Two days after they settled with Texas, Indiana re-awarded a four-year contract for Medicaid services, food assistance and temporary financial assistance for pregnant women and families to Conduent. The company will earn $232 million. Conduent stock also rose sharply after news of the settlement in Texas. It took a one-day nosedive in November from $19.22 to … [Read more...]
TDMR Six Years Old and Still Going Strong
As we approach the New Year, we at TDMR have taken a few minutes to contemplate the last few years - six so far. We had no idea back in 2012 that we would still be going strong today. Come a long way On December 7, 2012, we launched this website and published our first article "Harlingen Family Dentistry Wins Major, Precedent-Setting Decision in Texas Medicaid Orthodontics … [Read more...]
Texas Lawyers Behind Samson Dental Partners and ImmediaDent $5.1 million settlement in Indiana
It wasn't in the media articles we reviewed for our story back on November 6, but we have since found out that the same Texas qui tam attorneys that were hired by the Texas OAG a few years ago were behind the recent $5.1 million dental settlement in Indiana. Charles Siegel, Daniel Hargrove and James R. Moriarty represented Dr. Jihaad Abdul-Majid, the whistleblower in the Samson … [Read more...]
Texas ACA ruling complicates politics of Medicaid expansion
A Texas federal judge's ruling Friday invalidating the Affordable Care Act could create political headaches for Medicaid expansion supporters in states that are moving to implement or maintain expansion. https://www.modernhealthcare.com/article/20181218/NEWS/181219901 … [Read more...]
Capitation? DentaQuest and Brident Dental Agree on Alternative Payment Method
Dentaquest headquarters in Boston, MA We received a copy of this release from DentaQuest's Boston PR firm this morning. It appears DentQuest did continue to work with a large provider in Texas to come up with an alternative payment model. The details below are sketchy. DentaQuest Enters into First-of-its-Kind Value-Based Contract in Texas Alternative Payment … [Read more...]
Public Meeting in Austin on Managed Care December 12
The State Medicaid Managed Care Advisory Committee of HHSC is holding a public meeting in Austin on December 12. Here is the information: December 12, 2018 - 1:00pm Health and Human Services Commission, Brown-Heatly Building, Public Hearing Room 4900 North Lamar Blvd. Austin, TX 78751 This meeting will be webcast. To access the webcast, go … [Read more...]
Questions Linger about Capitation and DMO RFP
We've heard from various dentists that they have questions about controversial issues that have come up over the last several months. So we assume there are more out there that have the same questions or heard the same rumors. Primarily they are concerned about DMOs moving to a capitation plan as DentaQuest was seeking to do and what is currently happening with the RFP. So … [Read more...]
UPDATE: Indiana Dental Practice & DSO Shell Out $5.1 Million Over Medicaid False Claims Allegations
UPDATE: TDMR has received a copy of the ImmediaDent and Samson Partners press statement from Samson Partners vice-president of marketing Stephen Valenti. It is at the bottom of our story in full. Indiana-based ImmediaDent and DSO Samson Dental Partners of Kansas have agreed to pay the federal government and Indiana some $5.139 million to resolve false claims allegations of … [Read more...]
Medicaid Managed Care Companies in Ohio Received $90 Million in Payments for Dead People
Reported in a shocking report released this week, the Office of Inspector General for the U.S. Department of Health found that the Ohio Department of Medicaid made $90.5 million in capitation payments to managed care organizations in the state on behalf of deceased beneficiaries. Over 81,000 payment made over two years The audit covered a two-year period from July 1, … [Read more...]
UPDATE: New RFP Out – Say What? Dental RFP Canceled by HHSC Over Proposal Problems
UPDATE: Christine Mann, the Press Officer at HHSC, has informed us that new RFP is out as of yesterday. The information is below and is available at http://www.txsmartbuy.com/sp/HHS0002879 Medicaid CHIP Dental Status: Addendum Posted Solicitation ID: HHS0002879 Response Due Date: 11/30/2018 Response Due Time: 2:00 PM Agency … [Read more...]