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United Launches National ‘Gold Card’ Program - 09/17/2024

UnitedHealthcare announced the launch of what it’s calling a national “gold card” program, which purports to allow physicians to bypass the prior authorization process and is set to begin Oct. 1.

Shape TexMed’s Future by Applying to New TMA Committee - 09/10/2024

As TexMed 2024 brought Texas Medical Association events to a new high, the House of Delegates voted to continue the upward trend with the formation of a standing Committee on TexMed Education, which will continue to aid TMA’s mission to provide accurate, relevant, and engaging information for members.

BCBSTX to Require E/M Codes for Consultation Services - 09/03/2024

Starting Nov. 18, Blue Cross and Blue Shield of Texas will no longer pay physicians for outpatient or inpatient consultations when they report those services with Current Procedural Terminology codes 99242 – 99245 and 99252 – 99255.

Meet Opioid Training Mandates With CME From TMA - 08/29/2024

Through the Texas Medical Association, physicians can play a part in curbing rates of opioid overdose and substance use disorder – and meet state and federal agencies’ CME mandates.

Aetna to Correct G2211 Payment Disparities - 08/28/2024

Aetna will correct erroneously low payments made to physicians for G2211 claims following Texas Medical Association advocacy during a meeting with the payer Aug. 2.

AI Experts Added to Committee on Health Information Technology - 08/26/2024

Recognizing the potential of augmented and artificial intelligence to greatly impact patient care and physician interests, the Texas Medical Association has announced the addition of 10 expert consultants to its Committee on Health Information Technology.

County Medical Societies - 08/20/2024

Links to Texas County Medical Societies

TMA to Start 2024 Listening Tour - 08/14/2024

The TMA Board of Trustees, leadership, and staff are hitting the road in 2024 to learn directly from Texas physicians what is working, what isn’t, and what TMA can do to ensure Texas is the best place to practice medicine.

Keller Pediatrician Assumes TMA Presidency - 08/09/2024

The Texas Medical Association (TMA) today installed Gary W. Floyd, MD, a Keller pediatrician, as its 157th president. TMA’s House of Delegates policymaking body installed Dr. Floyd during TexMed, the association’s annual conference, in Houston this year.

TMA Applauds Appeals Court’s Ruling in Physicians’, Patients’ Favor - 08/06/2024

Statement by G. Ray Callas, MD, TMA president, in response to the U.S Court of Appeals for the Fifth Circuit’s ruling Friday in TMA’s favor. The court affirmed the district court’s decision in an appeal filed by several federal government agencies to TMA’s earlier victory in a lawsuit challenging certain components of the federal agencies’ final rules governing independent dispute resolution for surprise medical bills under the No Surprises Act. TMA argued the case in December 2022 in the U.S. District Court for the Eastern District of Texas. The district court later ruled in TMA’s favor, prompting the federal government appeal.

Effects of Opioids and Nonsteroidal Anti-Inflammatory Drugs on Chronic Low Back Pain and Related Measures: Results from the PRECISION Pain Research Registry - 07/30/2024

Measuring treatments used by 202 patients with chronic low back pain in the PRECISION Pain Research Registry, this study determined the associations of opioid and nonsteroidal anti-inflammatory drug (NSAID) therapy with clinical status. More than one-fourth of patients did not use nonpharmacologic treatments for low back pain. Patients age 50-59 and 60-79 years old were more likely to use opioids than younger patients. Patients using opioids reported greater pain and back-related disability than did patients using NSAIDs. Patients concurrently using opioids and NSAIDs reported greater back-related disability and poorer quality of life than did patients using no or other pharmacologic therapy. No significant associations between pharmacologic therapy and clinical status remained after controlling for potential confounders. Neither opioids nor opioids combined with NSAIDs were more effective than just NSAIDs. Greater use of nonpharmacologic therapies and better second-line, nonopioid ph...

UHC Expands EZ Claim Pay Service to Certain Texas Medicare Patients - 07/26/2024

As of July 1, UnitedHealthcare has expanded its EZ Claim Pay service to Texas for Medicare Supplement Plan G patients, and for those patients who enroll, physicians won’t need to bill them directly for their Medicare Part B deductible.

Texas' Voice: Delegation Shapes AMA Policy, But Could Have Greater Impact - 07/10/2024

Through its delegation, TMA shapes AMA policy – but its impact could be greater   

Lifelong Leadership: Distinguished Service Award Bestowed Upon U.S. Rep. Michael Burgess, MD - 07/10/2024

TMA bestows Distinguished Service Award upon U.S. Rep. Michael Burgess, MD.

G-Code Payment Frustration Persists With Inconsistent Implementation - 06/25/2024

Deepening ongoing physician concerns over Medicare’s add-on code for complex care, two major payers have either reduced payment for G2211 claims or announced plans to stop paying certain claims associated with the code altogether. Read more.

Program Overview - 06/24/2024

Guidelines, application process, and costs for the TMA Leadership College.

New TMA Policy: Reduce Fentanyl Overdoses with Improved Naloxone Access - 06/24/2024

Over a 27-hour period this spring, the city of Austin saw nine people die across 79 separate overdose incidents, reflecting the severity of the statewide fentanyl crisis. Policy approved by the Texas Medical Association’s House of Delegates in May anticipated the problem and promotes one of the most effective solutions – increased education about and distribution of naloxone, an opioid overdose reversal drug.

TMA Members Win Key AMA Seats - 06/21/2024

In addition to influencing a dozen American Medical Association policies at its annual meeting in June, Texas Medical Association members also won key seats in AMA leadership positions.

UHC Postpones Higher Liability Coverage Requirements Plan - 06/20/2024

UnitedHealthCare (UHC) postponed a plan that would require Texas physicians to substantially increase their professional liability insurance coverage in order to participate in its networks. The move comes after the Harris County Medical Society and Texas Medical Association expressed serious concerns about the new policy.

Wanted: AI Experts for TMA Committee - 06/05/2024

As augmented and artificial intelligence dominate headlines, the Texas Medical Association is looking to ensure physicians’ interests are represented and protected.

Leading Through Change: TMA’s Impact on Public Health Evident at State Level - 06/04/2024

Texas Medicine had the opportunity to interview five DSHS commissioners who have served as the top brass in Texas Public Health over the past 30 years, working closely with TMA along the way. At the same time, these leaders have leveraged their roles and expertise to inform and influence medicine in the state.

Physicians Must Validate Email to Avoid Medicaid Disenrollment, Payment Delays - 05/29/2024

Texas physicians who care for Medicaid patients should confirm their email address is valid in the Texas Medicaid and Healthcare Partnership’s Provider Enrollment Management System to ensure effective communication and timely payments from the state Medicaid administrator.

TDI Debuts Network Adequacy Waiver Hearings - 05/24/2024

Physicians soon may hear from the Texas Department of Insurance (TDI) regarding public hearings for health plans seeking a network adequacy waiver. The hearings are required under a new state law championed by TMA to address inadequate networks and an overused waiver process. Read more.

Meet Your 2024-25 TMA Sections Executive Councils - 05/20/2024

After a fun kickoff at the All-Conference Murder Mystery Mixer, TMA sections presented awards, discussed resolutions, attended CME, and networked. Plus, help sections continue to provide fun, exciting activities for members by taking the annual sections survey.

New Medicare Advantage Rules Aim to Improve Access, Equity - 05/15/2024

 Medicare Advantage enrollees soon may benefit from expanded access to outpatient behavioral health care and more equitable prior authorization policies.