Brian Dake

Today, the federal Agency for Healthcare Research and Quality (AHRQ) issued its State Snapshots ranking, naming Wisconsin fourth in the nation for highest overall health care quality among all 50 states – and Wisconsin ranks first in the Midwest.

AHRQ’s State  Snapshots web tool helps state health leaders, researchers, consumers, and others understand the status of health care quality in states, including each state’s strengths. The AHRQ uses more than 120 statistical measures to evaluate health care performance across care settings, including access to care and patient safety. AHRQ began issuing its State Snapshots in 2006, and Wisconsin has consistently ranked in the top four states in 10 of 12 years (AHRQ did not issue a report in 2012) – and was ranked first in the nation in 2006, 2008, and 2017. Wisconsin was ranked second in the U.S. in 2007, 2009, 2011, and 2015.

“Providers, administrators, patients, and families are working together in effective partnerships, across care settings locally and regionally – and that shows,” said WHA President and CEO Eric Borgerding. “Wisconsin is a national leader and is known for its high quality, high-value health care. These rankings reflect not only outstanding performance today, but more importantly, a trend spanning over a decade demonstrating a sustained commitment to affordable, accessible, quality health care that our members deliver each and every day.”

Earlier this year, the federal Health Resources and Services Administration announced that Wisconsin’s Critical Access Hospitals were named fourth in the nation, according to the Medicare Beneficiary Quality Improvement Program. The program ranks states based on quality data reporting and performance. A Critical Access Hospital (CAH) is often located in a rural part of the state, and it provides short-term hospital stays when someone has a severe injury or illness, an urgent medical condition, or is recovering from surgery. CAHs help provide essential health care services locally, particularly in areas of the state where the next town may be 35 miles or so away.

Good news for anyone looking to lock down their credit to protect their identities: starting today, a new federal law makes all credit freezes free and extends fraud alerts from 90 days to one year.

“A freeze on your credit account is one of the strongest tools we have to protect against financial identity theft,” said Michelle Reinen, Director of the Bureau of Consumer Protection with the Wisconsin Department of Agriculture, Trade and Consumer Protection (DATCP).

“We hope all Wisconsin consumers consider taking the time to lock down their accounts.”
To simplify the process of establishing these protections, each of the three major credit bureaus
– TransUnion, Equifax, and Experian – were required to create a webpage for requesting fraud
alerts and credit freezes.

The law will provide a number of services including:

Free account freezes: Placing a credit freeze with the major credit bureaus restricts most access to your credit file, locking out identity thieves who may try to open new accounts in your name. You will receive a PIN number when you place the freeze and it will remain in place until you lift it. Before this new law was signed, freezing an account with a credit bureau required fees that varied by state, plus an additional fee to unfreeze an account.

Free account freezes for minors: The new law will also allow parents and legal guardians nationwide to freeze the credit file for a child under age 16. Prior to the new federal law, Wisconsin had a law to allow guardians to create and immediately freeze a credit report for minors.

Extended fraud alerts: For consumers who want to protect their credit histories without completely locking down the account, a fraud alert is a special message on a credit file that states the consumer is or may be a potential identity theft victim. It requires businesses to take extra steps to verify the identity of an applicant before issuing lines of credit or service. Fraud alerts will be extended to a year (from 90 days) and remain free to place.

Credit monitoring for military members: Within one year, the credit reporting agencies must offer free electronic credit monitoring to all active duty military members.

Yesterday, Attorney General Brad Schimel announced that the Wisconsin Department of Justice (DOJ) has filed a new lawsuit, along with a motion for a temporary restraining order,  to prevent President Trump’s Administration from taking more than $30 million from the Wisconsin Medicaid and Children’s Health Insurance Program (also known together as BadgerCare Plus). The filing is joined by Texas, Louisiana, Indiana, Kansas, and Nebraska.

“On behalf of Wisconsin, I will continue to fight to protect our healthcare dollars,” said Attorney General Schimel. “Our healthcare programs should not be overburdened with this illegal tax that threatens Wisconsin’s ability to care for those who need medical services the most.”

Wisconsin’s new lawsuit relates to the Health Insurance Providers Fee (“HIP Fee”), which is a tax imposed as part of the Affordable Care Act. Congress specifically exempted the states from paying the tax, yet the Internal Revenue Service (IRS) and Department of Health and Human Services (HHS) have imposed the tax in such a way as to illegally require the states to pay it.

