Clinical Quality and Payment

  • TMA Quality Improvement Services

    TMA Practice Consulting
    Get personalized quality improvement services and tailored practice support to help your practice succeed under the Medicare Access and CHIP Reauthorization Act (MACRA).

    MACRA Readiness Assessment
    Identifies specific clinical processes, electronic health record optimizations, and workflow improvement opportunities to help practices improve MIPS scores. TMA is dedicated to helping practices earn incentive payments, not just avoid penalties. Email[at]texmed[dot]org, or call (800) 523-8776 to learn more.

  • Clinical Quality and Payment Member Benefits

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

  • TMF Quality Innovation Network

    The TMF Quality Innovation Network engages physicians and others in learning and action networks focused on various quality improvement initiatives. These free networks serve as information hubs for learning, collaborating, and elevating the voice of the patient.

    • Antibiotic Stewardship
    • Behavioral Health
    • Cardiovascular Health and Million Hearts
    • Immunizations
    • Health for Life – Everyone with Diabetes Counts
    • Medication Safety
    • Quality Payment Program
    • Quality Improvement Initiative
    • Value-Based Improvement and Outcomes
    • Readmissions


    Join a TMF Network

  • Be On the Lookout for MIPS Audit Request


    The Centers for Medicare & Medicaid Services (CMS) is auditing physicians who participated in the 2017 and/or 2018 Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program. Guidehouse, a contracted entity, is conducting MIPS data validation and audits on behalf of CMS. If you’re selected for an audit, you are required to comply with data sharing requests, providing all data as requested.

    Learn More  
  • Will You Get a Medicare Bonus or Pay Cut Next Year?


    If you participated in the 2018 Quality Payment Program, it’s now possible to check whether you’ll receive a Medicare payment bonus or cut in 2019. TMA recommends that you review your data to inform quality improvement efforts in your practice and to help you select the right quality measures, promoting interoperability measures, and improvement activities for 2019 and future years of the program, as well as to improve your performance on cost measures. For tips on how to improve your score, contact TMA Practice Consulting or TMF Health Quality Institute.

    Get the Details  
  • Texas Medicaid

    Alt Tag  

    The shift to value-based payment models has not been easy on small practices. But new ideas within the Texas Medicaid program have spurred hope and excitement. Physicians, hospitals, and health plans are collaborating on innovations that not only could save millions, but also make medicine more patient-centered and more rewarding.

    Value-Based Payment Initiatives  
  • Care Management


    Learn about reimbursable care management services from the Centers for Medicare & Medicaid Services.

    • Advanced Care Planning
    • Behavioral Health Integration
    • Chronic Care Management
    • Transitional Care Management
    Learn About Care Management  
  • Get Free Quality Reporting Help From TMF


    Physicians looking for help navigating the Centers for Medicare & Medicaid Services requirements for the new Quality Payment Program can benefit from TMF’s Quality Payment Program Network.  

    Get Reporting Help