Senate Finance Grills Doctor on Fraud Allegations
A lead senator on the Senate Finance Committee had tough questions about allegations of Medicaid fraud and whether dental clincs are hurting Texas children.
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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 ...
A lead senator on the Senate Finance Committee had tough questions about allegations of Medicaid fraud and whether dental clincs are hurting Texas children.
Full StoryAt Thursday's TribLive conversation, state Sen. Tommy Williams, R-The Woodlands, and state Rep. Jim Pitts, R-Waxahachie, discussed what the state should do about its exploding Medicaid obligations.
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Texas' Republican leadership is adamant that Texas will not expand Medicaid, a major tenet of federal health reform. A report by the state's former deputy comptroller and former chief revenue estimator suggests that would be short-sighted.
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Debates on Texas Medicaid financing and the Texas Women’s Health Program will dominate the health care arena in the coming weeks.
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On the 40th anniversary of Roe v. Wade — the landmark U.S. Supreme Court case that legalized abortion — the lawyer who successfully argued the case talks with the Tribune about women’s rights and recent anti-abortion legislation
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This interactive map shows the locations of Planned Parenthood clinics excluded from the new Texas Women's Health Program, overlaid with the non-Planned Parenthood providers that have agreed to treat state-subsidized patients in those areas.
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A South Texas pharmacy featured in a June Tribune article on independent pharmacists struggling to adapt to lower Medicaid reimbursement rates will shut its doors on Friday.
Full StoryDemocratic legislators are questioning whether the Texas Women’s Health Program has an adequate network of health care providers in light of a state agency’s decision to pull the list of providers from a state website.
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Lt. Gov. David Dewhurst and Sen. Jane Nelson on Wednesday discussed new Senate proposals that target Medicaid spending. The plans would institute quality-based payment reforms for long-term care services and measures to catch fraud and abuse.
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Batheja on growing calls for infrastructure spending, Dehn and Rocha report on voters’ legislative wishes, Murphy counts noses in the new Legislature, KUT’s Philpott sniffs out a push for tax relief, M. Smith tracks House Speaker Joe Straus after his re-election, Kalifa’s lovely time-lapse look at the Legislature’s first day, Aaronson on the Medicaid expansion, Aguilar on hopes for immigration reform, Grissom on the tribulations of Kerry Max Cook, Hamilton looks into a college curriculum battle, and E. Smith’s TribLive interview with Michael Williams: The best of our best for the week of Jan. 7, 2013.
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Travis County District Judge Stephen Yelenosky on Friday refused to grant Planned Parenthood’s request for a temporary injunction to be included in the Texas Women’s Health Program.
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As they contemplate whether to expand Medicaid, Texas lawmakers will weigh factors including enrollment growth, costs and savings, and the effects on the rate of insured. This interactive breaks down the numbers connected to those factors.
Doctors in the Rio Grande Valley are leading the charge to restore cuts to Medicaid in the last session. They want lawmakers to ensure that Medicare and Medicaid benefits add up to 100 percent of dual-eligible patients' bills. They're expecting a fight.
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The Texas attorney general's office secured $36 million Friday in a lawsuit settlement with Pfizer Inc. and Endo Pharmaceuticals, which had been accused of illegally inflating the market prices of certain drugs in reports to the state.
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Health care providers in Texas who treat dual eligible patients — those who qualify for both Medicare and Medicaid benefits — will get some relief in 2013.
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If Texas lawmakers expand Medicaid, the spending, savings, enrollment growth and reduction in the number of uninsured would be greater in Texas than in most other states. This interactive compares Medicaid expansion scenarios in each state.
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Despite Gov. Rick Perry’s firm opposition to Medicaid expansion, a key tenet of federal health reform, Texas Democrats remain optimistic that the 2013 legislative session can yield a deal on the issue.
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Medical providers are speaking out against the state's Medicaid fraud investigations, saying the investigations are crippling innocent businesses and impacting patient care. Investigators say they only target providers when there's credible evidence.
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Private whistleblowers have helped put Texas at the top of the list when it comes to Medicaid fraud settlements with pharmaceutical companies. Texas settled a case with a Swiss-based company on Tuesday for $19.9 million.
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Lawmakers will take up Medicaid funding when the Legislature convenes next year. But the first test comes on Election Day, when who becomes president could determine the fate of the program.
Full StoryAt last Friday's quarterly meeting of the Texas Lyceum, I interviewed U.S. Rep. Michael Burgess, R-Lewisville, about the future of Medicaid and Medicare, Texans without insurance and the likely fate of the Affordable Care Act.
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Federal authorities say Texas health officials must resolve rounding errors that lead to mere pennies worth of Medicaid overpayments. The fix could end up costing Texas taxpayers more than $1 million.
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Gov. Rick Perry has compared Texas Medicaid to the Titanic, but economists and business advocates from both sides of the political aisle say Texas shouldn’t let the program sink just yet.
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Updated: As new details on Medicaid dental and orthodontic fraud investigations emerged at a House Public Health hearing on Monday, lawmakers warned that state agencies should not shirk responsibility.
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The abrupt exodus of thousands of South Texas Medicaid patients from one managed care health plan is putting financial strain on home health providers still adjusting to the state’s transition to Medicaid managed care.
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Texas, it’s official: We have the worst rate of health insurance coverage in the country. That creates a huge financial burden on the health care system and the insured. Is politics standing in the way of reform?
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The state’s Health and Human Services Commission is seeking formal approval for new Medicaid fraud rules that doctors say deny them due process and expand investigators’ power to halt their funding.
Full StoryFor this week's nonscientific survey of government and political insiders, we asked what will dominate the next legislative session and about the odds for school vouchers, high-stakes testing and a Medicaid expansion.
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