Sen. Royce West, D-Dallas, focused Tuesday on a 14 percent cut in the Early Childhood Intervention program, which provides assistance to infants and toddlers with developmental disabilities. Officials testified that after the Legislature cut funding, the Department of Aging and Rehabilitative Services changed the criteria and cut 10,000 children a year from the program.
Video: Paul Vanchiere speaks up for Texas Medicaid
DOJ Probes Fraud At Parkland Hospital; Texas Group Calls Medicaid ‘Indispensable’
The Dallas Morning News: Parkland Hit With New Medicare-Medicaid Fraud Allegations The U.S. Justice Department has been investigating new allegations that Parkland Memorial Hospital and UT Southwestern Medical Center doctors defrauded the federal government’s health insurance programs for the poor and elderly. The investigation came to light Tuesday after a federal judge unsealed a whistle-blower lawsuit filed by Dr. Lien Kyri .. [who] alleges that “hundreds of thousands” of Medicare or Medicaid billing claims were falsely submitted for rehabilitation consultations (Moffeit and Egerton, 5/8).
New group touts Medicaid as ‘indispensable’
Last session, lawmakers not only cut some $2 billion out of the health insurance program for poor children, low-income pregnant women, disabled adults and impoverished old people. They also underfunded it by some $4.3 billion in state tax dollars. And they passed laws requiring the state to seek a block-grant-style cap on federal funding, in return for exempt from federal minimum standards for the program; and to ask Congress and the president for permission to opt out of all the major federal health care programs, by joining an interstate compact, under which they’d get a single block grant based on 2010 funding levels and freedom from federal rules setting minimums for who’s eligible and what services are covered.
Texas Medicaid Dental Claims Under Scrutiny
Although the practice of using a statistically relevant sample to estimate the number of times something may be present in the universe of items has been around since the advent of higher mathematics, the application of this methodology to estimate the number of improper claims paid over a specific period of time is relatively new. The application of statistical sampling to health care claims for this purpose dates back about twenty years to a decision by the U.S. Secretary of Health and Human Services (HHS) to authorize the use of statistical sampling in lieu of engaging in onerous claim-by-claim reviews. In Chaves County Home Health Services v. Sullivan, 931 F.2d 914 (D.C. Cir. 1991), the Federal District Court upheld extrapolation as being within the Secretary’s discretion. The use of statistical sampling has spread over the years. Federal agencies (such as HHS-OIG, CMS-contracted auditors, etc.), State agencies (such as HHSC-OIG) and even private insurance payors now capitalize on the use of this damages-estimating tool, usually to the detriment of the targeted health care provider. To be clear, everyone recognizes that an “extrapolation” is merely a substitute for conducting a claim-by-claim review of every claim submitted by thee provider and paid by a payor during the period in question. Nevertheless, the methodology is here to stay, regardless of the adverse impact it can have on a provider’s ability to remain in business.
Texas, States Reach Settlement with Abbott Laboratories
In an enforcement action filed along with the consumer fraud settlement, the attorneys general assert that Abbott Laboratories went far beyond urging physicians to prescribe Depakote for seizure disorders such as epilepsy, which is an approved use. The company promoted the “off-label” use of Depakote in treating schizophrenia, agitated dementia and autism, uses not approved by the U.S. Food and Drug Administration. In the separate Medicaid fraud case, the company also unlawfully exploited the state’s Medicaid program in marketing Depakote from 1998 until 2008.
Texas Faces Growing Medicaid Burden
Access Andrew Cuomo Avik Roy Barack Obama Block Grant Bob McDonnell Cato Institute CHIP Costs Cutbacks Dental Care Eligibility Enrollment Final Notice: Medicaid Crisis Flexibility GAO Gary Alexander Grace-Marie Turner Haley Barbour HHS Innovative Ideas Jagadeesh Gokhale John Barrasso John Graham John Kitzhaber Kaiser Family Foundation Legislation Medicaid Ghetto Michael Cannon MISEA National Center for Policy Analysis Obamacare Opt Out PPACA Richard Burr Richard Foster Rick Perry Saxby Chambliss SCHIP Solutions Studies Texas Texas Public Policy Foundation Tom Coburn Waste Fraud and Abuse
Texas Medicaid Funding Cut Over State’s Planned Parenthood Exclusion
Yes, I have 2 degrees in the medical field, one takes 8 years and the other 4 years. I have worked in the OB/GYN field and have worked in labor and delivery. The fetus gives off a hormone called HCG that causes a pregnancy test to be positive. The test will show positive whether it is implanted in the fallopian tube or if it is implanted in the uterus, where it should be. If you have an abortion, it obviously will not remove a fetus implanted in the fallopian tube, and the fetus will continue to grow until the tube ruptures, which can be fatal to the woman. Funny that all these suppposedly pro-women groups don’t REALLY care about the woman, or they would be concerned about the chance of it being an ectopic pregnancy. And doctors, nurses, and pharmacists should never be forced to perform these procedures, or dispense abortifacients that are against their faith. The Catholics, Lutherans (Missouri and Wisconsin Synods), Jews, and Southern Baptists are all taking stands that they will not perform these procedures or dispense the abortifacient that will cause an abortion, which obamacare and his regime are trying to force them to do.
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