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In a letter to Travis County commissioners in March, representatives from the League of United Latin American Citizens criticized Central Health and Ascension leadership. If they win their case, they are seeking a termination of their agreement with Ascension and to trigger an option to purchase and operate Dell Seton Medical Center.Īs legal proceedings continue to unfold, critics in the community say the disputes are distracting from Central Health and Ascension's charge to serve local health needs. “We have a pending lawsuit against Ascension in court, and this is our focus.”Ĭentral Health representatives say they expect the legal process to be a lengthy one. “We will not be distracted by this latest legal maneuver,” Central Health President and CEO Mike Geeslin said in a written statement.

However, a Central Health representative said this protocol was an attempt to circumvent the legal proceedings already in place, and that the matter is already in the court’s hands. “The deadlock notice is an effort under the parties’ contracts to get Central Health back to the table to work collaboratively in a way that will better meet current and future needs of Travis County,” Ascension said in a written statement. They could also seek an opinion from a judge to decide what happens next. If mediation fails, Ascension or Central Health could initiate the termination of their partnership. If they can’t come to a resolution, a new mediation process would begin. The CEOs of both entities would meet in the next month.

According to a 2013 agreement between the parties, this is a notice either Central Health or Ascension may serve after a period of prolonged dispute.Ī deadlock notice should kick off a series of events. Most recently, Ascension sent Central Health a “governance and funding deadlock” on Tuesday. It said the numbers Central Health cited were actually evidence of improving long-term health outcomes for Travis County’s low-income patients. Central Health cited data provided by Ascension showing a 21% reduction in the number of MAP and charity care patients served since 2013.Īscension's responding lawsuit claimed Central Health had in fact overenrolled patients in the MAP program, without adjusting the funding it provided to Ascension. It leveled claims that Ascension had served a diminishing number of patients enrolled in Central Health’s Medical Access Program (MAP), intentionally “reducing, capping, and eliminating” services for low-income patients. The lawsuits followed a long and unfruitful mediation process in which Ascension and Central Health disputed how they should manage their nonprofit funding partnership, the Community Care Collaborative.Ĭentral Health’s lawsuit came first. The two entities announced they were suing each other in January, each accusing the other of breaching their partnership agreement to provide care to Travis County’s low-income residents - people who earn 200% or less of the federal poverty level and do not qualify for Medicaid or Medicare. This arrangement sets Central Health apart from other public hospital districts in Texas, which typically operate hospitals directly. When Dell Seton Medical Center replaced Brackenridge in 2017, Ascension continued its operations.

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