The latest Medicaid news from The Texas Tribune.
That’s right — they’re not from Texas. Newly licensed physicians enlisting to treat the state’s Medicaid and Medicare patients are more likely to have been trained at international medical schools, according to a review of state medical licensing data. Full Story
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Aguilar and Miller on the immigration rally in Dallas; E. Smith interviews T. Boone Pickens and, in a two-on-one matchup, Jerry Patterson and Hector Uribe; Ramsey on how to make $2 billion disappear from the budget shortfall with creative accounting and on the $1.5 billion problem with health insurance for state employees; Kreighbaum on money bombs; Hamilton and Stiles on the remarkably similar policies for policing immigration in Texas and its largest city; Ramshaw on doctors ducking government health care programs; Kraft on the ups and downs of base closures; Grissom interviews Pulitzer-Pize wine David Oshinsky on the death penalty; M. Smith on the three Texans who want to run the state GOP; and Philpott on the lawsuits already in motion over the oil spill that's still underway in the Gulf of Mexico. The best of our best from May 3 to 7, 2010. Full Story
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With health care reform expected to place up to 1 million more Texans on the state rolls in the next several years, experts predict a surge in the number of doctors who opt out of accepting Medicaid and Medicare patients, thanks to reimbursements well below private-payer rates. Full Story
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The Texas Medical Association's leadership body voted this weekend to support vaccinating not just young girls but young boys for the human papillomavirus. But organization officials were quick to note that the vote did not include making such vaccines mandatory, which Gov. Rick Perry tried to do for Texas schoolgirls in 2007. Full Story
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If history is any guide, the Legislature will turn to accounting illusions to mask large portions of a budget shortfall of at least $11 billion. Trouble is, such trickery is a bet on the economy roaring back to life — and that's no sure thing. Full Story
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It's 1983. Oil prices are in the toilet. The Texas economy is suddenly and unexpectedly reeling. Lawmakers, who happen to be in session, have a choice between big cuts or new taxes or something creative. Comptroller Bob Bullock and his top propeller-heads find a creative out — a way to balance the budget without big cuts or tax hikes. Full Story
The anticipated rush on primary care physicians — the likely result of health care reform’s insurance expansion — could drive rich Texans into private medical clubs. Full Story
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What's in an IQ score? For autistic or profoundly mentally ill Texans: everything. A growing number of disabled young adults are considered too high-functioning for state care services, but their families say they’re too dangerous to go without them. Admission to state-supported living centers is limited to disabled people with IQs under 70 — and community-based care is generally capped at an IQ of 75. Full Story
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The debate over how much federal health care reform will cost Texas put the state’s health and human services chief on the defensive on Wednesday, as he presented a budget estimate that is 20 times higher than federal projections. Full Story
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In politics, the crayon is mightier than the ballot. A political mapmaker can do more to change the power structure than a herd of consultants with fat bank accounts behind them. And 2011 will be the Year of the Mapmakers. Full Story
Grissom on the U.S. Supreme Court's decision to stay Hank Skinner's execution, Thevenot on the myth of Texas textbook influence, Rapoport on the wild card who was just elected to the State Board of Education, Ramshaw on the price of health care reform, Philpott on the just-enacted prohibition on dropping kids from the state's health insurance rolls, M. Smith on the best little pole tax in Texas, Ramsey on the first corporate political ad and the reality of 2011 redistricting, Stiles on the fastest-growing Texas counties, Aguilar on the vacany at top of Customs and Border Protection at the worst possible time, Galbraith on the state's lack of renewable energy sources other than wind and its investment in efficiency, and Hu and Hamilton on the runoffs to come in House districts 52 and 127. The best of our best from March 22 to 26, 2010. Full Story
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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. Full Story
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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. Full Story
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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. Full Story
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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. Full Story
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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. Full Story
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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. Full Story
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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. Full Story
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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. Full Story
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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. Full Story
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