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Medical Board Wages War Over Telephone Treatment
In a case working its way through Texas courts, Teladoc argues that a face-to-face meeting is unnecessary for new patients. Teladoc provides telephone patient consultations, claiming that a phone call with a licensed physician can serve as a convenient supplement when patients don't have the time or money to see their primary care doctors. Some physicians say a phone conversation is not enough to properly diagnose and treat a patient with whom the physician is unfamiliar.
Health Information Technology Advocacy
TMA Tells Feds to Scrap Meaningful Use Rule
TMA's comments to the Centers for Medicare & Medicaid Services on proposed meaningful use Stage 3 rules offer a number of suggestions, including dismantling the program and "adopting reasonable baseline rules that physicians can meet to avoid penalties under the meaningful use program and additional requirements they may meet to receive incentive payments."
AMA Calls for Two-Year ICD-10 Grace Period
The American Medical Association House of Delegates unanimously adopted the Texas-backed proposal to ask the federal government to adopt a two-year, penalty-free grace period following the expected Oct. 1 mandatory implementation of the new ICD-10 coding system. Delegates voted without objection in support of the grace period plan, which the Reference Committee on Legislation cobbled together based on suggestions from the Alabama and Texas delegations, as well as other states, at the AMA House of Delegates Annual Meeting last week in Chicago.
Bill Would Set Health Information Exchange Guidelines
TMA supports the provisions of the bill that mandate that the executive commissioner ensure that all systems set for future procurement have the needed capabilities to exchange health information securely, in accordance with applicable data exchange standards, to promote interoperability.
TMA Supports Privatizing Texas Health Services Authority
In regard to any future organization or entity that the Health and Human Services Commission (HHSC) designates to provide certification of compliance with privacy and security standards for the electronic sharing of protected health information, TMA would request the addition of the following language to ensure that health care providers and other covered entities are charged a reasonable fee for provision of the certification. Additionally, although HHSC likely would include language to permit termination for cause of any contractual relationship with the designated organization or entity, we recommend inclusion of the following protective language as well.
CMS Rebuffs TMA's Request to Drop Coercive MU Measures
The size of your next Medicare check could very well rest on whether you can get enough of your patients to email you; federal regulators believe that's a sensible way to evaluate your meaningful use (MU) progress. In fact, if you can't get more than 5 percent of your patients to send a "secure message using certified electronic health record technology (CEHRT)," you'll not only lose eligibility for incentive pay, you'll also be penalized.
Federal Judge Sides with Teladoc, Blocks TMB Telemedicine Rule
Last month, U.S. District Judge Robert Pitman granted Teladoc's request for a temporary restraining order and preliminary injunction that blocks the Texas Medical Board's (TMB's) recently adopted telemedicine rule, which prohibits prescription of dangerous drugs or controlled substances without a "defined physician-patient relationship." That includes a physical examination via face-to-face visit or in-person evaluation, as TMB defines those terms in the rules. TMB adopted the rule on April 10, it and was set to take effect June 3.
TMA's 2015 Legislative Victories Build on Past Successes
In a 2015 legislative session marked by new state leadership, new money, and big shifts in how Texas' major health care agencies oversee care delivery, the house of medicine remained as steady as ever in its mission to ensure physicians can give their patients the best care possible. That resolve paid off in significant victories that largely build on the Texas Medical Association's 2013 legislative successes.
TMB Resource Helps Clarify New Telemedicine Rules
The Texas Medical Board (TMB) adopted rules April 10 concerning telemedicine and requirements for prescribing drugs and controlled substances. But since then, there has been some confusion regarding the impact of the new rules.
Medicine's Bills Pick Up Speed
With roughly six weeks to go in the Texas Legislature, lawmakers near the finish line in drafting a state budget for the next two years with significant improvements over last session that march the house of medicine closer to accomplishing its goals. With House and Senate committees in full swing as well, TMA is tracking a plethora of bills on the move that could help or hurt medicine's agenda.
TMA Caring for Veterans
TMA: Veterans Choice Program is Not Working
Statement of Texas Medical Association President Austin I. King, MD, in response to today’s Associated Press report of continued lengthy delays for Texans seeking care from Veterans Affairs health clinics
Identification and Management of Suicide Risk in U.S. Military Veterans
Suicide is a devastating outcome of major public health importance. In the United States, suicide is the 11th leading cause of death across all ages and the seventh leading cause of death in males. Suicide rates vary considerably across population subgroups. U.S. military veterans may have an increased risk of suicide compared with the general population. Veterans represent around 10 percent of U.S. adults but account for 20 percent of completed suicides, and approximately 18 to 22 veterans die from suicide each day. In addition, a considerable body of research suggests an increased risk for suicide among veterans seeking services from the Department of Veterans Affairs (VA). The increased risk for suicide among veterans has recently captured tremendous public attention and led the VA to declare the prevention of suicide to be a major national priority. The VA has launched comprehensive suicide prevention efforts and has collaborated with the Department of Defense (DoD) to develop a clinical practice guideline based on best available evidence and expert consensus. This article discusses considerations for suicide risk assessment and intervention, mostly derived from the VA/DoD clinical practice guideline. It also briefly reviews the VA suicide prevention program and the importance of veteran suicide risk assessment in primary care settings.
Reporting for Duty
As Congress and the embattled U.S. Department of Veterans Affairs work to resolve overwhelming backlogs in medical care for the nation's veterans, TMA and physicians across the state are enlisting to stand in the gap and help alleviate the documented access-to-care problems. TMA was one of the first state medical societies to establish a registry of private-sector doctors willing to see veteran patients.
More Top Stories
10th Border Health Conference
Mark your calendars for the 10th Annual Border Health Conference. It will be held in Washington D.C. on July 23 from 9 am – 1 pm. Register today. Contact David Wilhelm at
Invest In Preventive Care for Low-Income
Despite significant gains in women’s health care funding and access last session, more work remains. Increasing the number of women who enroll in the Texas Women’s Health Program, Expanded Primary Health Care Program, and family planning programs, as well as increasing the number of physicians and clinics who participate, will be essential to Texas’ efforts to improve maternal health and birth outcomes.
State Pilot to Streamline Medicare-Medicaid Patient Care
When San Antonio pulmonologist John Holcomb, MD, treats patients enrolled in both Medicare and Medicaid, he knows he's dealing with a particularly fragile population that has little to no income and is elderly or has a disability. Neither these so-called "dual-eligible" patients nor the physicians treating them have it easy.
ACA Exchange Plans: Questions and Answers for Texas Physicians
Confused by all you’ve heard about the Affordable Care Act marketplace insurance plans? Do you know whether you're in — or out — of the narrow networks? How will you tell if a patient is on an exchange plan? What happens to you if patients don't make their premium payments? What, if anything, can you do about all of this? TMA answers these and other tough marketplace exchange questions.
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