September 19, 2019      2:42 PM
Trio of audits out from HHSC OIG
The Inspector General at
the Health and Human Service Commission issued three reports this
week that echo complaints about managed health care plans lodged by critics
last session.
HHSC’s shift of health
care services to a managed care model left a lot of issues on the table for
discussion during last session: transparency in pharmacy benefits (Senate
Bill 1096, passed); sufficiency of managed care services and benefits (Senate
Bill 1105, failed); and protections for denial of service to low-income
residents (House Bill 2453, failed.)
Plenty of people in
hearings at the Texas Capitol last session – especially the
parents of medically fragile children -- complained about the insufficiency of managed
care networks, especially for specialized services. HHSC has insisted networks
have been adequate.
Now a trio of OIG reports
are out with somewhat related subject headings. The outcomes of these reports –
Is there a good guy and a bad guy here? – are not always so obvious.
Here’s a summary of the three reports:
By Kimberly Reeves
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