For providers who treat the state’s poorest patients, a settlement between the state and a Medicaid provider raises questions about how the state distinguishes fraudulent intent from human error.
Medicaid
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Health care
State, Carousel Pediatrics Settle Medicaid Fraud Case
Carousel Pediatrics has settled its Medicaid fraud case with the Health and Human Services Commission’s Office of Inspector General, agreeing to pay the state $3.75 million.
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Health care
Efforts Focus on Helping Residents of Colonias Navigate Health Law
Thousands of residents of Texas colonias could be largely left with little hope of obtaining health insurance after falling into the “coverage gap.” But community-based organizations are working to educate them on their options.
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Health care
Without Medicaid Expansion, Hospitals Seek Long-Term Solution
To address shortfalls in Medicaid financing and billions in annual uncompensated care costs, Ted Shaw, president and chief executive of the Texas Hospital Association, issued a call to action to hospitals on Friday.
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Health care
Reports Detail Number of Minorities in “Coverage Gap”
Minorities make up nearly three-quarters of the uninsured adults in the “coverage gap” created when Texas declined to expand Medicaid eligibility under the Affordable Care Act, according to new reports released Tuesday.
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Health care
Video: A Hard-Copy Approach to ACA Signups
Many Rio Grande Valley residents enrolling for health coverage through the Affordable Care Act opt for the paper application, largely avoiding the federal online marketplace. But the paper process poses its own challenges.
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Health care
For HIV Patients in Texas, Expanded Insurance Coverage Can Be Elusive
Many HIV patients in Texas are ineligible for subsidies on the new federal health care exchange. Add the state’s decision to not expand Medicaid, and the bulk of those patients are missing out on expanded health coverage.
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Health care
During Texas Visit, Obama Calls on Perry to Expand Medicaid
During a visit to Dallas on Wednesday, President Obama called on Gov. Rick Perry to expand Medicaid under the federal Affordable Care Act.
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Health care
OIG Loses Another Medicaid Fraud Court Battle
The health commission’s Office of Inspector General, which says Texas has misspent hundreds of millions of dollars on Medicaid orthodontic and dental fraud, has now lost its first three court battles against accused providers.
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Health care
On Dental Medicaid Claims, State’s Bark Worse Than Its Bite
Nearly two years after news broke that Texas spent more on orthodontic claims in its Medicaid program than the other 49 states combined, the Health and Human Services Commission’s Office of Inspector General is barely knee deep in its effort to recover millions in purportedly misspent Medicaid money.
