Medicaid Managed Care

Physicians Needed for Medicaid Managed Care Advisory Panel - 03/03/2020

March 13 is the new deadline to get your application to the Texas Health and Human Services Commission if you want to serve on its State Medicaid Managed Care Advisory Committee. The panel advises the commission on Medicaid managed care operations statewide.

Make Medicaid Managed Care More Efficient - 04/09/2019

HB 4178 is the culmination of work by physicians, hospitals, and health plans to reduce Medicaid red tape. Physicians feel heavily burdened not only by the number of prior authorizations they must complete but also the complexity of the process. The system must be reformed to make it more accountable, transparent, and simpler.

Medicaid Eligibility Verification Website to Be Shuttered Friday - 12/13/2018

The Texas Health and Human Services Commission (HHSC) will decommission the website and the Medicaid eligibility verification Interactive Voice Response system at 7 pm (Central) on Friday.

Summit Seeks Medicaid Improvements - 10/22/2018

Physicians, hospital administrators, and health plan executives gathered at the Texas Medical Association building last week in search of common ground to improve the state’s Medicaid system.

Capitol Matters: TMA Weighs in on Medicaid MCO's, Telemedicine Before Texas Legislature - 09/20/2018

Committees in both chambers of the Texas Legislature are studying complex issues throughout this year to prepare for the next legislative session in 2019. As the year progresses, we’re periodically looking at the health care related issues

Working the Capitol - 08/01/2018

TMA weighs in on opioids, Medicaid, cost transparency.

No Progress in Hearing on Medicaid Managed Care Organizations - 06/22/2018

On Wednesday, the Texas House Human Services Committee held the first in what will undoubtedly be a series of hearings on the issues with Medicaid managed care organizations. The buck apparently stopped nowhere.

Driving Quality - 04/19/2018

Private payers aren't the only ones eyeing quality-based payment reform to control costs while improving patients' health. Now that Texas Medicaid has moved into managed care almost completely, the state is intent on similar strategies. The Texas Health and Human Services Commission won a $3 million federal grant to design innovative delivery and payment systems. It hopes to win as much as $50 million to later test the models under the Centers for Medicare & Medicaid Services State Innovation Models initiative. From accountable care organizations and medical homes to health information technology and bundled payments, the state is looking to physicians, health plans, and others to figure out what it takes to successfully implement such models for Medicaid patients across the multiple payers and providers that manage them.

Medicaid HMO Credentialing – and Recredentialing – Just Got Easier - 04/03/2018

Starting this week, Texas physicians can save time getting credentialed and recredentialed for Texas' 19 Medicaid managed care plans.