Turning
the Tide of Privatization
summer 2009
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HHSC Dumps Evercare
. . . . HHSC
announced that it will end a contract with Evercare (a subsidiary of UnitedHealth
Group) for the Integrated Care Management (ICM) program which provides
Medicaid services to 74,000 people in the Dallas-Fort Worth area.
The Dallas Morning News reports that over 1300 complaints were filed last
year with HHSC about ICM including many reports of difficulty finding
a doctor and problems with service coordination.
. . . . Before deciding to end the contract,
the state had fined Evercare more than $1 million in the last year for
lack of performance. Since 2003, Texas has paid UnitedHealth Group $1.2
billion to provide managed care services to over 255,000 Texans. Texas
has fined UnitedHealth and Evercare seven times for more than $10 million
due to various violations of contract agreements. The failure of Evercare
can be added to a growing list of contracting out disasters including
the $150 million paid to Accenture for poor performance eligibility determination.
Indiana Halts Human Services privatization
rollout
. . . . Bowing
to intense public criticism, Secretary Anne Murphy, chief of the Family
and Social Services Administration of Indiana stopped any further rollout
of the state’s automated welfare intake system until agency officials
are sure that the system can handle an increase in demand for services.
In 2007, the state signed a 10 year, $1.16 billion contract with IBM and
various other private vendors to determine food stamp eligibility through
call centers and a web based computer system.
. . . . Not surprisingly, Indiana’s
private contract has suffered from the same problems that Texas suffered
from under the Accenture contract. Lengthy telephone hold times, lost
documents, and an inability to deliver benefits in a timely fashion to
eligible clients. Advocates for quality services in Indiana have pointed
to the failed experiment in Texas to argue for the stoppage of their state’s
privatization efforts.
. . . . Letty Oliver, former Indiana caseworker
and union lobbyist, told TSEU that the Indiana state employees union has
bipartisan support for a bill in the Indiana state legislature to stop
the roll-out permanently and to cancel privatization of services. |
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