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Feds Extend Marketplace Special Enrollment Amid Medicaid Unwinding - 04/19/2024

Texas patients who have been disenrolled from Medicaid in the wake of the COVID-19 public health emergency now have more time to find alternative coverage on the federal marketplace. The extension could mitigate a coverage cliff about which the Texas Medical Association has long raised concerns.

Postpartum Coverage Extension Brings Payment Complexities - 04/05/2024

As the 12-month postpartum coverage Texas legislature approved took effect March 1, physicians and their practice staff should take note of subsequent payment complexities, Texas Medical Association experts caution.

UPDATE: Cyberattack Disrupts Payment and Revenue Cycle Management - 03/12/2024

Physicians using Change Healthcare – a health care technology company that is part of Optum and owned by UnitedHealth Group – may experience claims disruptions after the company experienced a cyberattack on Feb. 21.

CMS Announces Flexibilities Following Cyberattack - 03/12/2024

The Centers for Medicare & Medicaid Services announced several flexibilities that aim to help physicians in the wake of the cyberattack against Change Healthcare, which upset payment and revenue cycle management operations in pharmacies and health systems across the country.

TMA Develops New AI Education - 03/10/2024

Responding to significant interest from members after a 2023 standing-room-only TexMed event, the Texas Medical Association has developed a free webinar for members to learn how to integrate augmented or artificial intelligence technology, including ChatGPT, into patient care.

Did You Receive an Email Requiring Registration to the State’s PMP? - 02/28/2024

TMA can confirm that an email sent Friday afternoon asking physicians to register for a PMP Aware account are indeed legitimate; however, there is no deadline to register.

CMS Lifts Ban on Texting Patient Care Orders - 02/28/2024

Clinicians in hospitals and critical access hospitals may now securely text patient information and orders to other members of the health care team if using a compliant platform, thanks to advocacy by the Texas Medical Association.

Virtual Scribes Enhanced Relationships Between Patients and Physicians - 02/13/2024

At a time when physicians face burnout often due to administrative stress, two new studies from Boston’s Brigham and Women’s Hospital and Massachusetts General Hospital found virtual scribes cut physician burden by 16% and enhanced relationships between patients and 60% of physicians.

Medicaid, CHIP Postpartum Coverage Extension Will Take Effect March 1 - 02/08/2024

After a multi-session advocacy effort by the Texas Medical Association, specialty societies, and women’s health advocates, Texans who are enrolled in Medicaid or the Children’s Health Insurance Program and who are pregnant or become pregnant will see their postpartum coverage automatically extended starting March 1.

Feds Require AI Transparency, Define Info-Blocking Exceptions - 02/05/2024

First-of-their-kind transparency regulations established by the U.S. Department of Health and Human Services aim to help physicians determine the safety of artificial intelligence technology. The new rule also established a new information blocking exception and implemented a 21st Century Cures Act requirement for health IT developers. Read more.

Cannabidiol Takes a Big Step Toward Respectability - 01/25/2024

In September, the DEA issued an order listing all drugs approved by the U.S. Food and Drug Administration that contain cannabidiol but no more than 0.1 percent of the chief psychoactive agent in cannabis as Schedule V drugs — those with the least potential for abuse. So far, Epidiolex is the only medication that fits that description.

Information-Blocking Disincentives Unfairly Penalize Practices, TMA Tells Feds - 01/16/2024

The Texas Medical Association and others in organized medicine are pushing back on proposed federal information-blocking rules to establish “disincentives,” financial and otherwise, that could discourage Medicare participation and compromise sensitive patient-physician discussions, among other concerns.

Spending Growth Rate for Physician Services Slows - 01/09/2024

Although spending on physician and clinical services increased 2.7% year-over-year to $884.9 billion in 2022, the spending growth rate fell, due in part to a slowdown in the use of such services and in physician prices. In comparison, spending on physicians and clinical services grew 5.3% in 2021.

Added Security: Free Tool Helps Practices Comply with the HIPAA Security Rule - 01/05/2024

Federal officials updated a free tool to help small and medium-sized practices comply with the HIPAA Security Rule.

EHR Systems Must Give Practices Export Functionality - 12/13/2023

Practices and patients will be able to export electronic health information more easily thanks to a 21st Century Cures Act requirement that all certified electronic health records systems provide such functionality by Dec. 31.

Misdirected: Health Plan Directories See Damaging Gaps Awaiting Final Rules - 12/04/2023

Health plan directories see damaging gaps while awaiting No Surprises Act final directory rules – and accountability.

Feds Propose Information-Blocking ‘Disincentives’ - 11/14/2023

The U.S. Department of Health and Human Services released a proposed rule that would establish what it is calling “disincentives” that could amount to serious penalties for physicians and health care professionals found to have committed information blocking.

Executive Order Requires Safe, Secure Use of AI in Health Care - 11/10/2023

President Joe Biden signed an executive order Oct. 30 establishing new standards for the safe and secure use of artificial intelligence via federal oversight across different sectors, including health care.

On the Mend: Maternal Care Wins Encourage Better Outcomes in Texas - 11/05/2023

Twelve months of postpartum coverage and other maternal wins encourage physicians for better outcomes.

First Steps: TMA Secures Medicaid Physician Rate Increases With Hopes for Momentum - 11/05/2023

TMA helped secure the first Medicaid physician rate increases in decades in hopes it will build momentum for future gains.

Report Aims to Catalyze Texas Medicaid’s Shift to Value-Based Care - 11/02/2023

A new report aims to accelerate Texas Medicaid’s transition from a fee-for-service payment model to a value-based one, a shift that has been underway for 25 years.

Coming Unwound: Mass Disenrollments Hurt Patients and Physicians Alike - 11/02/2023

The end of continuous Medicaid eligibility has led to mass disenrollments, hurting patients and physicians alike.

Feds Update HIPAA Security Risk Assessment Tool - 11/01/2023

To aid small- and medium-sized practices in complying with the HIPAA Security Rule, federal officials have updated their risk assessment tool designed to help practices identify areas where electronic  protected health information (ePHI) is at risk.

Putting the AI in Paid: Payer Use of Artificial Intelligence Sparks Physician Concerns - 10/02/2023

Physicians - worried about payers' increasing use of artificial intelligence to process prior authorization requests, enable value-based care models, and systematically deny coverage - are seeking transparency on behalf of their patients and practices.

Reminder: Revalidate Your Medicare and Medicaid Enrollment - 09/25/2023

Starting Nov. 1, physicians must use a revised Medicare enrollment application. On the Medicaid front, physicians who were due to re-up their enrollment during the COVID-19 public health emergency get a grace period to complete this requirement, but all physicians must review and update their practice addresses. Read more.