Something UHIP This Way Comes

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Rhode Island won’t forever be able to avoid the arrival of the state’s Unified Health Infrastructure Project (UHIP) monster, although the latest from Lynn Arditi is that it won’t darken our state until the leaves begin to shade and the season of evil approaches in the fall (appropriate to an election season, this time around, too).  It’s a sinister beast, too, this dependency portal, which weaves itself in sly language.  Witness (emphasis added):

The new system will allow the state to verify eligibility for programs such as Medicaid, the insurance program for low-income residents, and integrate them with other state assistance programs, officials said, to improve service and weed out fraud. …

“Rhode Island has been running the same enrollment and eligibility software since the Reagan Administration,” Roberts said. “This new system is a smart investment that will result in better customer service and significant savings for state taxpayers. As we move toward the September launch, we will continue to incorporate best practices and lessons learned from other states. We are confident that setting a launch date in September will allow the state ample time to anticipate and prepare for any issues that may develop during a transition from an aging software system to a modern, digital portal that meets our 21st century needs.”

In our traditional understanding of such concepts, one does not “verify eligibility” to receive “customer service,” and the wise reader should expect that “significant savings” will be measured against what the costs would have been to expand benefits by some less-efficient route.  That’s what UHIP is going to do.  As with the expansion of Medicaid and its implementation through the ObamaCare health benefits exchange (which was the first key piece of the portal), “verifying eligibility” will not prove to mean stopping people who apply from receiving benefits inappropriately, but rather, verifying that people who didn’t know they were eligible and who were not really seeking benefits are indeed eligible and should indeed receive taxpayer dollars.

Like some magical being, efficiency of this sort can be a positive when it is pursued in the proper spirit.  When the spirit is corrupted, though, efficiency merely accelerates the spreading of its dark shadow, particularly when the bureaucratic cult that summoned the beast has so mastered the technique of shaving its two pounds of flesh.



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