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  • iconCMS to Debut Primary Care Payment Model - 4/10/2024 3:20:30 PM

    In an effort to address financial barriers to accountable care organizations’ (ACOs’) provision of primary care services, Medicare will test a new value-based payment model for approximately 130 starting in 2025 and running through 2029.   ...

  • iconTMA to IRS: Direct Primary Care, Health Care-Sharing Ministries Aren’t Insurance - 4/5/2024 6:36:38 PM

    The Texas Medical Association is urging the IRS to reconsider a proposed rule that would classify direct primary care (DPC) arrangements and health care-sharing ministries (HSMs) as insurance. The IRS proposed rule was issued in June as a resul...

  • iconData-Driven Interventions: TMA Zeroes in on Quality Opioid Care - 4/1/2024 5:35:34 PM

    Data that reflect a patient’s true risk of substance use disorder or overdose. Technology that alerts physicians of an overdose history. Immediate and affordable access to overdose-reversing medication. Resources that support early intervention. ...

  • iconPower Data: Texas' Claims Database Will Help Clarify Care Costs - 3/15/2024 6:29:04 PM

    Price transparency. Reduced health care costs. More informed care decisions. Better care quality.  Achieving these goals may not be as far-fetched as it may sound now that Texas has joined 22 other states in establishing an all-payer claims dat...

  • iconMiddle Ground: Medicare Offers Options Amid Shift to Value-Based Care - 3/5/2024 4:58:07 PM

    When Sugar Land family physician Troy Fiesinger, MD, joined Village Medical, then Village Family Practice, in 2015, he was largely in the dark about value-based care.  “I did not know what [that acronym] VBC meant,” he told Texas Medicine.  Sin...

  • iconCMS Lifts Ban on Texting Patient Care Orders - 2/28/2024 4:51:28 PM

    Clinicians in hospitals and critical access hospitals may now securely text patient information and orders to other members of the health care team if using a compliant platform, thanks to advocacy by the Texas Medical Association.  “Our abilit...

  • iconPatient Care Protected: TMA Secured Big Legislative Wins With a New Strategy - 1/11/2024 9:07:57 PM

    Guided by a set of priorities and girded by grassroots physician advocacy, the Texas Medical Association entered the 2023 legislative session with a laser focused approach and came out hitting targets in every area of medicine’s agenda. That success...

  • iconPutting Patient Care Before Paperwork: TMA Addresses Burnout - 1/5/2024 3:09:25 AM

    San Antonio endocrinologist Aruna Venkatesh, MD, often finds herself torn between patient care and paperwork. From documentation and coding to electronic health record (EHR) management, she laments that all her free time is consumed with administrat...

  • iconSafety in Statute: State Law Guides Violence Prevention in Health Care - 1/5/2024 2:59:13 AM

     Two and a half years after a violent attack on Children’s Medical Group in Austin, pediatrician Tammy McConnell, DO, still can’t go down the side corridor of the office where the horrific shooting of her colleague Lindley Dodson, MD, took place...

  • iconStudy: Non-Physician Practice Ownership Hurts Care Quality - 1/3/2024 7:59:54 PM

    As the Texas Medical Association continues to fight for physician autonomy amid increasing consolidation, new research shows the downsides of hospital- and corporate-owned practice settings for patients and physicians alike.  Nearly 60% of phys...

  • iconSickle Cell Disease Care Targeted in State, Federal Efforts - 12/6/2023 4:34:46 PM

    Physicians could see improvements in their ability to care for patients with sickle cell disease as moves by the state and the Centers for Medicare & Medicaid Services (CMS) aim to standardize and improve treatment for the disease and expand acce...

  • iconExecutive Order Requires Safe, Secure Use of AI in Health Care - 11/10/2023 6:26:51 PM

    President Joe Biden signed an executive order Oct. 30 establishing new standards for the safe and secure use of artificial intelligence (AI) via federal oversight across different sectors, including health care.  The order – which will require ...

