State Rep. Connie Pillich announced today that she will run for state treasurer, putting the Greater Cincinnati Democrat on a collision course with current Ohio Treasurer Josh Mandel, a Republican who ran for U.S. Senate last year. Before becoming state representative, Pillich was in the Air Force, a lawyer and a small business owner. “Whether as a captain in the Air Force, a lawyer and owner of a small business, or a representative in the legislature, I’ve dedicated my career to listening to concerns, creating a plan of action, and working hard to deliver real results,” she said in a statement. Attorney General Mike DeWine certified the ballot language for an amendment that would legalize medical marijuana in Ohio, opening the possibility that the issue will be on the ballot in 2013 or 2014. CityBeat wrote more about the amendment and the group behind it here. Supporters of the Medicaid expansion are hosting a public meeting and presentation today at 10 a.m. at the Red Cross headquarters at 2111 Dana Ave. CityBeat previously covered the Medicaid expansion, which supporters claim will save the state money and insure half a million Ohioans in the next decade, here. Ohio is one of many states preparing to adopt Common Core standards and other reforms in schools, but a recent survey by the Thomas B. Fordham Institute of the state’s superintendents declared that the state is not ready for all the changes being proposed. Terry Ryan of the Thomas B. Fordham Institute says Ohio should consider slowing down to give legislators and educators more time to work through the new requirements. A new Ohio bill would require only one license plate per vehicle, potentially saving the state $1 million a year. But critics say the bill would limit the amount of tools available to law enforcement to fight and prevent crime. Nearly two-thirds more suburban residents live below the poverty line in comparison to 2000, according to “Confronting Suburban Poverty in America,” a book by two Brookings Institution fellows. The book uses U.S. Census Bureau data to form a clearer picture on U.S. poverty trends. Previous analyses have correlated the U.S. rise in poverty with welfare reform, which former President Bill Clinton signed in 1996. Ohio and U.S. gas prices are spiking this week. It’s going to be hot today. A study found a correlation between fiscal conservatives and big biceps. The first American mission to sample an asteroid is moving forward.

With a set of initiatives unanimously approved last week, City Council is looking to join the state in combating Cincinnati’s human trafficking problem. The initiatives would evaluate local courts’ practices in human trafficking and prostitution cases and study the need for more surveillance cameras and streetlights at West McMicken Avenue, a notorious prostitution hotspot. Councilwoman Yvette Simpson, who spearheaded the initiatives, says the West McMicken Avenue study will serve as a pilot program that could eventually branch out to other prostitution hotspots in Cincinnati, including Lower Price Hill and Camp Washington. Medicare data released yesterday revealed charges and payments can vary by thousands of dollars depending on the hospital, including in Cincinnati. Health care advocates and experts attribute the price disparity to the lack of transparency in the health care system, which allows hospitals to set prices without worrying about typical market checks. CityBeat previously covered the lack of health care price transparency in Ohio here. Duke Energy is the No. 1 utility company polluter in the nation, according to new rankings from Pear Energy. The rankings looked at carbon dioxide emissions, which directly contribute to global warming. Pear Energy is a solar and wind energy company that competes with utility companies like Duke Energy, but the methodology behind the rankings was fairly transparent and based on U.S. Environmental Protection Agency data. Commentary: “Republicans Continue Voter Suppression Tactics.” City Council approved form-based code yesterday, which Vice Mayor Roxanne Qualls has been working on for years. In a statement, Qualls’ office called form-based code an “innovative alternative to conventional zoning” that will spur development. “Cincinnati now joins hundreds of cities that are using form-based code to build and reinforce walkable places that create value, preserve character and are the bedrock of Cincinnati neighborhoods’ competitive advantage,” Qualls said in the statement. State Sen. Peggy Lehner is looking to amend the Ohio budget bill to add a $100 million voucher program that would cover preschool for three- and four-year-olds. The details of the program are so far unclear, but Lehner said she might put most of the funding on the second year of the biennium budget to give the state time to prepare proper preschool programs. If the amendment proceeded, it would join recent efforts in Cincinnati to open up early education programs to low- and middle-income families. CityBeat covered the local efforts and many benefits of quality preschool here. Gov. John Kasich says he would back a ballot initiative for a mostly federally funded Medicaid expansion, which the Health Policy Institute of Ohio says would insure nearly half a million Ohioans and save the state hundreds of thousands of dollars in the next decade. CityBeat covered the Medicaid expansion in further detail here. Policy Matters Ohio released a lengthy report yesterday detailing how the state could move towards clean energy and electric cars and calling for more state incentives for clean energy. The report praises Cincinnati in particular for using municipal policies to build local clean energy and keep energy jobs in the city. The last tenant at Tower Place Mall is moving out. Scientists are working on a microchip that could be implanted into the brain to restore memories. They also found proof that seafloor bacteria ate radioactive supernova dust.

