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Despite the fact that Texas has one of the highest incarceration rates in the country and health care costs to inmates are rapidly increasing nationally, a decade ago the Texas Department of Criminal Justice (TDCJ) through the University of Texas Medical Branch (UTMB) teamed with Business Computer Applications Inc. (BCA) , creating an Electronic Medical Record (EMR) program that has saved Texas taxpayers nearly $1 billion dollars over the last 10 years, according to a new study by the Gärtner Group. "BCA's EMR coupled with UTMB's and Texas Tech's telemedicine services have helped UTMB and Texas Tech provide improved access to specialists, continuity of care, and follow-up care while decreasing costs," says Michael J. Bourdeau, Director of Correctional Managed Care (CMC) Information Systems at UTMB.