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Texas Medicaid gaps can trap disabled Texans in hospitals

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by Neelam Bohra, The – 2024-03-28 05:00:00

SUMMARY: Kaitlyn Cunningham faced a bureaucratic struggle after recovering from five surgeries at Cedar Park Regional Medical Center in Texas. Despite doctors deeming her fit for discharge, she remained hospitalized for an additional month due to insurance denials and care coordination issues. Kaitlyn, who is nonverbal and has cerebral palsy, relies on Medicaid waivers for care, which compounded the complexity of securing continued nursing care for her tracheostomy tube and stomach wound vacuum. Systemic issues, including a nursing shortage and fragmented care programs, often trap Texans like her in hospitals longer than necessary, leading to state budget inefficiencies and taking a heavy toll on families and caregivers. The state eventually pays for delays in discharge, as funds for managed care are tied to state financing. Kathy Cunningham, Kaitlyn's mother, had to navigate a complicated health bureaucracy and coordinate all her daughter's care single-handedly at home in the absence of consistent nursing support.

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Kaitlyn Cunningham and her mother Kathy Cunningham sit in Kaitlyn's hospital room at Cedar Park Regional Medical Center in Cedar Park, Texas on Mar. 13, 2024. The two were living in this space for more than two months together.

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A circle of confusion

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Looking for care

Kathy Cunningham rests her hand on her daughter Kaitlyn Cunningham's hospital bed in Cedar Park Regional Medical Center in Austin, Texas on Mar. 13, 2024. Kathy has been trying to get all the necessary equipment and tools to be able to go home with her daughter.

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Wasting state funds

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Going home

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Kaitlyn Cunningham spins her daughter Kathy Cunningham in the elevator lobby of the Cedar Park Regional Medical Center in Cedar Park, Texas on Mar. 13, 2024. The two had spent the last two months in Kaitlyn's hospital room and the hallway, making the most of the situation.

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The post Texas Medicaid gaps can trap disabled Texans in hospitals appeared first on TexasTribune.org.

The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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Texas Tribune

Charges against state Rep. Frederick Frazier are dismissed

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by By William Melhado, The – 2024-04-26 23:32:07

SUMMARY: State Rep. Frederick Frazier's misdemeanor charges of impersonating a public servant were dismissed after he pleaded no contest and was granted early release from community supervision. This occurred months after accepting probation and fines for targeting an opponent's campaign signs. Frazier compared his legal experience to Trump's, appreciating the former president's situation. Frazier's case dismissal surprised his accuser, Paul Chabot, who lost the Republican primary to Frazier. As Frazier faces a runoff election, his opponent Keresa Richardson focuses on Frazier's legislative performance rather than legal issues. Meanwhile, Governor Abbott and other officials have had varying involvement with Frazier and House politics.

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The post Charges against state Rep. Frederick Frazier are dismissed appeared first on TexasTribune.org.

The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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Texas DPS investigating FOX 7 journalist arrested at protest

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by By William Melhado and Annie Xia, The – 2024-04-26 17:58:30

SUMMARY: The Texas Department of Public Safety (DPS) may probe a news cameraman arrested during a University of Texas at Austin protest after being accused of hitting a trooper with his camera. Despite Travis County dismissing trespass charges against all 57 arrested—including the FOX 7 photojournalist identified as “Carlos”—DPS is referring the case to its criminal investigations division. Footage shows a physical encounter between Carlos and officers as he covered the protest. Carlos contends he didn't hit an officer, suggesting he was pushed. Kelley Shannon of the Freedom of Information Foundation of Texas emphasized the importance of press freedom and condemned his arrest.

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The post Texas DPS investigating FOX 7 journalist arrested at protest appeared first on TexasTribune.org.

The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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State’s premature release of bid documents touches off new battle over Medicaid contracts

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by By Karen Brooks Harper, The – 2024-04-26 17:27:27

SUMMARY: Aetna, poised to secure a multibillion-dollar Texas Medicaid contract, inadvertently received rivals' sensitive bids early due to a state agency error. HHS wouldn't comment but acknowledged the mistake. This premature disclosure may have compromised the fairness of a $116 billion, 12-year procurement process. Competitors argue that the mistake benefits Aetna unfairly and call for a redo. Eight insurers have protested the tentative awards, surprising many who saw long-established plans dropped for new entrants. Superior Healthplan, facing a $900 million contract loss, has taken legal action for transparency. The controversy raises issues about procedures for government contracts, with accusations of an unbalanced bidding process and consequential impacts on Texas Medicaid recipients.

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The ‘error'

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New contracts, new battles

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Why so many contractors 

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The post State's premature release of bid documents touches off new battle over Medicaid contracts appeared first on TexasTribune.org.

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The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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