Medicaid patients aren’t popular among doctors, who receive state-subsidized fees significantly lower than traditional market value for their services.  And with provider fees being trimmed another one percent on September 1^st, the amount of doctors accepting Medicaid is expected to drop, damaging the state’s delivery of health care to the poor who rely on this form of Texas health insurance.

According to the Dallas Morning News:

The 1 percent trim to provider fees that starts Sept. 1 sounds modest. But doctors, insurance industry officials and health care experts widely see it as the first of many hits coming to doctors’ wallets as Texas’ fiscal woes deepen.  State leaders’ instructions for agencies to identify additional 10 percent budget cuts in the next two-year budget cycle mean more fee cuts may come next summer.

Industry experts believe that further budget reductions could drive doctors from the state and result in more patients seeking emergency room care.  This would be an inauspicious beginning to federal health care reform, which, starting in 2014 will create huge new demands for care by putting more poor adults and children on Medicaid.  This bit of legislation is conservatively estimated to add 1.5 million Texans to Medicaid by 2015.  The number currently stands at about three million.

Expanding the rolls of Medicaid while reducing doctor reimbursements simply won’t work, as fewer doctors will accept these patients.  At the same time, health care reform will expand Texas health insurance rosters in general without expanding the amount of medical professionals to service the newly insured.

Medicaid is a great resource for people who can’t afford traditional Texas health insurance plans, but without the necessary medical network to support these patients, expansion may overburden our already weakened state.

Health care reform has already caused mass confusion, and now scam artists are capitalizing on consumer uncertainty and making matters worse.  Unscrupulous individuals and businesses are offering fake Texas health insurance to the unsuspecting public.  Cases seen to date include nonexistent companies soliciting insurance and insurance being offered by companies not authorized to operate in Texas.  In April alone, 26 cease and desist orders were issued against entities engaging in such practices.

According to the Dallas Morning News, Kathleen Sebelius, U.S. Health and Human Services secretary, said in a letter to state insurance commissioners:

“Unfortunately, scam artists and criminals may be using the passage of these historic reforms as an opportunity to confuse and defraud the public…Media accounts indicate that fraudsters have gone door to door selling phony insurance policies,” she wrote. “Some have attempted to make dishonest profits by urging consumers to obtain coverage in a nonexistent ‘limited enrollment’ period that they falsely claim was made possible by the new legislation.”

Since these fake Texas health insurance plans are not backed by financial reserves, the insurers in question likely have no ability or desire to pay claims.  Consumers swindled by these scams may be left without insurance in a time of need.  To protect yourself from fraudulent insurance schemes, regulators have warned people to be wary of anyone claiming to be with the federal government and trying to sell you insurance.  Texas health insurance policies are sold and issued by companies, not government officials.  And be alert to sophisticated sales pitches. The Morning News notes that in some states, fraudulent sales representatives are attempting to sell a bogus product called an “ObamaCare Insurance Policy.”

Unfortunately, scam artists will always attempt to make a buck at the expense of confused consumers, so do what you can to protect your health and keep your finances secure.  If you have questions about health care reform, or need to obtain insurance, work with a licensed Texas health insurance broker, or contact a reputable, well-known health insurance carrier in your state.