A Healthcare Coalition

By Renee Steinhagen


NJ Appleseed’s Role in the New Jersey and Greater Newark Coalitions

Since our inception, NJ Appleseed has focused its efforts on health care issues, providing a legal voice to communities and organizations seeking to establish health care as a social right by preserving hospitals as charitable community assets, improving access to quality, affordable health care services, and diminishing racial disparities in the health status of Newark residents. Our work in this area can be characterized as three distinct projects: The Community Health Assets Protection Project (representing the community in administrative and court procedures to ensure that hospital boards satisfy their fiduciary duties to the public when seeking to merge or sell their charitable health assets to a for-profit entity or another nonprofit with a different mission); a Consumer Advocacy Project and a Transforming Healthcare Delivery Project.

Under the rubric of our Consumer Advocacy Project, NJ Appleseed has participated on the leadership team of the NJ Healthcare Coalition since its founding in 2006. As the only legal organization participating in the Coalition (Legal Services of NJ informally participates but is not a member), NJ Appleseed services the Coalition, its individual members and the public generally with respect to legal policy issues, including drafting and analyzing legislation, preparing regulatory comments, and preparing white papers and consumer manuals with respect to legal rights, such as the right to appeal insurance denials of benefits. We are now considering whether to convert the New Jersey Sentinel website (which was product of a joint project between NJ Appleseed and Seton Hall Law School, funded by RWJ Foundation to evaluate essential benefits) into a comprehensive consumer health care website that provides information directly to New Jersey consumers on how to navigate the insurance, health care (providers), and public health systems in the State, and perhaps the website could deal with occupational health and safety as well as environmental health issues.

Since the closure of St. James and Columbus hospitals in Newark, NJ Appleseed’s Executive Director has been a board member of the Greater Newark Healthcare Coalition (consisting of a wide array of providers, including hospitals, physicians, federally qualified health centers, nurses, etc.), which was established as the Hospital CEO Working Group as a result of those closures. The Coalition is a planning organization that oversees various projects that seek to transform the healthcare system so it is more equitable, socially and racially just, and effective in improving the health status of Newark residents. NJ Appleseed is the Chair of the Legal and Advocacy Subcommittee, which is the one Board committee that draws mainly from persons who are not represented on the board. As one of three non providers on the board –- representatives from NJIT and Seton Hall Law School are the other two –- NJ Appleseed is trying to bring the consumer perspective to the Board’s decision making, and to encourage community participation in the organization’s activities.

We are seeking resources to support our activities in these two coalitions.



Despite the human and fiscal harm that would result from repeal, Republicans have pronounced it a priority and on January 4, the Senate took an initial step toward that goal, approving a budget resolution that would clear the way for such legislation. The House is expected to follow suit next week.

In its last frenzied voting session before the end-of-year break, the New Jersey Legislature passed a resolution that calls on Congress not to repeal the Affordable Care Act, or ACA, also commonly referred to as Obamacare. The complete text of Assembly Concurrent Resolution 222 can be found here.



Surprise medical bills for out-of-network health care cost New Jersey residents nearly $1 billion per year, according to a report released last June by New Jersey Policy Perspective.

An estimated 168,000 people in the state receive out-of-network (OON) bills totaling $420 million per year but the actual cost is much higher because OON charges drive up the cost of the health insurance premiums paid by roughly 5 million New Jerseyans, for an estimated total cost of $956 million.


Don’t Play Politics with Charity Care

Written by Linda J. Schwimmer

Charity-care dollars have to go to safety-net hospitals, rather than being distributed to every facility in the state

New Jersey hospitals cannot legally — or, in my opinion, morally –turn away patients who need care but cannot pay. They also cannot turn away patients who pay less because they are covered by Medicaid and not private insurance. Hospital doors in New Jersey are open to all people who are sick or injured and in need of emergency care.

Continue reading Don’t Play Politics with Charity Care

How will sale of Saint Michael’s Hospital transform healthcare in Newark?

Governor Chris Christie’s administration has put off for nearly three years deciding what it should do about the future of healthcare in Newark. But the scheduled sale of the bankrupt Saint Michael’s Medical Center, one of five Newark hospitals, should force a decision.

The outcome of the sale will likely help shape the quality of healthcare that Newark residents receive, according to industry attorneys and analysts. It could also affect the financial stability of all of the city’s hospitals.

State involvement in hospital bankruptcies normally is limited to issues related to operating licenses. But not in this case, for three reasons:

First, the New Jersey Health Care Facilities Financing Authority, which is chaired by Acting Commissioner of Health Cathleen Bennett, issued tax-exempt bonds for Saint Michael’s that currently total roughly $230 million.

Second, the state also owns another troubled Newark facility — University Hospital, which is facing millions of dollars in annual operating losses for the foreseeable future.

Third, if the state allows the sale of Saint Michael’s it should get a short-term financial shot in the arm. But if were to decide to take over the facility, it could realize a greater payback over a longer period.

Continue reading How will sale of Saint Michael’s Hospital transform healthcare in Newark?

Surprise Medical Bills: What they are and how to stop them

New Jersey’s leading consumer health coalition held a press conference today announcing the release of a new report, Surprise Medical Bills: what they are and how to stop them . The report examines the consequences and costs of these bills on New Jersey health care consumers and details the remedies necessary to fix the problem. and contains more than a dozen testimonials from consumers who have fallen victim to these out-of-network bills.

