Stories written by Phil West

HHSC Extends Medicaid Revalidation Another Six Months - 06/12/2025

The state is providing physicians with additional time to take a key step in caring for Medicaid patients. It’s also providing a reentry pathway for physicians disenrolled last year.

Survey: Small, Private Practices Now Less Common - 06/10/2025

Physician practices are increasingly tied to hospitals and private equity entities, and they’re also getting larger. Those are among the key findings of the latest nationwide study conducted by the American Medical Association.

Preview Your Medicare Clinician Profile Through June 25 - 05/29/2025

Physicians participating in the Quality Payment Program will see their 2023 performance scores showcased on two publicly accessible websites. One of those will also feature star ratings in up to 17 categories including preventive health and patient safety.

CMS Suspends Eight MIPS Improvement Activities, Announces 2025 Exception Applications Process - 05/23/2025

The Centers for Medicare & Medicaid Services leaves 96 of the 104 traditional improvement activities available to physicians using the Merit-Based Incentive Payment System. It also indicated that physicians who have completed or are in the midst of completing any of the eight suspended activities can still use them this year.

Texas Medicaid Delays Online Enrolling and Credentialing Integration - 05/22/2025

In April, the Texas Medicaid & Health Partnership had announced physicians could enroll and get credentialed in a one-stop, two-step process. The pause means the status quo remains for now.

TMA Forges New Policies on Same-Day Services, Patient Attribution in Value-Based Care - 05/16/2025

The house adopted several other payment-related policies as well, all emerging from ongoing physician frustration with payer practices that hinder patient care.

New TMA President Ignites Unity, Pledges to Fight Physician Burnout - 05/14/2025

“Doctors must be free to do what they were called to do,” Jayesh “Jay” Shah, MD, emphasized in his first speech as TMA’s president, while committing to expand physician wellness initiatives. He took over from G. Ray Callas, MD, who in his signature bold fashion pledged to carry the torch for physician-led health care.

Texas Medicaid Streamlines Physician Enrollment and Credentialing Via PEMS - 05/13/2025

TMA is prepared to help physicians troubleshoot issues with the new process, which starts May 30. The news follows TMA’s advocacy efforts on behalf of Texas physicians caring for Medicaid patients.

Texas Delegates to AMA Make a Strong Push for Fixing What Ails Medicare - 05/12/2025

Texas Medical Association members made their voices heard at the American Medical Association’s three-day National Advocacy Conference (NAC), Feb. 10-12, 2025, calling for a long-term Medicare payment fix.

Where Are They Now? 15 Years of Leadership College: Brian Bruel, MD - 04/30/2025

With help from TMA’s leadership development program, Brian Bruel, MD, overcame the feeling of “imposter syndrome” to lead a statewide specialty medical society and ascend the ranks within TMA and the Harris County Medical Society. Applications are now open.

MedPAC Calls for Tying Medicare Payment to Inflation with a Permanent Update - 04/22/2025

The agency advising Congress on Medicare issues calls for a physician payment structure tied to the Medical Economic Index, in line with TMA advocacy. The recommendation calls for a permanent payment update in 2026 and beyond.

TMA Signs Letter Calling for Congress to Protect Medicaid Funding - 04/17/2025

As the U.S. House of Representatives considers $880 billion in cuts from the committee overseeing Medicaid, TMA and all 50 state medical societies detailed the impacts such a cut would make to patient care and practice viability.

Medicine Backs New Legislation Halting Latest Medicare Payment Cut - 04/14/2025

Led by physician lawmakers, the proposed legislation would cancel the most recent physician pay cut and provide some extenuating relief for the remainder of the year. TMA recently joined the American Medical Association’s national advocacy conference to take their efforts to lawmakers’ doorsteps in D.C.

TMA Calls for Increased Funding to Help TMB Address Workforce Issues - 04/09/2025

TMA President G. Ray Callas, MD, advocated for Texas Medical Board (TMB) funding, citing record numbers of physician license applications. Plus, learn the Texas House committee assignments that may influence medicine’s legislative agenda. Read more.

E-Cigarette Regulation Heard in Senate, House Committees - 04/07/2025

TMA testified to regulate e-cigarettes just as traditional tobacco products, with protections for children and youth. TMA is also tracking numerous women’s health and insurance bills on the move.

Physician Legislators File Federal Prior Auth Reform Bill - 04/07/2025

The measure applies to Medicare, Medicare Advantage, and Part D prescription drug plans. Its reintroduction follows medicine’s federal advocacy in Washington, D.C., and AMA’s latest survey showing prior authorization continues to negatively impact physicians and patients.

First Tuesdays at the Capitol Lets Legislators Hear What Matters Most to Medicine - 04/02/2025

Since 2003, TMA member physicians, medical students, and TMA Alliance members have told their stories to legislators via First Tuesdays at the Capitol. Advocates for medicine have two more opportunities this session to share their views.

Insurance Concerns Dominate TMA Testimony - 03/31/2025

One bill would exempt certain plans from important patient protections, while another could undo reforms to insurer ranking and tiering practices.

CMS Issues New MIPS Hardship, Extension Tied to IV Fluid Shortage - 03/28/2025

The 15-day window opens today, March 31, and comes in response to medicine’s advocacy. TMA encourages affected physicians to document those shortages and the impact on their practices.

TMA Monitoring Approximately 2,800 Bills, Testifies for Patient Protections - 03/24/2025

Bolstered by testimony from dedicated physicians across the state, the Texas Medical Association took to both houses of the Texas Legislature to protect patient safety, as well as promote fair data use and healthier social media practices for youth.

Touting Texas: David N. Henkes, MD, Championed the State’s Physicians in His 25 Years on the Delegation to the AMA - 03/10/2025

David N. Henkes, MD, recalls his first American Medical Association meeting in San Francisco as a new member of the Texas Delegation to the AMA. The November 2001 conference was, in a word, “overwhelming.”

TMA Testifies to Block AI Use in Prior Auth, Support Health of Young and Aging Texans - 03/05/2025

Physicians made the rounds in the Texas Senate, providing testimony to prohibit unfair prior authorization practices, launch a new dementia care institute, and keep the growing populations of kids and seniors healthy.

Advancing Primary Care: Medicare Rolls Out New Payment Codes for Treating Chronic Conditions - 03/04/2025

Though the Centers for Medicare & Medicaid Services (CMS) has introduced another acronym into the Medicare mix, some physicians express optimism this particular one could help practices stay viable.   For Greg Fuller,

TMA Welcomes State Budget Provisions for Medicine, Healthy Living Legislation - 02/27/2025

TMA physicians weighed in on the state budget, applauding appropriations supporting medicine and urging additional funding, and advocating for a Texas Senate bill aiming to make Texans healthier.

Fire in His Belly: Outgoing TMA President G. Ray Callas, MD, Traverses Texas to Advocate for Medicine - 02/27/2025

When G. Ray Callas, MD, was first elected president of the Texas Medical Association, he was moved by the trust his fellow physicians put in him to speak on their behalf and advocate for them.