The most current fiscal projections indicate Nevada’s financial health is in serious jeopardy. With projections indicating Fiscal Year 2021 is roughly $1.2 billion shy of what the legislatively-approved budget requires, it is clear that government finances are in desperate need of cuts, innovation and clear policy guidance moving forward. And… Read More
Prior to the election, Congress passed historic welfare reform legislation which President Clinton reluctantly signed into law. Regardless of his promises to correct the "flaws" of the bill, Nevada should have a basic understanding of how the legislation changes the current system.
In these times of health care reform, insurance companies require that pre-authorization be obtained for surgical procedures recommended by a physician before insurance reimbursement can be considered. If the insurance company does not feel that the recommended procedure meets the standards of medical necessity the patient and the physician may appeal their decision , ands the claim then goes to the medial review department. The problem lies in that the "reviewer" is rarely a physician from the same medical specialty as the procedure in question and is usually a person employed by the insurance company. The reviewer thus has a financial interest in the company which may tend to slant the reviewer’s consideration of the claim in favor of their employer over the patient‘s best interest.
While school boards are asking for more money to build schools, repair current structures and increase teachers' salaries, opportunities to save money are being overlooked. Contracting out, or the subcontracting of services that are needed to keep a school system running, are not usually considered in cost-reducing efforts. School boards are often faced with "make or buy" decisions, such as whether to hire school bus drivers or employ a private transportation company. In public education, the usefulness and importance of these decisions is often ignored by school boards and administrators.