Affordable Care Act

  • TMA Takes on Marketplace Madness

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    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. Updated: December 2015 

    Is Your Patient on an Exchange Plan?  
  • TMA is helping to strengthen your practice by offering personal advice and creating a climate of medical success across the state.

  • What could a TMA membership mean for you, your practice, and your patients?

  • ACA Articles

    2016 Texas Exchange Markets

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    Use the Texas 2016 ACA exchange plans by county to find the qualified market health plans in your county.

    Find Your Exchange Market Here
  • Find It, Fix It

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    Patient Protection and Affordable Care Act: Find what’s missing. Keep what works. Fix what’s broken.

    TMA Recommendations  
  • Answers to Questions You Never Thought To Ask About the Health Insurance Marketplace

     
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    TMA’s “Hey, Doc” educational campaign provides objective and nonpartisan answers to patients' most frequently asked questions about the ACA health insurance marketplace. We want to ensure all Texans understand what the marketplace does and what steps they need to take. Includes patient education materials for physicians offices to use.

    Steps Your Patients Need to Take  
  • Physician Ranking

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    Many insurers are increasingly offering incentives for patients to chose physicians deemed as providing lower-cost, and some plans award bonuses to doctors who are deemed “low cost.” Similarly, the ACA promotes "value-based purchasing," which would rely on a classification system to analyze physicians’ costs and determine who spends relatively less than their peers while delivering the same quality of care. TMA believes that neither Congress nor any other institution or company should publicly profile and penalize individual physicians based on faulty methodology. Plus ... Basic Steps for Reviewing and Disputing Physician Rankings & Tierings.

    More on Physician Ranking