Insurance

  • TMA Reimbursement Review and Resolution Service

    TMA can help resolve issues with your payer network status, prompt-pay, and other reimbursement claims.


    Free Member Service

  • Public Health Emergency’s End Would Kickstart Medicaid Eligibility Re-Checks. Here’s How to Prepare

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    The U.S. Department of Health and Human Services appears poised to extend the COVID-19 public health emergency (PHE) for a 10th time, which is good news for millions of Texans benefiting from continuous Medicaid coverage as a result of the PHE. Nevertheless, these patients remain at risk of losing their coverage when the PHE does end. TMA is urging physicians to prepare now for that looming coverage cliff.

    How To Be Ready  
  • The New Gold Rush: Texas’ prior authorization law sets a precedent for other states

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    The new TMA-backed state law that allows physicians to earn a "gold card" out of the prior authorization process is proving to be influential across the nation. Medicine's advocates in many other states are pursuing a similar law to curb the burdensome insurer practice.

    More on the Widespread Push  
  • Federal Memo Signals Compliance With TMA Court Win – For Now

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    Within days of TMA's Feb. 23 court victory over federal regulators, the U.S. Department of Health and Human Services says it’s taking steps to comply with the court’s decision on rules for the No Surprises Act. However, the case may not be over yet.

    Read the Government's Memo  
  • Deal or No Deal: Negotiating Contracts

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    Negotiating a health plan contract is one of the most important business moves an independent physician can make.

    TMA survey data from June 2018 shows that on average, 43% of responding physicians secured changes to contract terms, payments, or both.

    Learn How to Negotiate  
  • What could a TMA membership mean for you, your practice, and your patients?

  • Help Eliminate Patients’ Insurance Confusion

    Educating patient on insurance  

    Every day, patients pay a hefty price for their health care, and many are quick to blame rising costs and climbing insurance premiums on the first person that comes to mind: usually the “well-paid physician.”

    Don’t let your patients place blame on you unfairly.

    Help Patients Navigate
    Insurance Coverage