Connect with us

Texas

Texas blocked from forcing 1.5 million people to change health plans

Published

on

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.

Advertisement
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.

Advertisement

“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.

Advertisement

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.

Advertisement

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.

Advertisement

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.



Source link

Advertisement
Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Texas

Nate Germonprez: Texas' Un-Real Breaststroker Becomes #7 Performer in History

Published

on

Nate Germonprez: Texas' Un-Real Breaststroker Becomes #7 Performer in History


2024 Texas Hall of Fame Invite

  • November 20-22, 2024
  • Where: Lee and Joe Jamail Swimming Center — Austin, TX
  • When: 10 am CT prelims/6 pm CT finals
  • Participating Teams: Pitt, Stanford, Texas (host), USC, Wisconsin, BYU, Cal Poly
  • Meet Info
  • Live Results
  • Results on Meet Mobile: “Texas Hall of Fame Swimming Invite”
  • Day 1 Prelims Live Recap | Day 1 Finals

The Texas Longhorns entered the summer with a lot of weaknesses on paper that needed to be addressed, and via the addition of high profile transfers and international recruits, they have addressed many of those.

The big question mark, though, was the breaststroke leg and whether the Longhorns had someone good enough to challenge for an NCAA title.

The group was led last season by 5th year Jake Foster, who swam 51.22 at a dual meet, and Will Scholtz, who was 52.09 at Big 12s. 52.0 is a nice time by almost any measure, but for a team hoping to climb several rungs on a ladder and challenge for an NCAA title, it wasn’t going to be enough.

The comments read things like “where are the Longhorns going to find a true breaststroker,” referencing the fact that Texas didn’t have a swimmer finish higher than 16th at NCAAs in the 100 breast last year.

But on Thursday morning, they may have found their guy as Nate Germonprez, now a sophomore, turned a corner with a 50.39.

Advertisement

That makes him the 7th-best performer in the history of the event with the 15th best performance ever in a flat-start 100 yard breaststroke. Every time ranked ahead of him was done at a season-ending championship, making Germonprez’s swim the best mid-season time in history.

Top 10 Performers all-Time, Men’s 100 SCY Breaststroke

  1. Liam Bell, Cal – 49.53 (2024 NCAAs)
  2. Ian Finnerty, Indiana – 49.69 (2018 NCAAs)
  3. Max McHugh, Minnesota – 49.90 (2022 NCAAs)
  4. Caeleb Dressel, Florida – 50.03 (2018 SECs)
  5. Kevin Cordes, Arizona – 50.04 (2014 NCAAs)
  6. Carsten Vissering, USC – 50.30 (2019 NCAAs)
  7. Nate Germonprez, Texas – 50.39 (2024 Texas Invite)
  8. Caspar Corbeau, Texas – 50.49 (2022 NCAAs)
  9. Van Mathias, Indiana – 50.57 (2023 NCAAs)
  10. Brian Benzig, Towson – 50.59 (2024 NCAAs)

Germonprez is a bit of a paradox as a swimmer. He was a very good breaststroker in high school, winning an NCSA title in the 100 breaststroke in 2023. But he was so versatile that his 52.59 as a high school senior was almost overlooked, when in most classes that would make him a big ‘breaststroke’ signing.

We wrote several articles and did interviews in tribute to his versatility (here and here, for example).

He didn’t even swim a breaststroke race at the Olympic Trials, instead opting for the 50 free (53rd) and 200 IM (12th). He would later swim the 100 free (49.46), 200 IM (1:58.11), and the 100 breaststroke (1:00.48) at the Austin Futures meet, winning and going best times in each. His 100 breaststroke time would have put him into the semifinals at Trials.

Is he a real breaststroker? He’s not a pure breaststroker, if that’s what we mean when we say “real,” which is understandable because for most of swimming history, breaststrokers were sort of a different breed.

But he broke the school record of Caspar Corbeau (50.49), who is most certainly primarily a breaststroker (though he can sprint a little bit too).

Advertisement

When Germonprez and Modglin both committed to Texas, it was fun to daydream about what that tandem of versatility could bloom into in the college ranks, and now we’re seeing it happen. As much as Texas needed guys like Chris Guiliano and Kacper Mawiuk and Hubert Kos to move back into the national title picture this quickly, they really needed a breatstroker, and now they have one.





Source link

Continue Reading

Texas

How To Spend An Overnighter In Fort Worth, Texas

Published

on

How To Spend An Overnighter In Fort Worth, Texas


If you’ve been one of the 10.8 million annual visitors to Forth Worth, Texas, you already know it’s worth a multi-day stay. But sometimes, you don’t have that luxury, and the best you can swing is an overnighter. I’m here to tell you, that’s not a bad thing. Fort Worth, a pleasantly compact city in comparison to its sprawling neighbor, Dallas, turns an overnight stay into an opportunity to immerse yourself in Texan culture while luxuriating in the finer things in life.

Start with a semi-private flight via JSX, which operates out of its own terminal outside of Dallas-Love airport. This streamlined service provides private-flying ease and comfort at a fraction of the cost (a typical flight from Houston to Dallas costs about $500 round trip and gets you there in about an hour). After an extremely comfortable flight, you’ll touch down in Dallas, and it is a matter of minutes to deplane, collect your bag, and hail a ride. Opt for a rental car from JSX onsite provider Go Rentals or just use a ride app for the day.

