A dentist recently contacted TDMR with a problem that his practice, a group practice, has come across with the new requirements for placing Medicaid children under general anesthesia. Difficulty with multiple dentists doing treatment He wrote: The new general anesthesia … Read More
Stacey English has modest desires for her 7-year-old daughter Addison: Be able to eat without gagging and move both her arms. But since Addison’s occupational therapist went out of business this winter, the child with a rare genetic disorder has regressed in … Read More
Texas rejected billions in federal aid to expand Medicaid under the Affordable Care Act, calling the program “broken.” But now it’s asking the Trump administration to renew a deal that’s brought the state an additional $6.2 billion a year under … Read More
Insurance companies are a powerful voice in virtually any congressional debate over health care. In the case of the Senate health-care bill, some insurers didn’t even wait for the official release before expressing their concerns. This week, the heads of … Read More
WASHINGTON (NBC) – Capitol Hill police arrested 43 disability rights activists who staged a protest outside of Senator Mitch McConnell’s office. Protestors filled the hallway in the Russell Senate office building. The sit-in was organized by the Arc, which advocates … Read More
The Senate’s health care bill would result in many disturbing consequences, including an estimated 23 million people losing their health insurance coverage by 2026 and increased premiums and other out-of-pocket costs. An estimated more than 2.5 million Texas would lose … Read More
As Republicans debate health care reform, there is one issue on the mind of many Texas families: Medicaid reform. Despite years of sleepless nights, emergency room trips and long stares into the financial abyss, Kate Robinson-Howell and Bob Howell of … Read More
A College Station woman has been indicted by a Brazos County grand jury after authorities say she fraudulently collected several thousand dollars in Medicaid and SNAP food benefits. According to a grand jury indictment, Kendra Alisa Sterling, 28, was arrested … Read More
WASHINGTON — President Donald Trump pledged on the campaign trail to leave Medicaid untouched. But in his first major budget proposal, the president has laid out a plan to reduce Medicaid spending by more than $600 billion over the next … Read More
President Trump’s recent 2018 budget proposal, which includes roughly $800 billion in cuts to Medicaid over the next decade, has led to howls of outrage from Democrats. Senate Minority Leader Chuck Schumer, D-N.Y., said last week that the cuts would “carry … Read More
Wisconsin is preparing to recast its Medicaid program in ways that no state has ever done, requiring low-income adults to undergo drug screening to qualify for health coverage and setting time limits on assistance unless they work or train for … Read More
President Trump has long promised not to cut Medicaid, Medicare and Social Security. But in his budget released on Tuesday, he proposes making massive cuts to Medicaid. Mr. Trump is proposing to cut $610 billion from Medicaid benefits. This could … Read More
ASHLAND, Ky. (AP) — Before Barack Obama’s health care law, about 17 percent of patients in the King’s Daughters Health System were paid for by the government-run Medicaid program. Today, after the law added 400,000 people to Kentucky’s rolls, Medicaid … Read More
SALISBURY, Md. — Two hours before sunrise, Dee Matello joined the line outside the Wicomico Civic Center, where hundreds of people in hoodies, heavy coats and wool blankets braced against a bitter wind.Inside, reclining dental chairs were arrayed in neat … Read More
Four years after Texas gave up millions of dollars in federal Medicaid funds so it could ban Planned Parenthood from participating in a family planning program for low-income women, the state is asking the Trump administration for the money back. … Read More
On Tuesday, May 2, Dr. Juan D. Villarreal D.D.S. was honored by the U.S. Small Business Administration Lower Rio Grande Valley District at a luncheon celebrating Small Business Week. He was presented with the SBA’s 2017 Entrepreneurial Success Award at … Read More
From Texas Health and Human Services: The 14-day comment period for the Texas Health Steps Dental Therapeutic Services policy ended March 28, 2017. HHSC solicited and received comments on proposed revisions to the policy from various stakeholders. A summary of comments … Read More
WASHINGTON — In a stunning reversal of momentum, Republicans salvaged long-held ambitions to unwind former President Obama’s 2010 health care law, passing a major overhaul in the U.S. House of Representatives on Thursday afternoon. Republicans found legislative success on Thursday … Read More
Texas is known for being an alluring place to live: a can-do attitude, economic growth, robust cities with expansive opportunity, and vast outdoor adventures are but a few of the reasons so many Americans choose to become Texans. However, the … Read More
Last week, the Texas Association of Health Plans (TAHP) announced that it was working with the Texas Medical Association (TMA) to speed up credentialing for Medicaid providers by selecting Aperture, LLC, as the statewide Credentialing Verification Organization (CVO). Here is … Read More
