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 practice.consulting@texmed.org, or call (800) 523-8776 to learn more.

  • Apply for the 2018 – 2019 Physician Practice Quality Improvement Award

    Physician practices continue to make great strides in providing reliable preventive services and implementing effective care management methods. We think these practices should be recognized for their hard work. The Texas Medical Association, Texas Osteopathic Medical Association and TMF® Health Quality Institute have partnered to offer the Physician Practice Quality Improvement Award program to physician practices in Texas. 
     

    Apply today. It’s easy.

    Download the program overview (PDF) and criteria (PDF) to learn what your practice needs to do to prepare to complete an online application by Aug. 16, 2019. Award-winning practices will receive commemorative items to display and will be recognized through a media campaign. Announcements will also be made at meetings and in journals by the Texas Medical Association and the Texas Osteopathic Medical Association. Learn more and view the list of previous award recipients.

  • 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

  • New Options for Medicare’s 2019 Quality Payment Program

     

    Beginning in 2019, the Centers for Medicare & Medicaid Services will split the Quality Payment Program’s advanced alternative payment model track into two options: the original Medicare Option, and the new All-Payer Combination Option.

    New APM Options  
  • Merit-Based Incentive Payment System

     

    More than six months after 2017 ended, the Centers for Medicare & Medicaid Services finally released performance scores and feedback for physicians who participated during the inaugural year of the Merit-Based Incentive Payment System. MIPS is one of two tracks available to participate in the federal Quality Payment Program that now pays physicians based on their quality performance.

    About MIPS Scores & Feedback  
  • Texas Medicaid

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    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