In 2016, Attorney General Schimel and five other states successfully sued to strike down a rule that allowed the HIP fee to be imposed upon the states. As a result of that ruling, the U.S. District Court recently ordered the federal government to repay $89 million to Wisconsin as a result of the HIP Fee imposed in years 2014, 2015, and 2016. Congress imposed a moratorium on the fee for 2017.

Despite this ruling, the IRS and HHS seeks to impose the tax again in 2018. For Wisconsin, the tax is due on September 25, 2018, and amounts to more than $30 million.

The path to peace in a trade war between the United States and China is getting harder to find as the world’s two biggest economies pile ever more taxes on each other’s products.

The United States is scheduled to slap tariffs on $200 billion in Chinese imports Monday, adding to the more than $50 billion worth that already face U.S. import taxes. China has vowed to counterpunch with tariffs on $60 billion in U.S. goods.

President Donald Trump is ready to up the ante, threatening to tax just about everything China ships to the United States.

The Americans and Chinese haven’t held high-level talks since June, raising doubts about whether a resolution can be reached anytime soon.

“Both sides believe they can outlast the other, fearing any conciliatory move will be viewed as weakness and reduce negotiating leverage,” said Wendy Cutler, a former U.S. trade negotiator who is a vice president at the Asia Society Policy Institute.

The tariff exchange is creating casualties in the United States. Companies that import Chinese materials and parts are facing higher prices. So are the consumers who buy everything from burglar alarms to baseball gloves. U.S. farmers are being hurt by China’s retaliatory tariffs on soybeans and other agricultural products.

The administration says its demands are clear: Stop stealing trade secrets. Stop coercing technology transfers. Stop favoring Chinese companies over U.S. and other foreign competitors.

But China’s leaders have ambitious plans to turn their country from the world’s low-cost manufacturer into a technological power in fields from robotics to quantum computing. They are likely to balk at meeting any U.S. demands that would slow the high-tech drive.

Wisconsin homeowners and businesses impacted by the recent flooding will be eligible for financial assistance for repair, cleanup and other costs under two new programs that will provide up to $4 million in funding, Governor Scott Walker announced today.

The Wisconsin Housing and Economic Development Authority (WHEDA) is launching a new $2 million Flood Relief Loan program that will provide no-interest loans of up to $10,000 for repairing homes damaged by flooding.

The Wisconsin Economic Development Corporation (WEDC), in conjunction with its regional partners, is unveiling a $2 million Disaster Recovery Microloan Program aimed at small businesses that will provide an immediate source of funds for necessary restoration work and related expenses.

The two programs are being announced as businesses and homes in 21 counties were damaged last month after heavy rains caused widespread flooding. More than 4,300 homes and 140 businesses have sustained more than $150 million in damage, according to preliminary estimates from Wisconsin Emergency Management.

Homeowners interested in applying for a WHEDA Flood Relief Loan can call 1-800-562-5546. For more information about the WEDC small business microloan program, visit wedc.org/disasterrecovery

Wisconsin lost 47 dairy farms in August, putting the state on pace for its worst year since 2013.

The latest data from the state Department of Agriculture, Trade and Consumer Protection shows there were 8,372 licensed dairy producers at the beginning of September. That’s 429 fewer than were licensed at the start of the year.

Mike North, president of the Dairy Business Association, said it’s not surprising given the current market and long-term trend toward consolidation in the industry. “There’s lots of motivating factors in this but it’s a trend that’s been going on for my entire lifetime,” North said

But Shelly Mayer, executive director of Professional Dairy Producers, said low milk prices for more than three years just became too much for some farms. “For some of these farm families, that they just can’t continue on with the businesses and that’s what we always find difficult and devastating, to lose the farm numbers in that way,” Mayer said.

But both Mayer and North say retirement and the absence of a successor to take over the farm are also part of the reasons Wisconsin has fewer dairy farms.

Unlike the popular home-renting service Airbnb, which returned hundreds of thousands of dollars to Madison and the state of Wisconsin in the first year of a tax collection agreement, similar companies leave tax payment up to individual property owners.

Under voluntary agreements with Madison, Airbnb returned $324,000 in room tax revenue in the first year of payments. The company returned $2.5 million to the state of Wisconsin over the first year of its agreement.

However, other major players in the home rental business, like Homeaway and VRBO (both owned by Expedia), do not charge the required local taxes up front. Hosts who use these platforms are responsible for collecting and returning local taxes to the municipality.