  • iconCare Connections: TMA Foundation Grants Tackle Public Health Problems - 11/9/2023 4:29:20 PM

    When Trey Moore, MD, started his career as a urologist in Fort Worth 26 years ago, he worked in a busy emergency department and his own private practice. In both settings, many of his patients weren’t covered by insurance and could only access stopga...

  • iconOn the Mend: Maternal Care Wins Encourage Better Outcomes in Texas - 11/5/2023 7:28:47 PM

    In the ongoing fight to save Texas mothers from outsized rates of mortality and morbidity, medicine scored a major victory this year: the extension of Medicaid coverage for postpartum mothers to one year.   A long cry from 60 days’ coverag...

  • iconReport Aims to Catalyze Texas Medicaid’s Shift to Value-Based Care - 11/2/2023 6:08:52 PM

    A new report aims to accelerate Texas Medicaid’s transition from a fee-for-service payment model to a value-based one, a shift that has been underway for 25 years.  The Value-Based Payment and Quality Improvement Advisory Committee recently iss...

  • iconClinical Care COVID-19 Resources - 10/16/2023 9:02:31 PM

    Printable Materials for Your Practice Customizable Physician Letters Permission Letter for Return to School Practice Log Forms Disinfectant Log Staff Temperature Log COVID-19 Symptom Tracker  Safety Poster for Medical Practices...

  • iconOpening Doors: Texas’ Newest Medical Schools Founded to Improve Care for Underserved Patients - 10/3/2023 11:58:01 PM

    In the past decade, medical schools have been popping up across Texas, and the most recent growth has been focused in the eastern part of the state. In 2020, the Tilman J. Fertitta Family College of Medicine at the University of Houston and the Sam ...

  • iconMedicine Meets AI: Artificial Intelligence Has Potential in Patient Care - 9/29/2023 3:47:54 PM

    Artificial intelligence (AI)-driven technology isn’t a futuristic concept for League City family physician Priya Kalia, MD. In fact, as an assistant clinical professor of family medicine at The University of Texas Medical Branch at Galveston, Dr. K...

  • iconState Law Banning Refusal of Care to Certain Unvaccinated Patients Takes Effect - 9/26/2023 3:33:08 PM

    Starting Sept. 1, a new state law prohibits clinicians caring for patients enrolled in Medicaid or the Children’s Health Insurance Program (CHIP) to refuse health care services based on their vaccination status.   During the 2023 regular legislative...

  • iconAccess to Care Improves After 20 Years of Medical Liability Reform - 9/13/2023 6:42:56 PM

    September 12, 2023 This week marks two decades since Texas voters approved a constitutional amendment to stop what some physicians and patients called a crisis situation. They say the effort ensured patients have greater access to doctors’ care. ...

  • iconIs Medicare’s Chronic Care Management Program for You? - 8/21/2023 8:56:48 PM

    Interested in the possibility of getting paid as much as $75,000, or even more, for something you already more or less do? Medicare now pays separately for chronic care management (CCM) services under the Medicare physician fee schedule. CCM se...

  • iconCMS to Recoup Chronic Care Management Payments - 8/21/2023 8:55:53 PM

    Some Texas physicians and outpatient facilities might have to refund payments they received for chronic care management (CCM) services performed during 2015 and 2016 under the Medicare Physician Fee Schedule, federal officials said. The U.S. Departm...

  • iconPatient Care Protected: Women's Reproductive Health - 8/14/2023 2:27:15 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Get clarity for physicians on how they can safely treat pregnant women while protecting the patient-physician relationship. Physician-Led Results: Phy...

  • iconPatient Care Protected: Scope Creep/GME Funding - 8/7/2023 2:30:26 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Protect independent diagnosing and prescribing as the practice of medicine; address current workforce shortages in a way that ensures patients hav...

