‘PUSH! PUSH!’ How a bungled private contract cost Texans $130 million

A dozen years ago, Texas health care administrators hired a company to help determine when taxpayers should cover the cost of dental care for the state’s poorer residents, particularly children.

The company, later acquired by the giant corporation Xerox, deployed a team of medical specialists to review the tens of thousands of requests for dental and orthodontic care that flowed in every year. After evaluating each record, including X-rays and molds of the patient’s mouth, the experts rendered a professional opinion as to whether a procedure was medically necessary, the standard to earn Medicaid coverage. The system ensured that public money was responsibly spent.

Source: http://www.mystatesman.com/news/push-push-how-bungled-private-contract-cost-texans-130-million/OGIpONvkbiVEaPESeWXiuI/

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