Related Stories

Quality Measures Transformation Catches Medicine’s Attention - 02/18/2026

TMA does not yet have official policy on the recent initiative aiming to streamline quality measures, but that could change come April. Recently rolled-out examples reflect reform-minded efforts and underscore why medicine must weigh in now.

APM Incentive Restored Under Federal Spending Deal - 02/11/2026

For the 2026 performance year, the legislation enacts a 3.1% incentive on top of the Medicare fee schedule’s existing alternative payment model adjustments and lowers participation requirements. Medicine celebrates the update but sees room for improvement.

ACOs Earn Record $4.1 Billion in Medicare Shared Savings Program Payouts - 10/21/2025

Three in four accountable care organizations (ACOs) nationwide earned performance payments for contributing to health care savings. Those operating in Texas outpaced national numbers, with nearly 90 percent receiving payouts.

Value-Based Care Extended to Texas PPO, EPO Health Plans for Primary Care Physicians - 10/20/2025

The new state law authorizes primary care physicians to enter into value-based care (VBC) payment arrangements with state-regulated PPOs and EPOs, if they choose to. The new law includes several guardrails TMA advocated for that seek to promote fair dealing in VBC negotiations.

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.

New APM Committee Accepting Nominations - 05/22/2024

Recognizing the fast-moving shift to value-based care and the need for physician guidance in that transition, the TMA House of Delegates approved a new standing Committee on Alternative Payment Models (APMs) at TexMed 2024. TMA leaders are in the process of appointing participants to the nine-member body with regional representation of varying practice sizes, types, and specialties. Read more.

CMS Finalizes 2025 Medicare Advantage Payment Rates - 04/16/2024

Despite a 0.16% reduction in base pay rate, Medicare Advantage plans are projected to see a 3.7% growth in revenue in 2025 thanks to a rising average patient risk score.

CMS to Debut Primary Care Payment Model - 04/10/2024

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

Medicare Advantage – and Disadvantage: Program Enrollment Grows Amid Physician Concerns - 04/03/2024

Despite its growing popularity among Medicare patients, Medicare Advantage is divisive among physicians.

Middle Ground: Medicare Offers Options Amid Shift to Value-Based Care - 03/05/2024

Physicians are divided on the issue of value-based care, but, with Medicare forging ahead, the Texas Medical Association is focused on monitoring the development of alternative payment models, educating members about their options, and advocating for physician protections.

Survey: APM Participation Grows, But Fee-For-Service Still Dominates - 01/24/2024

Physicians increasingly report participating in an accountable care organization or other alternative payment model, but fee-for-service payments still make up the bulk of practice revenue, continuing a yearslong trend.

Report Aims to Catalyze Texas Medicaid’s Shift to Value-Based Care - 11/02/2023

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.

Mastering Quality Reporting: Ease the Challenge of Quality Reporting - 07/10/2023

Understanding the maze of quality reporting pathways may help ease the challenge.

Driving the Quality Train: TMA Physicians Lead the Way, From Measures to Standardization - 07/10/2023

In a proactive effort to resolve physician complaints, TMA and its members are deeply involved in quality issues, from participating in the development of new measures to pushing payers for standardized quality programs and supporting physicians who are curious about value-based care.

A Shelter From the Practice Viability Storm: TMA Braces Physicians Amid Economic Headwinds - 05/31/2023

TMA is here to help all practices – regardless of setting or payment model – thrive, remaining steady in its advocacy at the state and federal levels to protect physician autonomy and to defend against the corporate practice of medicine.

Learning Through a Value Lens: Texas Medical Students Learn Value-Based Care Tenets - 04/30/2023

The national Students and Trainees Advocating for Resource Stewardship (STARS) program seeks to catalyze physicians' uptake of value-based care, starting with medical students, whom it anticipates will have long, impactful careers.

Advanced APM Incentive Payments Extended Through 2023 Performance Year - 03/02/2023

Physicians who participate in an advanced alternative payment model this year will remain eligible for incentive payments – albeit smaller ones – that were initially slated to expire in 2022.

Medicare Bundled-Payment Model Could Expand Access to Value-Based Specialty Care - 01/26/2023

Medicare’s recent extension of a bundled payment model marks a rare opportunity for more specialists to participate in value-based care and could pave the way for better coordination with primary care.

New TMA Task Force on Alternative Payment Models Charts a Path Toward Value-Based Care - 01/26/2023

The shift from fee-for-service to value-based care is underway, with public and private payers introducing myriad new payment models in recent years. But many physicians find the variety of plans overwhelming, and the investments necessary to support them challenging.

Medicare Fee Schedule a Mixed Bag for 2023 - 01/26/2023

The Centers for Medicare & Medicaid Services (CMS) recently posted the 2023 Medicare Physician Fee Schedule, which takes effect Jan. 1 and brings with it a mixed bag of consequences for physicians.

Holding Their Own: Texas ACOs Contribute to Billions in Savings in Medicare Program - 11/01/2022

For the fifth straight year, the Medicare Shared Savings Program (MSSP), through its work with accountable care organizations (ACOs), generated significant savings and high-quality results, with Texas entities once again contributing to that success.

What's New in Value-Based Care - 09/23/2022

Once dubbed unicorns, value-based care (VBC) models that eschew fee-for-service payment in favor of rewarding quality have materialized; the Texas Medical Association aims to be on the crest of this wave with the formation of its new Task Force on Alternative Payment Models.

Under Construction: Alternative Payment Models Pose Challenges for Specialists - 09/12/2022

Many physician specialists face a conundrum: Without a dedicated alternative payment model in place for their specialty, there's little incentive for them to break away from the fee-for-service paradigm.

Texas ACOs Contribute to $1.6 Billion in Savings in Medicare Shared Savings Program - 09/09/2022

For the fifth straight year, the Medicare Shared Savings Program (MSSP), through its work with accountable care organizations, generated significant savings and high-quality results, with Texas entities once again contributing to that success.

Medicare ACOs Face Key Changes in Proposed Fee Schedule - 08/10/2022

In an effort to boost participation in accountable care organizations, Medicare has significant changes to its shared savings program on tap in the proposed 2023 physician fee schedule.