The Centers for Medicare and Medicaid Services (CMS) unveiled price data today for more than 3,000 U.S. hospitals, revealing large price variations between hospitals around the nation, including in Cincinnati. For treating chest pain, charges from three Cincinnati hospitals varied by thousands of dollars: Bethesda North charged on average $17,696, Christ Hospital charged $12,000 and University Hospital charged $10,130. But the initial charge seems to have little relation to what Medicare ultimately paid out. In the three cases for chest pain, Medicare on average paid $3,242 to Bethesda North, $3,657 to Christ Hospital and $5,463 to University Hospital. In other words, University Hospital charged about 57 percent of what Bethesda North charged, but University Hospital was ultimately paid 68 percent more. The price variation wasn’t exclusive to chest pain, either. For major joint replacement or reattachment of a lower extremity without major complications, Bethesda North charged $61,947 and was paid $12,712 on average, Jewish Hospital charged $38,465 and was paid $14,069 on average and University Hospital charged $46,463 and was paid $20,116 on average. In fact, all of the 100 metrics tracked by CMS had at least some degree of variation in charges and payments. Whether it was chest pain, joint replacement, diabetes or cardiovascular complications, prices always varied between hospitals — sometimes greatly, other times by a little. The data from fiscal year 2011 shows how much hospitals initially charged Medicare for the 100 most frequently billed discharges and how much Medicare ultimately paid out. The difference between charges and payments is usually large because Medicare negotiates prices down. CMS says the price discrepancy is happening at hospitals all around the nation: “As part of the Obama administration’s work to make our health care system more affordable and accountable, data are being released that show significant variation across the country and within communities in what hospitals charge for common inpatient services.” Still, some health care advocacy groups say Ohio is doing worse than other states. A study from Catalyst for Payment Reform and the Health Care Incentives Improvement Institute gave Ohio and six other states a “D” for health care price transparency, based on the states’ laws and regulations. That was actually better than 29 other states, which flat-out flunked with an “F.” Only New Hampshire and Massachusetts received an “A,” the highest grade possible. Even then, the Catalyst for Payment Reform and the Health Care Incentives Improvement Institute cautioned in the study that their grades were given on a curve, which means all states would likely fare worse if the organizations measured them based on ideals instead of comparatively. Many health care experts and advocacy groups claim the price variation is caused by a lack of transparency in the health care system, which gives hospitals free reign to charge without typical market checks (“Healthy Discussion,” issue of April 10).

