An Endogen Healthcare representative updated the Wichita County Commissioners Court on indigent health program activity, saying the contractor is managing care for the county’s enrolled clients, expanding insurance discovery to reduce county expense and adding services intended to lower long‑term costs.

What the contractor reported: The contractor said roughly 85 clients are currently enrolled for full coverage (primary care, specialty and prescriptions) and additional clients are on limited coverage pending paperwork. The vendor has implemented an insurance‑discovery program and said it searched roughly 177 client records and identified about 46 clients with other coverage; the identification of alternate payers means the county is no longer first payer for those bills in many cases. The contractor also said new partnerships — including a dental provider and a voucher arrangement for eyeglasses — are helping reduce county cost per client.

Why it matters: The vendor told the court the insurance‑discovery and partner programs conserve county funds previously paid for hospital transports, inpatient stays and expensive prescriptions. The contractor reported lower average prescriptions costs than in past years and said partnerships with a local pharmacy and hospital transition clinic have been important to cost control.

Discussion vs. direction: The briefing was informational. Commissioners and staff asked for clarification about reimbursement timing, the parameters for coverage (including the contractor’s stated per‑script cap), and upcoming community outreach events including a vendor booth for a “sober fest” and participation in the Texas Indigent Care Association conference.

Ending: The contractor said it will continue outreach and partner development and will provide regular updates to the commissioners; no formal budget action or policy change occurred at the meeting.