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Texas blocked from forcing 1.5 million people to change health plans

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Texas blocked from forcing 1.5 million people to change health plans


A Texas judge has blocked the state from dropping 1.5 million residents from their health insurance plans.

District Judge Laurie Eiserloh blocked Texas Health and Human Services from approving contracts that would drop millions from the Cook Children’s Health Plan, Driscoll Health Plan and Texas Children Health plans.

These plans were available from south Texas to the Houston area and offered Medicaid STAR and CHIP coverage to predominantly children.

The state’s new $116 billion Medicaid contract proposal was scheduled to remove the three hospital plans, impacting low-income families and forcing them to choose plans under a different provider.

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A hospital bed is seen placed outside the entrance of Fort Duncan Regional Medical Center on June 29, 2023 in Eagle Pass, Texas. Millions of Texans were slated to lose health care coverage before a…


Brandon Bell/Getty Images

Eiserloh’s temporary block order comes amid increasing concerns that the new Medicaid options could hurt overall healthcare in the state, especially for the financially needy, who often rely on STAR and CHIP coverage.

“The intended contract awards will impose significant harm and confusion on millions of Texas’ STAR & CHIP members,” Eiserloh wrote in a 10-page order.

In response to the ruling, Cook Children’s Health Care System said this will “help to ensure that our members continue to have access to the care they need, when they need it.”

Cook Children’s Health plan primarily serves Tarrant County families under Medicaid and CHIP.

While CHIP was created for children in families that earn too much to receive Medicaid but too little for private insurance, STAR is available to pregnant women, low-income children and adults.

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“We would like to express our gratitude to the court for their careful consideration of this matter and for their decision in our favor,” a Cook Children’s spokesperson said in a statement. “Cook Children’s will continue to monitor the situation closely and work with all stakeholders to ensure that our Members continue to receive the best possible care.”

Newsweek has emailed the Texas Health and Human Services Wednesday afternoon for comment.

Cook Children’s Hospital originally filed a petition against the head of the Health and Human Services Commission to stop the new Medicaid contracts four months ago. The new coverage options were set to go into effect in September 2025.

“Our families are worth fighting for, and we’re going to continue to fight until the state does the right thing,” Karen Love, president of Cook Children’s Health Plan, said during a press conference in June. “The stakes are too high, and the consequences are too great to have this flawed decision set in stone. We are determined to ensure that it does not.”

Cook Children’s also accused the state agency of giving Aetna an “unfair advantage” by disclosing copies of competitors’ proposals prematurely.

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The trial to decide the overall fate of Medicaid contracts in Texas is scheduled for Nov. 3, 2025, but the state could appeal the ruling or change their proposal before then.

Texas contracts with various managed care organizations, from health insurers to hospital system health plans, to administer its Medicaid and CHIP coverage.

The state has been looking to drop several of the organizations in September 2025, but the new ruling said Texas failed to follow the state code.

Under the new contracts, 43 percent of Texas STAR and CHIP members would have to switch to new health plans.

“So, for the time being, the new contracts are blocked, meaning there are no scheduled changes to the health plan options that STAR and CHIP members can choose,” Louise Norris, a health policy analyst for healthinsurance.org, told Newsweek.

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Alex Beene, a financial literacy instructor for the University of Tennessee at Martin, called the decision a “huge win” for families that have health plans under the three providers.

“Over the past few months, there’s been a building fear that the dropping of these programs from the state would create an absolute mess when it came to not just finding families other plans, but also ensuring the same level of care currently being distributed to these patients would continue,” Beene told Newsweek in an email response Wednesday.

“There’s no guarantee this won’t be challenged legally again, as it very well could be. However, this decision does provide a ray of light to those currently being assisted through one of these providers that the service they’re receiving could continue after September of next year.”

For many, the judge’s block order ensures low to moderate income families have access to care that would otherwise be unaffordable, said Kevin Thompson, a finance expert and the founder and CEO of 9i Capital Group.

“This is a win for many families who would otherwise have to rely on stock-based plans like Aetna or Molina, whose primary responsibility is to shareholders, not patient care,” Thompson told Newsweek via email Wednesday.

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Thompson, who lives in Fort Worth, said the Texas CHIP program and Cook Children’s were a “lifeline” for his family when his son was born at just one pound 13 ounces 13 years ago.

“These programs are built for families that cannot afford private health insurance or need Medicaid support,” Thompson said.



