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Texas Medicaid vendor Deloitte subject of federal complaint

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by By Rachana Pradhan and Samantha Liss, KFF , The – 2024-06-27 05:00:00

SUMMARY: Deloitte, a global consultancy earning billions in government contracts, is accused of widespread errors in Medicaid eligibility systems. Despite promoting itself as an industry leader, Deloitte's systems have issued incorrect notices, misrouted paperwork, and experienced significant downtime, impacting beneficiaries. Twenty-five states use Deloitte systems covering 53 million enrollees, but issues often require lengthy fixes. States like Tennessee, Kentucky, and Colorado reported various system failures, leading to lawsuits and severe health consequences for recipients. Documents reveal significant defects and manual errors. Deloitte maintains that operational decisions lie with state agencies, while advocates and union workers highlight the system's inefficiencies and errors.

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Trouble in Tennessee

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DiJuana Davis is one of the plaintiffs in a Tennessee class-action lawsuit contesting the state's Medicaid eligibility process. She and her children lost their Medicaid coverage in 2019 after Tennessee launched a Deloitte-built eligibility system. (William DeShazer for KFF Health News)

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DiJuana Davis shows a photo of her youngest son, Vrai Davis-Smith. Davis is a plaintiff in a Tennessee class-action lawsuit contesting the state's Medicaid eligibility process. She and her children lost their coverage in 2019 after Tennessee launched a Deloitte-built eligibility system. (William DeShazer for KFF Health News)

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A Backlog of 50,000 Cases

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A general view of the Deloitte Australia building in Parramatta, Sydney, Thursday on Aug. 10, 2023.

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‘Heated' Negotiations

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DiJuana Davis, with daughter Treasure Woodard, at home in Nashville. Davis is a plaintiff in a Tennessee class-action lawsuit contesting the state's Medicaid eligibility process. She and her children lost their coverage in 2019 after Tennessee launched a Deloitte-built eligibility system.

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The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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How Houston ISD’s takeover could change U.S. schools

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by By Asher Lehrer-Small and Danya Pérez, Houston Landing, The – 2024-07-03 16:43:08

SUMMARY: Houston ISD saw major changes this school year under state-appointed superintendent Mike Miles. New policies included rapid teaching methods, daily student quizzes, and hallway silence. These transformations resulted from a historic state takeover aimed at reshaping the district. The overhaul focused on tying teacher pay to test scores and resulted in notable test score improvements and higher teacher salaries but also sparked controversy and high teacher turnover. The long-term success of these measures remains debated, with some seeing potential for broader implementation and others viewing them as unsustainable. Miles' approach has faced mixed reactions, with ongoing observations and concerns about its future impact.

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Mike Miles, HISD superintendent, poses for a portrait at the Houston Landing office after an interview, Wednesday, May 31, 2023, in Houston.

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“Back to the future”

Texas Education Commissioner Mike Morath poses for a portrait at his office in Austin on Tuesday, March 14, 2023.

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A teacher helps a students in one of the team centers in the Sugar Grove Academy library during class, Thursday, Aug. 31, 2023, in Houston.

Wider model?

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Kourtney Revels, at center, the mother of a third-grade student at Houston ISD's Elmore Elementary School, confronts district staff limiting public access to a school board meeting Thursday at HISD headquarters in northwest Houston. (Annie Mulligan for Houston Landing)

Community appetite

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Superintendent Mike Miles observes classes at Sugar Grove Academy during a tour, Thursday, Aug. 31, 2023, in Houston.

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The post How Houston ISD's takeover could change U.S. schools appeared first on TexasTribune.org.

The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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Fight over trans medical care is at center of leaked Houston health records case

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by By Dante Motley, The – 2024-07-03 15:56:06

SUMMARY: Dr. Eithan Haim, formerly of Texas Children's Hospital, faced charges for allegedly breaching patient privacy laws by leaking confidential information about trans children's treatments to a conservative activist. The activist publicized the information, inciting conservative outrage and prompting Attorney General Ken Paxton's investigation. Haim, now charged federally, denies wrongdoing, claiming his actions aimed to expose the hospital's practices. His supporters, including Republican politicians and conservative media, view him as a whistleblower and martyr against transgender care. Critics argue his leak endangered families and fueled misleading conservative rhetoric. Haim is defended by Ryan Patrick, ex-U.S. attorney and son of Lt. Gov. Dan Patrick.

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The post Fight over trans medical care is at center of leaked Houston health records case appeared first on TexasTribune.org.

The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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Gov. Abbott’s border wall will take around 30 years, $20B

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by By Jasper Scherer, The – 2024-07-03 05:00:00

SUMMARY: Governor Greg Abbott announced a state-funded border wall along Texas' Mexico border three years ago, resulting in 34 miles of steel bollards so far, at a cost of $25 million per mile. The fragmented wall faces challenges like securing land rights, with plans to cover 100 miles by 2026. Critics, including Democrats and some Republicans, argue the wall is costly and ineffective, while Abbott claims it helps combat illegal immigration. The project is part of Abbott's $11 billion border security initiative, but acquiring private land remains a significant hurdle. The wall's projected full completion could take 30 years and $20 billion.

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Acquiring land

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“A difficult and complex task”

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The post Gov. Abbott's border wall will take around 30 years, $20B appeared first on TexasTribune.org.

The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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