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.
Medicaid
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Health care
Updated: Whistleblower Helps Texas Settle $20M Fraud Case
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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Health care
How the Election Will Affect Health Care in Texas
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.
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Health care
TribLive: A Conversation with Michael Burgess
At 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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Health care
Repair of Tiny Medicaid Rounding Errors Could Carry Hefty Price Tag
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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Health care
Would Medicaid Expansion Bankrupt or Save Texas Budget?
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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Health care
Lawmakers Want Answers on Dental, Orthodontic Fraud
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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Health care
Medicaid Patient Shift Squeezes Some Home Health Care Providers
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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Health care
Texas Ranks Worst for Uninsured. What’s Next?
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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Health care
Proposed Medicaid Fraud Rules Worry Providers
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.
