Will Texas Public Hospitals Survive Health Reform?
The biggest consumer benefit of federal health care reform — adding millions more Americans to insurance rolls — could spell disaster for some public hospitals.
Full StoryMEDICAID
Medicaid is the safety net health insurance provider for children, the disabled and the very poor. It is jointly funded by the federal government and the state, which administers the program with oversight from the Centers for Medicare & Medicaid Services (CMS), part of the U.S. Department of Health and Human Services (HHS).
Both Medicaid and Medicare — the federally ...
The biggest consumer benefit of federal health care reform — adding millions more Americans to insurance rolls — could spell disaster for some public hospitals.
Full StoryDon't look now, but the Texas GOP, the party of budgetary teetotalers, has been piling up debt like a college kid with his first credit card. According to Federal Election Commission reports, this isn't exactly a new development. The Republican Party of Texas has ended every year in the red since 2001. But lately that amount has ballooned from a low of about $70,000 in 2003 to last year's high of $624,000. Now — a month out from the state party convention where 14,000 delegates will elect the chairman who will guide the faithful for the next two years — the latest FEC report, for the month of April, shows $556,000 in financial obligations. In contrast, the Texas Democratic Party currently carries about $49,000 in debt.
Full Story
Grissom on the transgender marriage conundrum, Hu on the workers' comp whistleblowers, M. Smith on the Texas GOP's brush with debt, Garcia-Ditta on why student regents should vote, Aguilar on the tripling of the number of visas given by the feds to undocumented crime victims, Hamilton on the paltry number of state universities with graduation rates above 50 percent, Ramshaw and Stiles on the high percentage of Texas doctors trained in another country, Ramsey and Stiles on congressmen giving to congressmen, Galbraith on how prepared Texas is (very) for a BP-like oil spill, and my conversation with Lt. Gov. David Dewhurst: The best of our best from May 10 to 14, 2010.
Full Story
For the ninth event in our TribLive series, I interviewed the lieutenant governor about the budget shortfall, state-federal tensions, immigration, why he doesn't release his taxes, and his future plans. We've provided the conversation with the lite guv in three forms: full video, full audio and a transcript.
Full Story
That’s right — they’re not from Texas. Newly licensed physicians enlisting to treat the state’s Medicaid and Medicare patients are more likely to have been trained at international medical schools, according to a review of state medical licensing data.
Full StoryAguilar and Miller on the immigration rally in Dallas; E. Smith interviews T. Boone Pickens and, in a two-on-one matchup, Jerry Patterson and Hector Uribe; Ramsey on how to make $2 billion disappear from the budget shortfall with creative accounting and on the $1.5 billion problem with health insurance for state employees; Kreighbaum on money bombs; Hamilton and Stiles on the remarkably similar policies for policing immigration in Texas and its largest city; Ramshaw on doctors ducking government health care programs; Kraft on the ups and downs of base closures; Grissom interviews Pulitzer-Pize wine David Oshinsky on the death penalty; M. Smith on the three Texans who want to run the state GOP; and Philpott on the lawsuits already in motion over the oil spill that's still underway in the Gulf of Mexico. The best of our best from May 3 to 7, 2010.
Full Story
With health care reform expected to place up to 1 million more Texans on the state rolls in the next several years, experts predict a surge in the number of doctors who opt out of accepting Medicaid and Medicare patients, thanks to reimbursements well below private-payer rates.
Full Story
If history is any guide, the Legislature will turn to accounting illusions to mask large portions of a budget shortfall of at least $11 billion. Trouble is, such trickery is a bet on the economy roaring back to life — and that's no sure thing.
Full StoryIt's 1983. Oil prices are in the toilet. The Texas economy is suddenly and unexpectedly reeling. Lawmakers, who happen to be in session, have a choice between big cuts or new taxes or something creative. Comptroller Bob Bullock and his top propeller-heads find a creative out — a way to balance the budget without big cuts or tax hikes.
Full Story
The anticipated rush on primary care physicians — the likely result of health care reform’s insurance expansion — could drive rich Texans into private medical clubs.
Full Story
What's in an IQ score? For autistic or profoundly mentally ill Texans: everything. A growing number of disabled young adults are considered too high-functioning for state care services, but their families say they’re too dangerous to go without them. Admission to state-supported living centers is limited to disabled people with IQs under 70 — and community-based care is generally capped at an IQ of 75.
Full StoryThe debate over how much federal health care reform will cost Texas put the state’s health and human services chief on the defensive on Wednesday, as he presented a budget estimate that is 20 times higher than federal projections.
Full StoryIn politics, the crayon is mightier than the ballot. A political mapmaker can do more to change the power structure than a herd of consultants with fat bank accounts behind them. And 2011 will be the Year of the Mapmakers.
