Insurance

Get TMA resources and timely information on COVID-19 issues related to commercial insurance, Medicare, Medicaid and workers' comp.

The Biden-Harris administration has announced a 30-day extension of the upcoming open enrollment period for federal marketplace health plans available through HealthCare.gov, to Jan. 15, 2022. It's also expanding assistance for low-income patients wishing to enroll.

With the federal public health emergency slated to expire at the end of 2021, millions of Medicaid patients across the U.S. are at risk of losing their coverage. Texas physicians should prepare by scheduling services as soon as possible for such patients, and also should expect to reverify patients’ Medicaid eligibility when the PHE expires.

While applauding a Medicare proposal to continue offering telehealth flexibilities, TMA objected to a proposed pay cut for many physicians serving that patient population.

Private health insurance plans have largely stopped waiving patient cost-sharing for COVID-19 treatment, according to a recent report by the Peterson Center on Healthcare and Kaiser Family Foundation (KFF).

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.

Credentialing with the government and health insurance companies continues to be a complex and time-consuming management function for practices of all sizes. At Nationwide Credentialing, we work with you from start to finish on the credentialing process, which allows physicians and their staff to focus on patients and other important aspects of their practice.

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.