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Texas Delegation Joins Push to Protect Medicine at AMA Annual Conference - 06/25/2025

Medicare payment reform, federal Medicaid sustainability, and vaccination education and safety highlighted the robust debates Texas physicians engaged on during a strong showing at the American Medical Association annual conference alongside hundreds of their peers.

CMS Announces Latest Scores for Quality Payment Program - 06/23/2025

The Medicare Quality Payment Program will award a slightly higher percentage of positive payment adjustments in 2025 compared to 2024. However, the maximum will be considerably lower than last year’s.

Now is the Time: Texas Delegates to AMA Make a Strong Push for Fixing What Ails Medicare - 06/23/2025

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.

Multiple Choice: How Two APMs Are Contributing to Cost-Conscious Health Care - 06/17/2025

The Medicare Shared Savings Program and ACO REACH program provide physicians with two viable payment models incentivizing better patient care outcomes.

TMA Vigilant of New Medicare Advantage Audits - 06/17/2025

The Centers for Medicare and Medicaid Services has begun what the agency itself calls an “aggressive” new strategy to audit all Medicare Advantage plans annually to review whether insurers and their networks are inflating patients’ illnesses, leading to overpayments – and the additional compliance burdens and possible repayments could fall on physicians.  

Who Can Do the Face-to-Face Encounter for Home Health? - 06/12/2025

Medicare won’t pay home health agencies to care for Medicare patients without a physician’s certification, which must include a face-to-face encounter with the patient. Here’s who can perform that encounter.

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.

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.

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.

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.

UPDATE: Submit 2024 MIPS Data by April 14 to Avoid 9% Pay Cut - 03/28/2025

The data submission period for Medicare’s 2024 Merit-Based Incentive Payment System (MIPS) performance year is underway and closes on April 14 at 7 pm CT. At stake is a pay cut of up to 9% in the 2026 payment year.

Congress Extends Medicare Telehealth Flexibilities for Another Six Months - 03/24/2025

Several pandemic-era Medicare telehealth and payment flexibilities will now last through Sept. 30 following recent action by Congress, including those that waive geographic site restrictions for mental health telemedicine services provided without an in-person visit.

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.”

Texas Influences a Dozen AMA Policies - 03/06/2025

Texas made its presence known in Chicago when the Texas Delegation to the American Medical Association arrived to advocate for stronger action to fix physicians’ Medicare payments once and for all, health plan accountability, and vigilance on scope creep in emergency departments.

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,

Without Congressional Action, Medicare Telehealth Waivers Will End March 31 - 02/26/2025

Medicare telehealth waivers previously extended by Congress will expire March 31, meaning Medicare patients will no longer be able to have telemedicine visits while in their home and physicians will again be required to meet with patients in-person before a telemedicine mental health consultation.

Medicare Payment Cuts Drive Physician Shortage, TMA Tells AARP - 02/24/2025

After an AARP Bulletin article connected the current physician shortage to a wider health care crisis, TMA joined the Physicians Advocacy Institute to co-author a response focusing on the role that Medicare payment cuts play.

Check Eligibility for Medicare Bonus Following Annual HPSA Update - 01/28/2025

Physicians, including psychiatrists, can receive a 10% quarterly bonus from CMS for providing primary care or mental health services to Medicare patients in qualifying areas, with some important distinctions on services rendered.

Congress Extends Medicare Telehealth Waivers, Payment for Audio-Only Visits - 01/10/2025

With telehealth extensions granted under the American Relief Act, TMA has updated its telehealth waiver chart to reflect these temporary changes that allow physicians to provide telemedicine mental health services without conducting an in-person patient visit. The flexibilities were extended through March.

Congress Averts Shutdown, Still Cuts Medicare Payment for 2025 - 01/06/2025

The American Relief Act of 2025, signed into law by President Biden Saturday morning, will extend funding for the government until mid-March. Congress was unable to include several of the Texas Medical Association’s federal goals as the new piece of legislation will not avert the 2.8% cut in Medicare physician payments that will start on Jan. 1, 2025.

Texas Influences Policy at AMA House of Delegates - 12/05/2024

Physician representatives of the Texas Medical Association last week took their expertise to an American Medical Association House of Delegates meeting punctuated this year by passionate discussions on scope of practice, health plan practices, COVID-19, telemedicine, diversity in medicine, and more.

AMA Board Chair Calls on Texas to Help Secure Medicare Fix, Restore Physician Autonomy - 12/04/2024

Attendees of Texas Medical Association’s second Business of Medicine Conference heard a host of economic hurdles to physicians, but underscoring them all is the decades-long trend of decreasing Medicare physician payment, according to the American Medical Association’s Board of Trustees Chair Michael Suk, MD.

AMA President-Elect Acclaims TMA Advocacy for Scope, Prior Auth Wins - 12/04/2024

Texas physicians’ advocacy accomplishments both in the state and alongside the American Medical Association earned praise from AMA’s president-elect at the Texas Medical Association’s Leadership Summit on Jan. 27.

Reform Can’t Wait: Medicine Prescribes Urgently-Needed Improvements to Flawed Medicare Payment System - 11/13/2024

When the Centers for Medicare & Medicaid Services (CMS) in July proposed a fifth consecutive round of cuts to physicians’ Medicare payments – contributing to a nearly 30% lag behind inflation growth since 2001 – medicine immediately mobilized.

Medicare Premiums, Deductibles to Increase in 2025 - 11/12/2024

Medicare patients will be paying more for their coverage in 2025, which will impact how much co-pay practices collect. The rise in patient costs comes at a time when Medicare physician payments still decline and payments to hospitals and other Medicare entities increase.