  • iconPatient Care Protected: Medicaid Payment Increase - 8/4/2023 11:50:56 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Help physicians grow their Medicaid panels and access to care with healthier payment rates. Physician-Led Results: Texas physicians have not seen a Me...

  • iconPatient Care Protected: E-Cigarette Regulation and Taxation - 8/4/2023 11:49:52 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Increase funding for vaping prevention and cessation programs and create an excise tax to deter youth from buying e-cigarettes. Physician-Led Results:...

  • iconPatient Care Protected: Network Adequacy, Surprise Billing - 8/4/2023 11:48:56 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Enhance enforcement of and accountability under state network adequacy laws and protect Texas’ surprise-billing law. Physician-Led Results: Spurred by...

  • iconPatient Care Protected: Vaccines, ImmTrac2 Modernization - 8/4/2023 11:47:51 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Protect current vaccine laws and upgrade the state’s vaccine registry system to make it more user-friendly for practices. Physician-Led Results: Texas...

  • iconPatient Care Protected: Prior Authorization Reforms - 8/4/2023 11:46:53 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Build on the success of last session’s gold-card law by advancing further prior authorization reform. Physician-Led Results: Carrying the torch from l...

  • iconPatient Care Protected: Physician Autonomy/Corporate Practice Protections - 8/4/2023 11:46:13 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Protect physicians from being criminalized for the practice of medicine and keep nonmedical entities from interfering with patient care. Physician-Led...

  • iconPatient Care Protected: Medical Liability Reforms - 8/4/2023 11:45:22 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Preserve Texas’ landmark 2003 tort reforms, which continue to undergird a strong Texas physician workforce. Physician-Led Results: For the 20th year i...

  • iconPatient Care Protected: Medicaid Coverage for Women and Children - 8/4/2023 11:43:50 PM

    Related content: 2023 Legislative Wrap-Up: TMA Secured Big Wins With a New Strategy TMA Priority: Pursue more comprehensive coverage of and secure additional funding and resources for maternal and behavioral health care for women and children. Phys...

  • iconCongress Weighs Medicare Payment Reform During Health Care Consolidation Hearings - 7/25/2023 9:27:45 PM

    Federal lawmakers in both chambers recently took up the issue of increasing consolidation – and, with it, decreasing competition – in the health care industry. Surfaced as possible solutions were several of the Texas Medical Association’s legislative...

  • iconWhat Stimulus Means to Texas Health Care - 7/25/2023 4:37:42 PM

    State health officials have released preliminary information on major health and human services allocations for Texas in the $789 billion economic stimulus bill President Obama signed. The largest portion is $5.45 billion for Medicaid through the fir...

  • iconLegislative Hotline March 4, 2021: TMA Opposes End-of-Life Care Bill That Poses Threat to “Do No Harm” - 7/17/2023 10:04:01 PM

    Under The Rotunda Opponents to physicians’ exercise of their conscience and medical judgment in end-of-life care decisions have proven relentless, both in the Texas Legislature and in the courts. And they’re at it again. The Texas Medical Associati...

  • iconNew Laws Reshape Texas Health Care Landscape - 6/29/2023 12:19:29 AM

    August 5, 2019 The Bottom Line: Beginning Sept. 1 new state health care laws will go into effect. The 86th session of the Texas Legislature produced wins and losses for patients and physicians; but overall, doctors who fought for the legislatio...

  • iconTexas Physicians Push to Improve Health Care for LGBTQ Patients - 6/28/2023 11:37:49 PM

    September 3, 2019 The bottom line: Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ) patients face unique barriers that put them at greater risk for mental and physical health problems. Often, their health disparities result from a l...

  • iconStrength in Numbers: Texas Physicians Shape Health Care Policy at AMA - 5/25/2023 11:33:50 PM

    The Texas Medical Association’s reach extends far beyond the Lone Star State.   Take, for instance, a 2022 report by the Council on Socioeconomics that in part directed TMA to take a resolution to the American Medical Association advocatin...