Advertisement

The heart of Fort Worth is 40 minutes away – you’ll leave the hustle and bustle of the big city behind and find tree-lined (and impeccably clean) streets. You’ll also find the new Crescent Hotel Fort Worth, which Conde Nast Traveler recently dubbed the #1 Hotel in Texas. Service is on point – when I arrived feeling a little queasy, the staff managed to rustle up a bowl of soup and a grilled cheese sandwich, and that was with the dining room temporarily reserved for a television crew shooting on the premises.

Which apparently is a thing in Fort Worth. It’s becoming an increasingly popular destination for movie and TV filming, and it’s clear why. The landscape is quite pretty, made all the prettier in the Cultural District, where Crescent Hotel is located. It features lovely museum buildings and wide streets that will beckon you outside to explore, and that exploration should include the Fort Worth Botanic Garden, the oldest botanic garden in Texas. It boasts 23 specialty gardens, such as the Japanese Garden ideal for a serene stroll, along with sculptures, ponds, waterfalls, and a don’t miss greenhouse.

If you prefer the indoors, just across the street from the Crescent Hotel is the Kimbell Art Museum, which recently celebrated its 50th anniversary and features works by creative legends like Rembrandt, Picasso, and Cezanne. The Modern Art Museum of Fort Worth is a stone’s throw away, as is the Amon Carter Museum, currently featuring an exhibit entitled “Cowboy.”

Advertisement

And speaking of cowboys, you must set aside time to witness an authentic and historically accurate cattle drive, which takes place twice daily at 11:30 am and 4:00 pm on Exchange Street in the historic Fort Worth Stockyards. Watch as wranglers outfitted in boots, chaps, and hats reminiscent of the early American days drive cattle through the town. You can learn more about Fort Worth’s cowboy culture at The National Cowgirl Museum and Hall of Fame, the Texas Cowboy Hall of Fame, and the Cattle Raisers Museum.

If you haven’t noticed by now, Fort Worth is a bit of a dichotomy with its attention to ranch life every bit as important as its evolution to modern city. That’s why a day here is a study in contrasts, and one of the best ways to see – and taste – that is through the food. Start with lunch on the hacienda-style patio at Joe T. Garcia’s, a popular Tex-Mex restaurant serving up margaritas and family recipes like bean chalupas since 1935.

For dinner, dive into Waters Restaurant for a fine dining experience helmed by Chef Jon Bonnell. Appetizers like crab cakes and tomatoes topped with fried goat cheese are about as close to perfect as you can get. And foods that depend on being cooked just right, like scallops and filet, are indeed just right. Waters is located in Sundance Square, a walkable entertainment and business district that is especially lovely at night and offers live theater, shopping, an historic Chisholm Trail mural, water features, and over 30 restaurants, in case you decide to stay.

Advertisement

That’s the only problem with Fort Worth – one day and night will give you a taste that will have you hustling to get back. So maybe not such a problem after all.



Source link

Continue Reading

Texas

City of Houston defends keeping firefighter on payroll amid nude video controversy and lawsuit

Published

on

City of Houston defends keeping firefighter on payroll amid nude video controversy and lawsuit


HOUSTON, Texas (KTRK) — The City of Houston says its hands are tied when it comes to a firefighter who showed a nude video of a female firefighter to their colleagues.

John Barrientes was found liable in a civil trial last year and was ordered to pay former firefighter Melinda Abbt $250,000. City Council is considering approving an $850,000 payment to Abbt to settle a separate federal lawsuit related to the matter.

Yet some council members question why Barrientes has been allowed to keep his job.

The city points to an obscure Texas law governing police and fire departments.

Advertisement

“If you’re looking to terminate someone’s employment because of a past act, the statutory scheme in Texas requires that that occurs within six months of the act,” City Attorney Michel Arturo said.

But that’s not how other attorneys see it.

“I’m not aware of any law that says you have to fire someone within 180 days of the misconduct,” employment attorney Michael Lombardino said.

Arturo sent Eyewitness News a copy of the Texas Local Government Code. Under a heading titled ‘Indefinite Suspensions,’ it reads:

“In the original written statement and charges and in any hearing conducted under this chapter, the department head may not complain of an act that did not occur within the six-month period preceding the date on which the department head suspends the firefighter or police officer.”

Advertisement

Lombardino said that should only apply to indefinite suspensions, which he said are different than terminations.

“Sometimes you need to be able to conduct an investigation, so putting a time limit on when you would be able to terminate an employee doesn’t really make sense,” he said.

Arturo told council members that firing Barrientes could give him grounds for a wrongful termination suit. Some worry about the lawsuits the city could face by keeping him.

“If we have another incident that comes up, aren’t we in more legal jeopardy because we are aware of this behavior?” Councilman Fred Flickinger asked.

Council won’t vote on whether to approve the settlement with Abbt for at least another week.

Advertisement

For news updates, follow Luke Jones on Facebook, X and Instagram.

Copyright © 2024 KTRK-TV. All Rights Reserved.





Source link

Continue Reading

Trending