When health care companies hired by the state refuse to cover doctor-ordered medical treatments, patients and their families are supposed to be able to fight back through a so-called “fair hearing.” In these proceedings, employees of the Texas Health and Human Services Commission weigh testimony from the patient and from the company, typically by phone. Experts say this system is crucial to making sure companies that manage the Medicaid health-care system aren’t boosting their profits by refusing to pay for treatments patients really need. But in Texas, the system is stacked against patients, a Dallas Morning News investigation found.
Read Article: The Dallas Morning News
From the Texas Trial Lawyers Association news release.