Medicaid and CHIP

  • TMA to House: Reduce Costs, Cut Red Tape, Boost Medicaid Pay

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    TMA joined with seven state specialty societies in a letter urging Texas House budget writers to take strong action to improve Medicaid. The House Appropriations Subcommittee on Health and Human Services held two days of hearings in April examining the Medicaid program. 

    Read More About Proposed Medicaid Improvements  
  • Use These Medicaid Tools to Help Get Paid More Efficiently 

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    Medicaid’s new e-signature capability and its portal for verifying patients’ Medicaid eligibility and accessing their available health information are two ways to help cut down on the busywork in your office. 

    Start Using The Tools  
  • Smart Medicaid Spending Saves Money, Helps Patients

     
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    Achieving the cost-savings we mutually envision will require more than just innovative and clinically sound health care policies. It also will require bold action by the legislature to rebuild the
    Medicaid physician network, which has steadily eroded over the 16 years largely for one reason:unreasonably low payment rates. Medicaid physician payments average 73 percent of Medicare and 50 percent of commercial payments.

    More on Medicaid Spending  
  • Provide Appropriate Funding for Physician Services

      
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    Medicaid is a state- and federally funded health care program that provides low-income patients access to essential health care services. Without Medicaid, millions more Texans would be uninsured: As of June 2014, Medicaid covered nearly 3.8 million Texans. To qualify, patients must have a low income, but being poor doesn’t always mean a patient will qualify for the program. For example, low-income childless adults are not eligible in Texas even if their income meets the state’s Medicaid income requirements. Most Medicaid recipients in Texas are children, pregnant women, or disabled.

    See the Physician Cost/Revenue Comparison  
  • Medicaid Restores Payment Levels for Child Vision Services 

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    Medicaid is restoring physician payments for 50 pediatric eye codes to higher levels paid prior to July 1, 2015. The increase, which takes effect April 1, averages 6.6 percent across all codes.

    See Fee Comparison  
  • Dual Dilemma, State Pilot to Streamline Medicare-Medicaid Patient Care

    When San Antonio pulmonologist John Holcomb, MD, treats patients enrolled in both Medicare and Medicaid, he knows he's dealing with a particularly fragile population that has little to no income and is elderly or has a disability. Neither these so-called "dual-eligible" patients nor the physicians treating them have it easy. 

    Streamlining Care

    TMA-Backed Law Prompts Medicaid Red-Tape Relief

    Apparently, the state got the message loud and clear: Physicians and patients are overly frustrated with the myriad administrative roadblocks that came along with the expansion of Medicaid managed care in Texas. Thanks to TMA's advocacy during the 2013 legislative session and the successful passage of Senate Bill 1150, relief from Medicaid red tape may finally be in sight.

    Seeking Simplicity
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    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?