based plan that is based on common-sense reforms, creates real health-care choices, reduces government bureaucracy and provides a pathway to independence for all Pennsylvanians.”
The plan was endorsed by health-care leaders such as Dr. C. Richard Schott, a practicing physician from suburban Philadelphia and president of the Pennsylvania Medical Society.
“The Healthy Pennsylvania plan announced today by Gov. Corbett recognizes the need to take positive actions to improve the health of all Pennsylvanians,’’ Schott said. “The Pennsylvania Medical Society applauds the governor’s plan and looks forward to continue working with him and other stakeholders to improve the health of all Pennsylvanians.”
Additional supporters in attendance for the Healthy Pennsylvania launch included the Hospital and Healthsystem Association of Pennsylvania (HAP), Pennsylvania Association of Area Agencies on Aging, Pennsylvania Pharmacists Association, Insurance Federation of Pennsylvania Inc. and families from the Harrisburg region.
Corbett’s Healthy Pennsylvania plan focuses on improving access, ensuring quality, and providing affordability through the following initiatives:

Improving Access

* Get all kids insured in Pennsylvania: Eliminate the mandatory six-month waiting period for Pennsylvania’s Children’s Health Insurance Program (CHIP), allowing all Pennsylvania children to have continued and timely access to CHIP coverage; reauthorize the program in the legislature; and expand current enrollment and outreach efforts.
* Promote access to primary health care: Seek additional federal funding, above the $4 million provided in this year’s state budget, to build and expand community-based, primary care health clinics throughout Pennsylvania; and continue to support loan forgiveness programs to encourage primary health-care providers to practice in rural and underserved areas of the state.
* Enhance care delivery through technology: Continue to expand the use of health information technology, including using telemedicine to bring specialty care into underserved areas of the state and using electronic health records.

Ensuring Quality

* Support older Pennsylvanians and persons with disabilities: Build upon the $68 million commitment in this year’s budget to older Pennsylvanians and persons with disabilities by continuing to redesign services so that more people can have access to home and community-based care; and create a Long-Term Care Commission to recommend best practices that improve the coordination of care for all Pennsylvanians in need of long-term care services and support.
* Promote good public health: Convene a “Healthy Pennsylvania Summit” to continue discussions with Pennsylvania’s leading public health and research universities, employers, communities and physicians around promoting preventative health best practices across the commonwealth; and support and expand community-based health partnerships, with community partners such as libraries and schools.
* Ensure safe and appropriate access to prescription medication: Enhance the prescription drug monitoring program to help patients receive addiction treatment and reduce the criminal diversion of prescription drugs. Corbett also will partner with local law enforcement to support a statewide “Drug Take-Back” program that gives Pennsylvanians a safe and secure way to dispose of unused prescription medications.

Providing Affordability

* Continue reforms of Pennsylvania’s medical liability system: Adopt the “Apology Rule” for health-care providers to allow them to express empathy for unforeseen outcomes without fear that their statements will be seen as an admission of error.
* Reform Pennsylvania’s Medicaid program: Secure agreement from the U.S. Department of Health and Human Services to allow the state to apply common-sense Medicaid reforms including:
* Aligning Medicaid benefits with private, commercial insurance and the federal standards for essential health benefits, mental health parity and preventive care (benefit package for children will not change and community supports for older Pennsylvanians and persons with disabilities will remain the same);
*  Implementing a revised cost-sharing model for current adult Medicaid recipients that rewards use of preventive care to reduce emergency room use — this will be accomplished through instituting a reasonable monthly premium on a sliding scale from $0 to $25 and removing confusing co-payments; and
*  Requiring work search for all unemployed working-age Medicaid beneficiaries, with limited exceptions, connecting them to jobs and job training as needed through Pennsylvania’s JobGateway.
If the federal government grants Pennsylvania the ability to implement these reforms and achieve significant cost savings, Pennsylvania will work with the federal government to use federal funds and give approximately 520,000 additional low-income Pennsylvanians the ability to enroll in private health insurance plans through the federal health insurance exchange.
“Healthy Pennsylvania provides a path to wellness and care for all Pennsylvanians,” Corbett said. “The plan ensures quality, access and affordability in a fiscally responsible framework. We are re-directing funding to better serve those who most need our support.’’
“This is a Pennsylvania solution that reforms a broken and financially unsustainable program. Healthy Pennsylvania is grounded in independence for all Pennsylvanians, reducing government bureaucracy by using the private health-care market, and creating health-care choices for consumers. I will not accept Washington’s ‘one-size-fits-all’ approach for Pennsylvania, and I will not expand an entitlement program.”
Medicaid costs currently account for 27 percent of the entire general fund budget, with one in six Pennsylvanians on the program.
Allowing access to private coverage, versus an expansion of Medicaid, would be more quickly implemented, require less bureaucracy, offer more provider options, and protect state programs by not putting Pennsylvania at risk if the federal government does not live up to the promise of funding.
While speaking to Corbett at the launch, HAP’s president and chief executive officer, Andy Carter thanked the governor for his decision to move forward on the health-care initiative and said, “We applaud your decision to embrace what hospitals consider the cornerstone of a high performing health system — effective insurance coverage for all Pennsylvanians.”
Corbett outlined the Healthy Pennsylvania plan after a tour of the emergency room and Riverview Primary Care at PinnacleHealth’s Harrisburg Hospital. During the tour, he learned about the hospital’s system to identify and triage patients based on their needs, which helps the organization reduce costs within the emergency room and promote primary care.
“We are pleased with the governor’s support of increasing access to integrated, quality care while controlling costs,” shared Michael A. Young, president and CEO for PinnacleHealth. “Innovations such as Riverview Primary Care improve the health of Pennsylvanians and reduce costs by providing the right care, from the right provider, at the right time and in the right place.”
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