The following is an interview done with Dr. Juan D. Villarreal, author of “Truth Decay: How Government Corruption Caused a Political Scandal Victimizing Texas Dentists and How It Could Happen to You!,” published by TDMR. The book has now been available … Read More
Governors are analyzing the House Republican bill to restructure Medicaid and phase out the Obamacare expansion of the program, and they don’t like what they see. That prompted four Republican governors from Medicaid expansion states—John Kasich of Ohio, Rick Snyder … Read More
If you’re poor and you want to keep your health insurance, you may have to go to work. That’s the message from Republican lawmakers who Monday night released a series of changes to their plan to overhaul the Affordable Care … Read More
A new report shows more doctors accepting Medicaid patients in the fourth year of coverage under the Affordable Care Act, which the U.S. House of Representatives this week slated to vote on the law’s replacement. A little more than half, … Read More
Can you imagine a Texas Medicaid budget half of what it was last year? Is it possible for Medicaid patients to get a next-day appointment with their doctor? What if Austin, rather than Washington, controlled “Texas Medicaid”? Texas, can you … Read More
AUSTIN (KXAN) — As GOP leaders unveil and move their replacement plan for the Affordable Care Act through Congress, millions of Texans will be watching. Hundreds showed up Monday to protest changes to Medicaid by making it a “block grant,” … Read More
TDMR recently had the opportunity to interview the current president of the Texas Dental Association, Dr. Rita M. Cammarata. Dr. Cammaratta, despite her extremely busy schedule, graciously consented to answer several questions that we posed to her via email. Her … Read More
WASHINGTON (AP) — House Republicans on Monday released their long-awaited plan for unraveling former President Barack Obama’s health care law, a package that would scale back the government’s role in helping people afford coverage and likely leave more Americans uninsured. … Read More
Yesterday, the Sunset Advisory Commission introduced both a House and Senate bill to adopt their proposed changes to legislation affecting the State Board of Dental Examiners. HB 2990 was introduced as authored by Sunset member state Rep. Cindy Burkett while … Read More
The chief budget writer in the Texas House on Friday proposed using $1.4 billion from the state’s savings account to pay bills coming due for a wide array of the state’s health and human services programs. The proposal from state … Read More
Another bill affecting Medicaid providers of all stripes was introduced yesterday by state Rep. Sergio Muñoz Jr. from District 35 in the Rio Grande Valley. Rep Muñoz, Jr. is a second term representative who was a member of the Government … Read More
HB 2558, am act relating to capitation payments under a contract with a health maintenance organization for the provision of dental care services, has been introduced into this legislative session this week by State Rep. Dr. Tom Oliverson out of … Read More
All 50 states, the District of Columbia, and Congress are all having the same nightmare. It is called Medicaid. Now there is a chance to turn bad dreams into great, big happy ones. Texas is in a unique position to … Read More
U.S. President Donald Trump’s first budget proposal will spare big social welfare programs such as Social Security and Medicare from any cuts, Treasury Secretary Steven Mnuchin said in an interview broadcast on Sunday. Mnuchin said Trump would use his first … Read More
Jeff Leston, the founder of Castlestone LLC, has provided TDMR with his take on how to improve government healthcare plans such as Texas Medicaid to reduce waste, fraud and abuse. Castlestone is a company created to use the infrastructure of … Read More
How to deal with Medicaid expansion has become the latest sticking point in Republicans’ effort to dismantle the Affordable Care Act. While most lawmakers acknowledge it’s a major source of tension, there appears to have not been any decisions made … Read More
For the last several years, TDMR has provided contact information on its website for reporting Medicaid fraud, waste and abuse to both state and federal healthcare authorities. From the links provided on practically every page of our website, anyone could go … Read More
Lee College’s Center for Workforce and Community Development will host two free health care fraud prevention seminars on Feb. 28. “We’re excited to offer both a morning and evening presentation to the public. It’s an important topic, and we want … Read More
AUSTIN—Pointing to significant taxpayer savings and more efficient care, the Texas Association of Business (TAB) today urged the Texas Legislature to allow for the transition of the Medicaid prescription drug benefit to private health plan management to occur as scheduled. … Read More
TDMR received a notice yesterday from the Health and Human Services Inspector General office that Inspector General Stuart Bowen will be hosting, along with Sen. Chuy Hinojosa, a “Rio Grande Valley Medicaid Integrity Symposium.” The event is to take place … Read More
