Central Health, Ascension Take Each Other to Court

, Travis County's tax-supported local health care district, announced Tuesday morning that it's filed suit for breach of contract against. The hospital chain announced a few hours later that it's returning the favor, bringing an apparent end to a collaboration that dates back to then-Seton Healthcare taking over operations of the city-owned Brackenridge Hospital in 1995; Central Health inherited the relationship when it was formed by voters in 2004.

The contracts at issue are services agreements where Ascension Seton's level of federal compensation for low-income hospital care was set in 2013; since then, Central Health says, Ascension has restricted access to hospitalization and specialty care for low-income patients, effectively doing much less work for the same money. Ascension disagrees, saying it's contracted to see 25,000 patients in CH's Medical Access Program but is now seeing 29,000.

This dispute has been brewing for years, and CH and Ascension went though increasingly tense talks and into mediation without succcess. The district says filing a lawsuit was a last resort, and Ascension says the same; both sides insist that they were being reasonable and the other party said,"Talk to the hand.

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