Category Reporting & Analysis 43 articles to read

Department of State Health Services: Fiscal Size-Up

Overview DSHS works to improve the health, safety and well-being of Texans through good stewardship of public resources and a focus on core public health functions. Due to the agency’s shift under Transformation per Senate Bill 200 (84 R) to focus solely on public health functions and to move many programs and functions to other agencies, all funds spending in 2018-19 is considerably smaller (73% less) than that expended and budgeted in 2016-17.
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Department of Family and Protective Services Fiscal Size-Up

Overview The Department of Family and Protective Services (DFPS) is directed to protect Texas children, the elderly, and persons with disabilities from abuse, neglect, and exploitation. Of the state health and human service agencies, DFPS’ budget is between that of the more than $70 billion appropriated to the Health and Human Services Commission (HHSC), and the $1.5 billion to the Department of State Health Services (DSHS). DFPS is allocated a total of $4 billion in all funds, though $3.5 billion (or 87%) is dedicated to Child Protective Services (CPS). Total agency appropriated funds in 2018-19 increased 10.4% or $384 million over what was expended and budgeted in 2016-17.
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Medicaid Prescription Drugs

This posting explores prescription drug coverage under Texas Medicaid, including related spending and trends. Pharmacy costs borne by the state’s Medicaid program increased 90 percent from 2001 to 2011, prompting…
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Texas Medicaid Fraud Overview

This posting provides an overview of the national and state dimensions of Medicaid fraud, as well as efforts to detect and eliminate these crimes. The piece will look closely at…
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Update on the Affordable Care Act

Administration officials continue to attempt to hobble the Affordable Care Act (ACA), even though neither the Republican party nor Trump officials offer an alternative or replacement. The 1.1 million Texans…
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Medicaid Managed Care in Texas

Most of the Texas Medicaid program is operating through Medicaid managed Care, which has been expanded, beginning in 2011, to cover nearly 94 percent of enrollees. Savings and improved outcomes…
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Opioid Policy Update

This posting summarizes policy solutions being offered to address the opioid crisis. The American Public Health Association recommends that policy strategies addressing the epidemic must affect both supply and demand of opioids that would be misused and/or abused. Policies are listed in the tables below (Part I), followed by systemic changes that may be helpful in reducing suffering and public expenditures associated with opioid misuse and addiction (Part II). Key stakeholder institutions have issued guidelines on the epidemic and these are briefly discussed in Part III.
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