The Texas Senate on Wednesday released proposals to bring down spending on Texas Medicaid, the state’s health program for the poor, by instituting quality-based payment reforms for long-term care services and measures to catch Medicaid fraud and abuse.Full Story
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 ...
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.Full Story
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.Full Story
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.Full Story
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.Full Story
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.Full Story
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.Full Story
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.Full Story
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 Story
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.Full Story
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.Full Story
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.Full Story
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?Full Story
For 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.Full Story
The Republican vice presidential hopeful's controversial plan for reforming Medicaid and Medicare bears strong similarities to bills Texas Republicans advocated for — and eventually passed — during the last legislative session.Full Story
Medicaid fraud officials have won rave reviews for a new dollar-recovery strategy that lets them freeze funding to accused health providers while they pursue an investigation. But some doctors and dentists say there's no due process.Full Story
The U.S. Supreme Court’s decision to uphold federal health reform — but to make the Medicaid expansion it requires essentially optional — has created, in the words of Donald Rumsfeld, a lot of “known unknowns” for Texas.Full Story
One of the state's Medicaid managed care plans is slashing the rates it pays for attendants to help the disabled and elderly with long-term care care — angering in-home health providers and sparking fears that other plans could follow suit.Full Story
As the ranks of the obese in Texas have swelled, so too has state and federal lawmakers’ comfort with forking over taxpayer dollars for weight-loss surgery for the elderly and the indigent.Full Story