Continue reading Surprise Medical Bills: What they are and how to stop them

As investors buy struggling hospitals, big change comes to New Jersey health care

Re-post from NorthJersey.com | Written by Lindy Washburn

Bayonne Medical Center wasn’t just bragging about efficiency when it posted a big digital clock on a highway billboard a few years ago to show the real-time waits in its emergency room. It wanted patients to come to its ER. Lots of patients.

It didn’t matter if the hospital was in the patient’s insurance network. On the contrary, to the businessmen who had recently purchased the medical center, those “out-of-network” patients held the key to reversing Bayonne’s fortunes.

These owners, who bought the hospital in bankruptcy, had found an unintended — and very profitable — consequence to a state regulation that was designed to protect patients with urgent medical needs. While the regulation required insurance companies to pay for emergency treatment at hospitals where their coverage wasn’t normally accepted, it did nothing to control the size of the bills the hospitals could submit to those insurers.

Read rest of article here and how this topic relates to NJ Appleseed’s work.

Nurses, health care workers ratify new contracts at Christ Hospital and Bayonne Medical Center

Re-post from NJBiz | Written by Beth Fitzgerald

Nurses and other health care workers at Christ Hospital in Jersey City and Bayonne Medical Center on Wednesday ratified new union contracts that include a 1.5 percent pay raise, increased employer matching contributions for workers’ retirement plans and increased staffing levels at both hospitals.

The new labor contracts represented by the 12,000 member Health Professionals and Allied Employees union cover 400 nurses at Christ Hospital and 850 nurses and health care professionals at Bayonne Medical Center.

HPAE said in a statement that employee health insurance contributions will not increase during the term of the contract, which expires June 30, 2015.

HPAE said improved nurse-to-patient ratios at both hospitals is a key component of the contracts. The agreement provides for more nurses for hospital units, including medical surgical, intensive care, emergency department, oncology and maternal child health.

“Our first priority throughout these negotiations was to set strong standards for patient safety and quality care — and we did that,” said Nicole Mankowski, president, HPAE local at Christ Hospital.

Retirement benefits were also improved, with an increase of the employer matching contribution to 2 percent for Christ Hospital, and an increase of 1 percent for Bayonne Medical Center.

“Improvements in staffing will help recruit staff and improvements of retirement benefits should help retain our valuable experienced staff,” said John Bauer, president, HPAE local at Bayonne Medical Center.

“HPAE members, elected officials and community leaders were instrumental in achieving strong staffing improvements in both of our contracts,” said Ann Twomey, president, HPAE union.  “Our first priority throughout these negotiations was to set strong standards for patient safety and care in both the Bayonne and Jersey City communities.”

“CarePoint Health is very pleased that we have brought our negotiations with HPAE to resolution without any labor disruption affecting hospital patients, workers or the communities we serve,” said Jennifer Dobin, vice president of human resources at CarePoint Health, which owns the two hospitals.

She said CarePoint and the union reached terms in the early hours of July 31, following an extended bargaining session, and the issues resolved in the new contracts cover  compensation, retirement benefits, health insurance contributions and hospital staffing.

“We want to thank the HPAE and all stakeholders that contributed to the dialogue and helped us reach satisfying results for all parties,” Dobin said. “In the end, we are all committed to maintaining our hospitals’ standards of excellence in patient care.”

Christ Hospital, Bayonne Medical Center reach tentative agreements with union

Re-post from NJBiz | Written by Beth Fitzgerald

Tentative collective bargaining agreements have been reached between hospital workers and the owners of Christ Hospital in Jersey City and Bayonne Medical Center, the Health Professionals and Allied Employees union announced Thursday. HPAE said workers at the two hospitals will vote on the tentative contracts next week, and said it would not disclose details until then.

Jeanne Otersen, policy director for HPAE, said, “We made what we believe are significant improvements in (the) staffing level at both hospitals.”

The agreements also enhance retirement security for the workers and “protects many elements of health insurance coverage,” she said.

The agreements would be in place until June 30, 2015. HPAE said it represents more than 1,200 nurses and other health care workers between the two hospitals.

The negotiations had been contentious: After CarePoint raised the possibility of a lockout, the union rallied support from local elected officials.

“The support of our elected officials and community leaders made a major difference to our ability to include strong staffing improvements in both of our contracts,” said Ann Twomey, president of the 12,000 member HPAE.

The two hospitals are owned by the for-profit CarePoint Health, which also owns a third Hudson County Hospital, Hoboken University Medical Center.

Union Criticizes Handling of Hospital’s Finances

Re-post from NJSpotlight | Written by Andrew Kitchenman

Hospital leader defends approach, while health commissioner is asked to appoint temporary manager of facility

A labor union representing workers at Meadowlands Hospital Medical Center is demanding that the state step up its fiscal oversight of the for-profit hospital after it eliminated more than 100 jobs.

The Health Professionals and Allied Employees and the New Jersey Appleseed Public Interest Law Center sent a letter to state Health Commissioner Mary E. O’Dowd on Friday reiterating their request for appointment of a temporary manager for the Secaucus hospital.

Continue reading Union Criticizes Handling of Hospital’s Finances