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Monday, December 3, 2012

BILLIONS AND BUPKIS: DALLAS COUNTY PHYSICIANS WITHDRAW FROM MEDICAID WAIVER PROJECT

Citing the more than $4 billion in federal and local money that Dallas hospitals are set to receive over the next four years to care for the county’s uninsured and Medicaid populations and the “next to nothing” they will share with physicians who provide the actual care, the Dallas County Medical Society (DCMS) has pulled out of the 1115 Medicaid waiver program. “If independent physician practices cannot maintain economic viability as a consequence of their participation in this program, they will be forced to withdraw from the Medicaid insurance program (as many have already done) or go bankrupt,” DCMS President Rick Snyder, MD, wrote. Texas’ 1115 waiver sets up regional cooperatives that are to share in a redistributed mix of the hospitals’ complex Medicaid finances and new managed care programs to coordinate coverage for Medicaid patients. TMA took part in meeting with Texas Health and Human Services Commissioner Kyle Janek, MD, and DCMS leaders to discuss the Dallas doctors’ concerns with the hospitals plans.

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