  • iconHouse of Delegates Tackles Health Care Workforce Shortages - 5/25/2023 8:47:02 PM

    As Texas continues to face health care workforce shortages, particularly in rural areas, the Texas Medical Association House of Delegates responded to those concerns with new policies aimed at bolstering the ranks of medical students, residents, phys...

  • iconMedicare Pay, Physician-Owned Hospitals Considered in Health Care Competition Hearings - 5/9/2023 10:43:35 PM

    Federal lawmakers recently considered several bills related to transparency and competition in the health care industry, including two that could alleviate Texas physicians’ long-standing concerns about inequitable Medicare payments and a prohibition...

  • iconRemoving Texas Physicians From the Health Care Team Would be Harmful, Costly - 5/4/2023 8:02:04 PM

    May 3, 2023 Op-ed by Texas Medical Association (TMA) President Gary W. Floyd, MD, and Board of Trustees Chair G. Ray Callas, MD, about legislation proposing to give advanced practice registered nurses and other providers independent practice authori...

  • iconTMA to Congress: Support Increased Competition, Transparency in Health Care - 5/4/2023 8:01:08 PM

    April 27, 2023 Statement by Texas Medical Association (TMA) President-Elect Rick Snyder, MD, in response to the U.S. House Energy and Commerce Committee’s Health Subcommittee hearing Wednesday on transparency and competition in health ca...

  • iconTMA Asks AMA to Stay Out of Affordable Care Act Suit - 5/2/2023 10:08:31 PM

    CHICAGO — Leaders of the Texas Medical Association on Tuesday publicly objected to the American Medical Association’s plans to get involved in a high-profile federal lawsuit — filed in Texas — challenging the constitutionality of the Affordable Care ...

  • iconLearning Through a Value Lens: Texas Medical Students Learn Value-Based Care Tenets - 4/30/2023 7:52:34 PM

    “While medical students spend years studying human anatomy, they are never taught the anatomy of a medical bill.”  At the same time, “confusion around medical bills is increasingly decreasing the value of care.”  So states an “Anatomy o...

  • iconFri 0945a 203B Self-Care not Selfish - 4/28/2023 9:55:37 PM

  • iconScoping Out the Best Care: TMA Defends Team-Based Care Model - 4/3/2023 12:33:50 AM

    At the outset of the 2023 legislative session, San Antonio pediatric anesthesiologist John Shepherd, MD, put on his white coat and marched to the pink dome in Austin to meet with several Bexar County lawmakers. Although the conversations were wide-r...

  • iconGap in Telehealth Flexibilities Could Harm Access to Care - 2/22/2023 7:34:06 PM

    Although Congress recently extended many telehealth flexibilities through 2024, the decision is so far not reflected in Medicare’s 2023 physician fee schedule, leaving a potential gap of confusion and access to care for Texas physicians and patients....

  • iconTMA Win on Surprise-Billing Rule Also a Win for Access to Care - 2/10/2023 9:23:56 PM

    When the Texas Medical Association scored a win over federal regulators in a Feb. 23 U.S. district court decision, it wasn’t just a victory for physicians. It was a victory for patients, too, cheers Houston emergency physician and TMA Immediate Past ...

  • iconRecord State Budget Opens Door for Health Care Investment - 1/23/2023 10:37:42 PM

    The 88th Texas Legislature kicked off earlier this month, and the Texas Medical Association is already tracking nearly 700 bills, including promising proposals to reduce prior authorization requirements and concerning ones regarding scope expansion. ...

  • iconTMB Rewrites Rule to Improve Chronic Pain Care for Texas Patients - 1/19/2023 10:34:43 PM

    The Texas Medical Board (TMB) recently revised one of its rules in a way that makes it easier for physician practices to provide more comprehensive pain management.  The rule change came about in part because of widespread concerns that patient...