Stacked Against Them: Texas Patients Lose in the Appeal System

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Part 7 of Pain and Proft, a Dallas Morning News investigation. “When managed-care companies refuse to pay for treatments or equipment, patients are supposed to be able to appeal through a “fair hearing.” But in Texas, the convoluted system is anything but fair.

Quote from our staff: “The chips are stacked against the client from the very beginning,” said Terry Anstee, a lawyer with Disability Rights Texas who has represented patients in about 80 fair hearings. “Especially,” he added, “if you know that hearing officer rules for the managed-care organization on a regular basis.”