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TMA Sues Feds Over Unfair Rule for Surprise Billing Law - 03/22/2024

The Texas Medical Association filed a lawsuit in federal district court in Tyler, Texas, after the Biden administration failed to follow clear direction from Congress about how to implement the dispute resolution process set forth in the No Surprises Act, legislation that was passed in 2020 to protect patients from surprise medical bills.


TDI Proposed Rules for State Network Adequacy Law Raise Strong Concerns - 03/20/2024

After securing network adequacy reform during the 2023 regular state legislative session, the Texas Medical Association has shifted its focus to ensuring the Texas Department of Insurance’s network adequacy rules conform to the plain language and intent of the law.


HHS Removes Home Address Telemedicine Requirement After TMA’s Urging - 03/18/2024

The U.S. Department of Health & Human Services will allow for the submission of a post office box or personal mailbox, offered by a private delivery service as a practice location address, when a physician does not have a physical location other than their home address, heeding the Texas Medical Association’s call.


Power Data: Texas' Claims Database Will Help Clarify Care Costs - 03/15/2024

Texas is building an all-payer claims database, which will provide a clearer view of opaque health care costs.


Telemedicine Flexibilities Preserved in Medicare Fee Schedule - 03/05/2024

The 2024 Medicare physician fee schedule (MPFS) extended several pandemic-era telehealth flexibilities, many of which impact physicians who treat rural patients and those with behavioral health needs.


New Law Prohibits Employer COVID-19 Vaccine Mandates, With Exceptions - 02/28/2024

Thanks to advocacy by the Texas Medical Association, guardrails for patient safety and practice viability are included in a new state law that prohibits employers, including physician offices and health care facilities, from mandating COVID-19 vaccines among employees.


New Poster Encourages Flu Vaccination Amid COVID-19 - 02/28/2024

“COVID-19 is here, but so is the flu.” That is the message of a new downloadable poster available from the Texas Medical Association’s Be Wise – Immunize program to help you stress the need for flu vaccination, this year more than ever.


Comprehensive Prior Authorization Reforms Needed, Medicine Tells Feds - 11/30/2023

As the Centers for Medicare & Medicaid Services (CMS) seeks ways to relieve the burdens of prior authorization on health care, it should not rely solely on automation of electronic health records. Instead, CMS should seek comprehensive reforms that include transparent PA requirements and protections of continuity of care as well as automation, the Texas Medical Association, American Medical Association, and a host of other medical societies wrote in a letter to CMS Administrator Seema Verma last week.


CMS Extends Telehealth Flexibilities to Protect Physician Privacy - 11/27/2023

Following staunch advocacy by the Texas Medical Association, the Centers for Medicare & Medicaid Services (CMS) will not require physicians to list their home address as a practice location on Medicare enrollment forms for another year when providing telehealth services, safeguarding their privacy and safety.


Voter Approval of Broadband Funding Bolsters Telemedicine - 11/27/2023

Texas voters said yes to the creation of a $1.5 billion broadband infrastructure fund Nov. 7, voting in favor to expand internet connectivity to roughly 7 million state residents who lack access to affordable and reliable high-speed internet.


Feds Extend Telemedicine Prescribing Flexibilities Through 2024 - 11/10/2023

With permanent telehealth prescribing policies still under consideration, the U.S. Drug Enforcement Administration (DEA) again has extended temporary pandemic-era telehealth flexibilities to allow physicians to virtually prescribe certain controlled medications, now through Dec. 31, 2024.


FDA Approves New RSV Vaccine, COVID-19 Booster - 10/19/2023

Physicians will have a new vaccine in their arsenal to help protect against respiratory syncytial virus (RSV), a timely development as cold, flu, and COVID-19 illnesses tend to converge and ramp up this time of year and become difficult to differentiate.


Texas' Broadband Boom: An Influx of Funds Could Turbocharge Telehealth Access - 10/18/2023

The federal government recently granted Texas $3.3 billion – the largest award of any U.S. state – to deploy and upgrade broadband networks, critical to ensuring access to telehealth care.


Proposition 8 Aims to Expand Broadband Access - 10/16/2023

The fate of a $1.5 billion Texas Broadband Infrastructure Fund rests on a Nov. 7 referendum to expand internet connectivity to roughly 7 million residents who lack access to affordable and reliable high-speed internet.


Leading in Crisis: Diana L. Fite, MD, Carried TMA During COVID-19 Pandemic - 10/03/2023

Diana L. Fite, MD, carried TMA during the height of the COVID-19 pandemic.


Putting the AI in Paid: Payer Use of Artificial Intelligence Sparks Physician Concerns - 10/02/2023

Physicians - worried about payers' increasing use of artificial intelligence to process prior authorization requests, enable value-based care models, and systematically deny coverage - are seeking transparency on behalf of their patients and practices.


Urge Texans to Get Flu Vaccine Early, Officials Say - 09/06/2023

With flu season on the horizon – and the COVID-19 pandemic expected to continue – Texas physicians should strongly encourage patients to receive a flu vaccination as early as possible.


Talk to Patients About: Breakthrough Infections for COVID-19 Vaccinations - 09/06/2023

 The new mRNA vaccines for COVID-19 are highly effective at giving people immunity against the disease. But as with all other vaccines, that immunity is not 100% for everyone who receives them.  


Humana Claims Issues Require Resubmission Due to Technical Error - 09/01/2023

Practices that used Mimecast's secure message portal to submit claims issues, questions, or appeals to Humana between July 17 and Aug. 28 will need to resubmit those reports due to a technical error.


Tune in Saturday to Watch TMA’s 155th President Take Office - 08/31/2023

Although TexMed 2020 has been canceled, and the Texas Medical Association House of Delegates meeting has been suspended, Diana L. Fite, MD, still will take office as TMA’s 155th president Saturday. Visit TMA’s Facebook page at noon Saturday to watch a live broadcast of her installation and address.


TMA Suspends 2020 House of Delegates Meeting - 08/31/2023

Because of the evolving COVID-19 pandemic, the Texas Medical Association Board of Trustees has voted to suspend the 2020 TMA House of Delegates meeting, either virtual or in-person, until an appropriate time in the future when the crisis has subsided.


TMA Wins Fourth Lawsuit Challenging Payment Calculations in Surprise Billing Arbitration - 08/28/2023

Marking a fourth victory for the Texas Medical Association in as many lawsuits, a court struck down a large portion of the regulations setting forth a methodology insurers use to calculate the qualifying payment amount, or QPA, used in surprise-billing disputes – part of a series of federal rules TMA has long argued skew the arbitration process in insurers’ favor.


TMA Welcomes New Court Ruling in NSA Lawsuit - 08/25/2023

Statement by Rick W. Snyder II, MD, Texas Medical Association (TMA) president, in response to the ruling by the U.S. District Court for the Eastern District of Texas regarding TMA’s third No Surprises Act (NSA) lawsuit.


TMA Resumes In-Person Meetings with Major Texas Payers - 08/25/2023

After a pandemic-induced hiatus, the Texas Medical Association recently resumed in-person meetings with Texas’ major payers to solve physicians’ payment policy problems, a practice that dates back more than 25 years.


CMS to Recoup Chronic Care Management Payments - 08/21/2023

Some Texas physicians and outpatient facilities might have to refund payments they received for chronic care management services performed during 2015 and 2016 under the Medicare Physician Fee Schedule, federal officials said.