Today is primary election day in Ohio, but there are no ballot items in Cincinnati. Some Hamilton County precincts outside the city have ballot issues, which are listed here. Polls will be open between 6:30 a.m. and 7:30 p.m. An amendment snuck into the budget bill approved by the Republican-controlled Ohio House would force universities to decide between providing the proper documentation for voting to out-of-state students or getting extra money from out-of-state tuition rates, prompting concerns from Democrats that Republicans are attempting to limit voting opportunities once again. Republicans spent a bulk of the lead-up to the 2012 election approving measures that limit voting, including a later-repealed set of laws that greatly reduced early voting hours. About 82 percent of all Leadership in Energy and Environmental Design (LEED) certified buildings in Ohio are in Cincinnati, and the reason is likely local tax incentives, which allow Cincinnatians to eliminate property taxes for up to 15 years by retrofitting businesses and homes in an environmentally friendly manner. CityBeat covered Cincinnati’s successes in solar energy here and FirstEnergy’s campaign to weaken Ohio’s energy efficiency standards here. If legislators fail to take up the Medicaid expansion, the issue could appear on the ballot on November 2014. Supporters of the expansion, including Gov. John Kasich, say the expansion will help insure hundreds of thousands of Ohioans and save the state money in the next decade, but Republican legislators say they’re concerned the federal funds backing the expansion will eventually dry up. CityBeat covered the Ohio House budget bill, which effectively rejected the expansion for the time being, here. The Ohio Department of Transportation says 2,230 bridges in the state need repairs, but there’s not enough funding to make it happen. Ohio banks are warning of possible cyberattacks that could happen today. The Ohio Bankers League and the Ohio Credit Union League said the attacks would impact online services but not the security of customers’ bank accounts. The Cincinnati/Northern Kentucky International Airport has the second highest airfares in the nation, according to statistics released by the U.S. Department of Transportation’s Bureau of Transportation Statistics. Cincinnati-based Procter & Gamble was ranked No. 7 in a ranking for top 50 most diverse companies by DiverseInc. Sometimes human brains make people do bad things, such as enjoying high-calorie foods even when the foods aren’t delicious.

As Ohio debates the Medicaid expansion, a new study from Harvard researchers revealed access to Medicaid in Oregon led to better mental health outcomes and reduced financial strain, but no short-term gains were found in physical health outcomes.The study, which was released Wednesday by The New England Journal of Medicine, had its most positive findings in mental health outcomes, with Medicaid recipients showing 30 percent lower rates of depression in comparison to people without health coverage. Medicaid recipients had a rate of depression of 21 percent, while those without coverage had a rate of 30 percent.But the gains did not apply to physical health outcomes. When looking at cholesterol, blood pressure and blood sugar levels, there was no significant difference between Medicaid recipients and people without coverage. The three measures were chosen because they typically reveal better health results within two years and they're easy to obtain.Still, the study doesn't rule out the possibility of long-term gains. The study found increased rates of diabetes detection and management, which could lead to better physical health outcomes in the future.Medicaid enrollment also reduced financial strain, allowed patients to use more preventive services and nearly eliminated catastrophic out-of-pocket medical expenses, according to the study.The study was conducted by looking at Medicaid recipients in Oregon, which enrolled 10,000 people into Medicaid out of nearly 90,000 applicants through a lottery approximately two years ago, giving researchers the first major randomized pool of Medicaid recipients to study.A previous study from Harvard researchers, including the lead author of the Oregon study, found that Medicaid expansions improved mortality rates, coverage, access to care and self-reported health. That study looked at three states that expanded Medicaid and compared them to neighboring states that did not.The Oregon study comes at a time when legislators are debating whether Ohio should use federal funds to expand its Medicaid program. Even though Republican Gov. John Kasich supports the expansion, Republican legislators say they're concerned the federal funds will eventually dry up, leaving the state to find a solution for hundreds of thousands of new Medicaid enrollees. Democrats are joining Kasich in supporting the expansion, with Ohio Senate Minority Leader Eric Kearney recently calling it a "no-brainer." The Health Policy Institute of Ohio found the Medicaid expansion would insure nearly half a million Ohioans and save the state money in the next decade.The budget bill that recently passed the Republican-controlled Ohio House would forgo the Medicaid expansion while leaving room to consider further Medicaid reforms down the line ("The Chastity Bunch," issue of April 24).