Texas physicians could see a flood of new insurance plans — including some to cover themselves and their employees — under President Donald Trump's executive order that directs federal agencies to design lower-cost plans outside the Affordable Care Act.
What Physicians Should Consider
Most politicians and other advocates who endorse the idea of allowing the sale of health insurance across state lines believe that doing so would automatically open up competition among health plans, thus lowering the cost of coverage and increasing satisfaction of consumers desperate for health insurance premium relief.
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
Use the Texas 2016 ACA exchange plans by county to find the qualified market health plans in your county.
Patient Protection and Affordable Care Act: Find what’s missing. Keep what works. Fix what’s broken.
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.
The 2016 elections brought physicians an excellent opportunity to rebuild America's health care systems, TMA officials say."Everything is on the table — the Affordable Care Act (ACA), Medicare, and Medicaid," said David Henkes, MD, chair of the Texas Delegation to the American Medical Association. "Today, we are crafting plans to remake the system so it truly serves our physician members and our patients."
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.
Got Affordable Care Act questions? Call the Knowledge Center
The ACA Marketplace
2016 Participating Marketplace Insurers in Texas