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Texas Is Taking Back the State Highway 288 Tollway—at a Steep Price

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Texas Is Taking Back the State Highway 288 Tollway—at a Steep Price


The Texas Department of Transportation (TxDOT) is set to take back ownership of the State Highway 288 tollway, one of the state’s most expensive privately built toll roads, which connects Houston to its southern suburbs. This action will terminate a 52-year agreement, originally set to end in 2068, for the Blueridge Transportation Group (BTG) to build and operate the tollway—a 10-mile stretch running from an intersection just south of downtown Houston to the Brazoria/Harris County line—that was built in the median of the publicly owned State Highway 288.

The buyback comes with a hefty price tag. 

BTG, a consortium of international private infrastructure development firms, paid up-front for about a third of the billion-dollar tollway construction project, with the remaining two-thirds coming primarily through federal and state-backed debt. TxDOT is exercising a right to retake the tollway enshrined in the original agreement, but doing so requires paying BTG some $1.7 billion—on top of what the firms already raked in through tolls, construction contracts and selling shares in the project. The money from TxDOT will more than cover the $650 million debt that BTG still owes.

But Texas taxpayers and drivers will be left holding the bag, paying off the tollway for many years to come. In May, TxDOT formed the Texas Transportation Finance Corporation in order to take out a loan of $1.7 billion from TxDOT to acquire the tollway—with the plan of paying back the debt with future toll revenues. 

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The 288 toll road has long been controversial—in no small part because of its high cost both in terms of fees and human lives. Since the tollway opened in November 2020, toll rates have increased by sixty percent, going from $11 for the full 20-mile round trip during peak hours to $29 dollars now. 

“We’re trying to get in a position where we can control that and have more reasonable rates.”

Last November, the Texas Observer revealed how the state allowed BTG to profit from the 288 tollway at the expense of both drivers forced to pay exorbitant rates and construction workers who were injured, or died building the tollway. Twenty-one-year-old Juan Simental fell 85 feet to his death in June 2019 after his employers failed to provide the appropriate safety lanyard. Dozens of other workers experienced severe injuries, reporting that there was no one monitoring safety conditions, no flagger or spotter, and no safety training. 

TxDOT rejected BTG’s offer to renegotiate the contract. In an August press release, Lieutenant Governor Dan Patrick said, “We will provide meaningful relief for Texas drivers along this corridor. Securing a more than $4 billion asset for just $1.7 billion will not only benefit Texas drivers, it will also enable TxDOT to continue investing in and advancing crucial roadway projects across the state.” Patrick did not respond to requests for an interview for this story.

Texas Transportation Commission Chairman Bruce Bugg Jr. called the buyback “a big win for taxpayers,” stating in the press release that the buyback would allow the agency to cut rates by half “as soon as possible” and add more free lanes. SH 288, also known as the South Freeway, is a major hurricane evacuation route, and some exits serve the Museum District and the Texas Medical Center.

TxDOT inked its original agreement in 2016 with BTG, which consisted at the time of six equity members including ACS Group (based in Spain), Shikun & Binui (Israel), and InfraRed Capital Partners (Britain). Last year, ACS Group acquired BTG in its entirety. 

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In response to the Observer’s request for comment, BTG spokesperson Alan Goss said, “We are deeply disappointed by TxDOT’s decision to expedite the purchase of the SH-288 toll road without fully considering the significant concessions we offered for motorists.” 

The companies have already profited handsomely from the tollway mainly through deals with their construction subsidiaries and through toll revenues. In annual reports, ACS Group reported the tollway earned $74 million in 2022 and $97 million in 2023, though BTG has refused to disclose its entire take. Based on invoices obtained by the Observer, during construction from 2016 to 2020, BTG paid $815 million to subsidiaries of the same firms—Dragados USA and Pulice Construction, owned by ACS Group, and Shikun & Binui America, the three of which formed a joint venture called Almeda Genoa Constructors. 

Despite reports of construction-related deaths and injuries related to Almeda Genoa Constructors, the venture continued to receive new TxDOT contracts, now totaling at least $4.9 billion for at least 24 projects since 2016, according to state records.

Even with all those profits, the equity firms making up BTG have so far repaid little of their debts, some of which were financed by public agencies and taxpayers, according to credit reports and experts interviewed by the Observer. For the $1.1 billion-construction phase, TxDOT contributed $17.1 million to the 288 tollway project, the U.S. Department of Transportation loaned $357 million to the companies under the Transportation Infrastructure Finance and Innovation Act (TIFIA), and the Texas Private Activity Bond Surface Transportation Corporation, a finance arm of TxDOT, issued a $273 million tax-exempt private activity bond to BTG. 

