Middletown Transparency Issues and Medicare Advantage Network Changes in Rhode Island
Middletown politicians are facing criticism over a lack of transparency and accountability regarding several significant community projects, including the relocation of Pottsy Field, new school construction, and local housing developments. The relocation of Pottsy Field requires federal approval, as indicated by the U.S. Park Service, yet local officials proceeded with a 99-year deal with developers without fully disclosing the total taxpayer costs or addressing public opposition. The town spent $5.4 million in bond funds for land acquisition, but 10 acres of the purchased land remain unaccounted for and still in private commercial use, raising concerns about the management of public assets.
On the educational front, voters approved a $190 million bond for a new school and facility upgrades, with additional costs added subsequently. Despite officials claiming the project is on time and within budget, a complete breakdown of expenditures has not been provided, causing skepticism among residents. Meanwhile, high-density developments are being approved in congested areas without comprehensive infrastructure plans, while similar workforce housing proposals are being rejected for density concerns, reflecting inconsistent policy application.
In the healthcare sector, as of July 1, 2025, Medicare Advantage plans through UnitedHealthcare will consider several Brown University Health hospitals out of network for non-emergency care. This change will result in higher out-of-pocket costs for patients using non-emergency services at Rhode Island Hospital, Hasbro Children’s Hospital, Miriam Hospital, and Newport Hospital. Emergency services remain covered at in-network rates, and patients undergoing ongoing treatments may qualify for continuity of care if they apply before a specified deadline.
Medicare Advantage plans have been critiqued for shrinking provider networks, imposing prior authorizations, and generating increased costs for both patients and taxpayers compared to traditional Medicare. Rhode Island legislators have introduced resolutions urging federal action to curb perceived abuses by these plans, emphasizing that states have limited authority to regulate Medicare Advantage.
Overall, these developments highlight challenges in local governance transparency, infrastructure planning, and healthcare insurance network management, all of which impact taxpayer costs, service delivery, and public trust.