The Texan at the top of the American Medical Association explains why Texas has so much to gain from the health care overhaul, what effect tort reform has had on the state’s medical costs, and what the political ramifications are for his organization’s support of the reform bill.
Medicaid
The Price of Reform
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.
TribBlog: Health Care Passes; Texans Sound Off
House lawmakers passed the Senate version of long-awaited health care reform on Sunday night. And Texas leaders were quick to fire off on it.
TribBlog: State Leaders To Congress: Vote Against Health Reform
Gov. Rick Perry, Lt. Gov. David Dewhurst and House Speaker Joe Straus sent a firmly-worded letter to members of Congress today, urging them to vote against health care reform in Washington, or, as they dub it, “the federal government’s takeover of health care.” A vote is expected on Sunday.
TribWeek: In Case You Missed It
Thevenot 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.
Disease Mismanagement?
Texas 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.
A Medicaid Mess
Texas’ 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.
TribBlog: HHSC Making The Cut
The Texas Health and Human Services Commission has released its best bets for how to meet the 5 percent budget reduction requested by Gov. Rick Perry and other state leaders.
The Last Time Around
How 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.
Paperless Medicine?
Three 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.



