Hospitals

Spencer Selvidge/KUT

From Texas Standard:

Rural hospitals in Texas face many challenges to staying in business, even when they aren't having to manage the effects of a pandemic.

Three such hospitals are doing whatever they can to prepare for a potential surge of patients as the coronavirus spreads across Texas.

Spencer Selvidge/KUT

From Texas Standard:

Getting adequate health care in rural Texas can be a challenge. It might become even harder after the Trump administration's proposed changes to Medicaid rules. If implemented, some hospitals will likely have to cut services or even shut down.

Spencer Selvidge/KUT

From Texas Standard:

Johns Hopkins University researchers recently analyzed hospital fees nationwide and found that Texas had the country’s highest health care markup ratio. Those ratios were highest in Brownsville-Harlingen, Laredo and El Paso. A markup ratio is what a hospital charges for a service, compared to the Medicare "allowable amount" – the rate that the federal government determines a service is worth.

Margaret Nicklas

From Texas Standard:

The system of small hospitals that provides emergency and other health care to millions of rural Texans is in trouble. As many as 18 rural hospitals in Texas have closed since 2013, and many more may be on the verge. These closures can devastate local economies and leave some of the most vulnerable Texans with few health care options.

Sally Donovan/Wikimedia Commons (Public domain)

From Texas Standard:

A coalition of rural Texas hospitals says small-town hospitals in the state are facing a "closure crisis" after those in Crockett and Trinity ceased operations over the summer.

The group says the recent closures bring the total number of closed rural hospitals in the past four years to nearly 20. And if the Texas Legislature and the U.S. Congress don't act, more rural communities will be left without immediate access to quality health- and emergency care.

 

Gabriel Cristóver Pérez / KUT

Legislation making its way through the Texas Legislature could impose new regulations on freestanding emergency rooms in the state.

Texas Hospitals Could Lose Billions Without Medicaid Waiver

May 8, 2015
Nathan Bernier/KUT

A waiver program that provides billions of dollars for Texas hospitals expires next year, and a panel of House lawmakers is asking state health officials if they have a Plan B. 

The 1115 Medicaid transformation waiver, among other things, gives billions in federal dollars to Texas hospitals that provide care for patients who don't have health insurance.  

In 2013, Texas spent almost $4 billion in what's called "uncompensated care" for low-income Texans.

flickr.com/ashleyrosex

A new report finds serious breakdowns in procedures and safeguards by state-run hospitals across Texas.

The year-long investigation was by Disability Rights Texas—an organization designated by federal law to protect people with disabilities.

The report is titled “Turning a Blind Eye" and is focused on systemic failures within the state agencies that Disability Rights Texas says dismissed patient safety.

flickr.com/wiseleyb

The Texas Department of State and Health Services (DSHS) has failed to comply with a directive from the state legislature – but not without good reason.

Last session, the legislature asked DSHS to review proposals from companies interested in privatizing a state hospital, with the provision it be run at ten percent savings for four years. The agency was told to bring an approved proposal to the Legislative Budget Board and the Governor’s Office of Budget, Planning and Policy by Sept. 1. Instead, yesterday DSHS submitted a letter to those two agencies explaining why they were empty handed.

There was only one proposal submitted, by GEO Care for the Kerrville State Hospital. DSHS graded the proposal a 64 out of 100.

“Savings in the proposal were achieved primarily through reductions in staffing and benefits,” DSHS Commissioner David Lakely wrote, “to a degree that would put both our patients and the State of Texas at risk.”