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Sandro Scenga, a spokesperson for the national credit rating agency Fitch Ratings, told the Observer that BTG still owes all $273 million in bonds and $378 million on the TIFIA loan, which is anticipated to be paid off after the company receives compensation from TxDOT for the early termination of the agreement. 

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Between August 2022 and March 2023, ACS Group bought out the five other BTG equity partners, generating hundreds of millions in profits for those companies. Then, last December, ACS Group sold a 57 percent stake in BTG for $1.5 billion to Abertis, a company that is half owned by ACS Group. The move generated $200 million in capital gains, according to ACS Group’s 2023 annual report.

In an interview, Rosemary Batt, professor at the Cornell University School of Industrial and Labor Relations and author of Private Equity at Work: When Wall Street Manages Main Street, explained that ACS Group operated the tollway like most private equity firms operate any company: invest a scant amount, accumulate debts, and siphon as much profit as possible before getting out without assuming liability for the company’s long-term debt. 

“The debt is leveraged on the company, and then they try to recoup the money in about a five-year period,” Batt said, adding that private equity companies generally invest little to get a higher rate of return when they sell. “If I buy something for 100 million and then sell it later for 200, then my return on my own equity is two to one, right? But if I only put in 50 and then I sell it for 200, my reported return on equity is four to one.” 

Unlike public corporations which generally operate companies with about 70 percent equity and 30 percent debt, the ratios are typically reversed for private equity companies, Batt writes in her book. 

Batt said that ACS Group most likely bought and sold 288 tollway shares so it could return more earnings to shareholders within the typical five-year funding cycle. “It may be because they waited until year seven, a company might be more valuable and they would get higher returns, which would go to the investors. But if they need to sell something in year five, they sell it often to another private equity firm. So there’s a lot of horse trading that happens.”

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Seemingly, months before the Texas Transportation Commission decided to initiate the process to terminate the tollway lease, ACS Group was already on its way out. At the end of 2023, ACS Group announced to its shareholders it would be selling off another 22 percent of its shares. 

The Spanish firm has constructed and operated more than 130 public-private infrastructure  projects worldwide since 1967. It took in a net profit of $867 million last year, and its largest market now is in North America. 

ACS Group did not respond to a request for comment for this story by publication time and has previously referred requests about the 288 tollway to BTG.

These days, private-public partnership tollways have fallen out of favor with Texans. The SH 288 tollway was the last from former Texas Governor Rick Perry’s initiative to build private tollways statewide. Others included the LBJ-635 Express Corridor, the North Tarrant Express, and State Highway 130 in Central Texas. 

GOP state Senator Robert Nichols told the Observer that TxDOT turned to leasing out public highways for private tollways when the state did not have enough revenues to build new roads. Now, the situation is different, he says. “Now that we’ve got money to build highways … we’re kind of getting away from that. We’re trying to get in a position where we can control that and have more reasonable rates.”

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In 2013, Nichols carried a bill to limit the state toll road buyback price to a set amount based on the number of contract years elapsed instead of market rate. That bill became law; otherwise, TxDOT would be paying much more than $1.7 billion to buy back the 288 tollway today. 

TxDOT did not respond to the Observer’s question about whether the Texas Transportation Finance Corporation, newly formed to engage in the “acquisition, construction, maintenance, or operation of a toll facility,” will be buying back any other privately owned tollways around the state. 



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Prime suspect in the Texas Killing Fields murders interviewed in an all-new episode of ‘The Evidence Room’

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Prime suspect in the Texas Killing Fields murders interviewed in an all-new episode of ‘The Evidence Room’


HOUSTON – Could a serial killer have been walking among them for years undetected?

Perhaps only Clyde Hedrick will ever know for sure.

Over the last four decades, Hedrick has been linked to a number of murder victims found in the marshy stretch off I-45 between Harris and Galveston counties that became known as ’The Texas Killing Fields.’ But he’s never been charged in those cases.

So could the death of Ellen Rae Beason, a 29-year-old woman who disappeared from a bar in League City in 1984, finally unravel the mystery?

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“We’re dealing with a possible serial killer,” says Galveston County Sheriff’s Office Lieutenant Tommy Hansen. “He’s not going to have a warm blood in his system.”

In an all-new episode of the KPRC 2 Investigates true crime docuseries ‘The Evidence Room,’ we’re taking you deeper inside ‘The Texas Killing Fields’ cases that have haunted our collective memory for 40 years to reveal the stumbling blocks that have kept the victims’ families from getting closure.