Full StoryGrissom on the U.S. Supreme Court's decision to stay Hank Skinner's execution, Thevenot on the myth of Texas textbook influence, Rapoport on the wild card who was just elected to the State Board of Education, Ramshaw on the price of health care reform, Philpott on the just-enacted prohibition on dropping kids from the state's health insurance rolls, M. Smith on the best little pole tax in Texas, Ramsey on the first corporate political ad and the reality of 2011 redistricting, Stiles on the fastest-growing Texas counties, Aguilar on the vacany at top of Customs and Border Protection at the worst possible time, Galbraith on the state's lack of renewable energy sources other than wind and its investment in efficiency, and Hu and Hamilton on the runoffs to come in House districts 52 and 127. The best of our best from March 22 to 26, 2010.
Full Story
Behind the fiery health care rhetoric is a measure expected to dramatically expand Texas’ Medicaid program, adding up to 1 million adults to the state’s insurance roll — but at a steep cost. Texas will have to come up with hundreds of millions of dollars in new revenue to foot its share of the bill.
Full StoryThevenot on the non-stop wonder that is the State Board of Education and its latest efforts to set curriculum standards, E. Smith's post-election sit-down interview with Bill White at TribLive made some news and got the November pugilism started, Ramshaw on whether it makes sense for the state to call patients and remind them to take their pills, and on the state's botched attempt to save baby blood samples for medical research, Hamilton's interview with Steve Murdock on the state's demographic destiny, M. Smith on whooping cranes, fresh water, and an effort to use the endangered species act to protect them both, Grissom on potties, pickups, and other equipment purchased with federal homeland security money and Stiles' latest data and map on where that money went, Aguilar on the "voluntary fasting" protesting conditions and treatment at an immigrant detention facility, Kreighbaum on football, the new sport at UTSA, and Philpott on Rick Perry and Bill White retooling their appeals for the general election. The best of our best from March 8 to 12, 2010.
Full StoryTexas has spent tens of millions of dollars on “disease management” — phone calls and check-ins with Medicaid patients designed to control costly chronic illnesses and save money. The jury's still out on whether it worked, but the state's preparing to rebid the contract anyway.
Full StoryTexas' senior care industry — still reeling from federal Medicare cuts — may face another financial blow, as the state considers reducing Medicaid provider rates to balance the budget in the face of a $10 billion-plus shortfall.
Full StoryHow will lawmakers deal with a budget shortfall of at least $11 billion — and maybe several billion more — in the next legislative session? In all likelihood, by doing what they did in 2003, when things were almost this bad.
Full StoryThree challenges stand between Texas and the era of electronic medical records: convincing doctors to use them, figuing out how to safely share and protect them and finding a way to pay for them.
Full StoryIn response to shrinking budgets, there's a risk that lawmakers might feel compelled to scale back funding for treatment and diversion programming. Instead, it's time for the state to seriously consider closing one or more of the 112 prison units it currently operates.
Full StoryThe next senator from SD-22 could be the incumbent, Sen. Kip Averitt, R-Waco, Republican challenger Darren Yancy, or a Republican or Democrat whose name is not on the ballot.
Full Story
Families of disabled Texans fear an increase in home nursing rates could force them to cut services for their loved ones.
Full StoryStiles and Babalola's long-awaited red-light camera data app. Grissom's two-parter on a powerful Texan's quest to change the DPS report on the crash that killed his son. Ramshaw's two-parter on transitional medicine. Thevenot on the charter school queue. And a ton of political news: KBH filed (but our TribCasters wondered about her path to the GOP nod); Debra Medina filed (and Hamilton tried to sort out what effect she'll have on the race); Farouk Shami defiantly remained in the Democratic primary (but Hu couldn't find evidence that he'd voted very often, let alone like a Democrat); and Rick Perry sent personalized messages to every Tom, Dick, and fill-in-the-blank. The best of our best from December 7 to 11, 2009
Full Story
Benjamin Ligums was born with a rare degenerative brain disease that left him immobile, non-verbal and legally blind. His family has found a second home at Baylor's Transition Medicine Clinic, which specializes in treating profoundly disabled young adults.
Full Story
When kids with disabilities transfer from children’s Medicaid to the adult program, they lose services, health care and medical expertise. A few committed doctors and social workers are stepping in to ease the transition.
Full StoryIf you're checking off the boxes for gubernatorial candidates, Thursday belonged to Gov. Rick Perry, who filed for reelection before noon on the first day he was allowed to do so.
Full Story
Should Texas medical schools be responsible for relieving the state’s primary care shortage? Advocates for family physicians think so. They want state lawmakers to reward medical schools that groom young doctors for family medicine — and penalize those that don’t.
Full Story