And, for the first time–you’ll hear from Hedrick, the man who remains a prime suspect in the killings, in exclusive on-camera interview.

“How is it you are connected to all these women, and they all end up dead?” asks KPRC 2′s Robert Arnold.

‘The Texas Killing Fields’ continues Wednesday at 6:30 p.m. exclusively on the KPRC 2+ livestream.

‘The Evidence Room’ is now in its sixth season.

The original true crime docuseries produced by KPRC 2 Investigates received national honors from the 44th Annual Telly Awards in 2023. The Telly Awards honors “innovative, inclusive, and disruptive work that breaks through the static.”

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You can stream new episodes from Season 6 of ‘The Evidence Room’ Wednesdays at 6:30 p.m. on KPRC 2+. You can also catch up on previous seasons here.


Four ways to watch KPRC 2+ any time:

  • Search for the KPRC 2+ app on your smart TV or streaming device – including Roku, Apple TV, Amazon Fire, and Google TV.

  • Get the new KPRC 2+ mobile app – which is free to download in the App Store or on Google Play.
  • Look for the KPRC 2+ livestream in the “Watch Live” section of the Click2Houston news app.

Copyright 2023 by KPRC Click2Houston – All rights reserved.



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Texas vs. Oklahoma: Predictions, odds and how to watch Red River Rivalry

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Texas vs. Oklahoma: Predictions, odds and how to watch Red River Rivalry


Week 7 of the college football season will feature the first SEC Red River Rivalry showdown between the Texas Longhorns and the Oklahoma Sooners. This historic rivalry, often referred to as the Red River Shootout, is a highly anticipated annual event in college football.

The undefeated Texas Longhorns, riding high on recent victories, are expected to be well-rested after a bye week and could see quarterback Quinn Ewers back. He has been recovering from an oblique injury he sustained on September 14th against UTSA. As Ewers’ backup, Arch Manning has kept the Longhorns’ win streak alive and led Texas to impressive victories over UL Monroe and Mississippi State. Head coach Steve Sarkisian has not said who will start against the Sooners at the Cotton Bowl.

The Oklahoma Sooners, buoyed by a remarkable 27-21 road victory against Auburn, are coming off a bye week. The team is getting ready to face the formidable Longhorns with freshman quarterback Michael Hawkins Jr., who earned the starting position after replacing Jackson Arnold, who struggled in every game he started for Oklahoma this year.

Here are the latest predictions and odds for the first SEC Red River Rivalry.

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More: College football bowl projections get overhaul after upsetting Week 6 reshapes CFP bracket

College football 2024: Texas vs. Oklahoma predictions

ESPN: Texas has a 85% chance to win

According to ESPN’s Matchup Predictor, the Texas Longhorns have a 85% chance to beat the Oklahoma Sooners in Week 7.

Sports Illustrated: Oklahoma Sooners

James Park writes: “When taking the point spread and total into consideration, it’s implied that Texas will defeat Oklahoma by a projected score of 33 to 19.OU’s offense is in tatters amid some big injuries and poor output, but its defense has the muscle to contain the Longhorns’ skill threats enough to keep this one close.”

College Football Network: Texas 27, Oklahoma 17

Will Helms writes: “The Sooners will do everything they can to make this game ugly. They’ll slow the tempo, lean on the run (both from the running backs and new starting quarterback Michael Hawkins Jr., who has the mobility to cause issues), and try to create turnovers. Then again, this game tends to lean into unpredictability. Factoring that in, I think Texas wins, but it won’t be pretty, and it won’t cover. Take the under and lean Oklahoma against the spread in yet another weird installment of the Red River Showdown.”

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College football 2024: Texas vs. Oklahoma odds, lines:

The Texas Longhorns are favorites to defeat the Oklahoma Sooners, according to the BetMGM college football odds.

Odds as of Tuesday afternoon.

  • Spread: Texas (-14.5)
  • Moneylines: Texas (-700)
  • Over/under: 49.5

Looking to wager? Check out the top college football betting apps in 2024, offering the top NCAA football betting promos and bonuses in 2024.

How to watch Texas vs. Oklahoma:

  • Date: Saturday, Oct. 12
  • Where: Cotton Bowl (Dallas, Texas)
  • Time: 3:30 p.m. ET
  • TV: ABC
  • Stream: Fubo (free trial) | Sling TV | ESPN+

Stream select college football games with a Fubo subscription (free trial)

We occasionally recommend interesting products and services. If you make a purchase by clicking one of the links, we may earn an affiliate fee. USA TODAY Network newsrooms operate independently, and this doesn’t influence our coverage.



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