Health System Reform

Commentary: Clear direction needed - 05/03/2018

The best course for providing health care lies between entitlements and options


TMA's 2015 Legislative Victories Build on Past Successes - 04/26/2018

In a 2015 legislative session marked by new state leadership, new money, and big shifts in how Texas' major health care agencies oversee care delivery, the house of medicine remained as steady as ever in its mission to ensure physicians can give their patients the best care possible. That resolve paid off in significant victories that largely build on the Texas Medical Association's 2013 legislative successes.


Physicians Foundation Checks Your Pulse - 04/20/2018

The Physicians Foundation is surveying you and your 650,000 physician colleagues across the country to determine how satisfied you are with the current state of medicine. The survey asks about the state of your practice, your morale, your career plans, and whether you can continue providing services in light of escalating regulatory and financial burdens.


Letting ZDoggMD off the Chain - 04/11/2018

Burnout caused Zubin Damania, MD, to go from everyday physician to “the Weird Al of medicine.” He’ll share his prescription for fixing health care and helping doctors at TexMed 2018.


“Hey, Doc,” TMA’s Education Campaign, Returns - 03/14/2018

“Hey, Doc” is back to help Texas’ patients and reporters understand the 2015 Affordable Care Act (ACA) health insurance marketplace. Open enrollment begins Nov. 15.


“Hey, Doc,” who must enroll in the marketplace? - 03/14/2018

Enrollment for the health insurance marketplace begins in three days — Nov. 15. Texas physicians want to ensure you have the information you need to start the enrollment process. They week’s “Hey, Doc” segments discuss who must enroll for health insurance and possible penalties for those who decide not to purchase insurance.  


“Hey, Doc” Answers Questions About the ACA Marketplace - 03/14/2018

Enrollment for the Affordable Care Act's health insurance marketplace opened last week. Texas physicians want to make sure patients have all the information they need to make informed decisions when purchasing their insurance coverage, so this week's "Hey, Doc" info segment answers some frequently asked questions about health insurance. 


At Last: Answers About Picking Marketplace Health Insurance - 03/14/2018

This week: If insurance is mandated by the government, how do you know if the plan you pick is OK? And how many plan options do consumers have? For that matter, how do you pick a plan? Can you keep your current plan? Read on, for answers.


Can I Keep My Doctor with This Health Insurance? - 03/14/2018

It’s probably one of the most common questions for anyone shopping health insurance: Can I keep my doctor on this plan? The Texas Medical Association’s (TMA’s) “Hey, Doc” educational campaign about the health insurance marketplace (created by federal health system reform, or the Affordable Care Act) answers that question this week, and more.


Hey, Doc, Can Health Insurance Subsidies Help Me? - 03/14/2018

This week’s segment in Texas Medical Association’s (TMA’s) “Hey, Doc” health insurance marketplace education campaign answers questions about the tough part — paying for insurance — and how to get assistance. 


Hey, Doc, When I Can I Renew My Marketplace Health Insurance? - 03/14/2018

This week’s segment in Texas Medical Association’s (TMA’s) “Hey, Doc” health insurance marketplace education campaign answers more questions about aid provided to some Texans who enroll in the Exchange, called subsidies, and how to renew your marketplace plan.


How to Buy Marketplace Insurance - 03/14/2018

Knowing what’s important when choosing a health plan, how to use benefits, and where to turn for help can be challenging for most of us when purchasing health coverage. That’s why the Texas Medical Association started the “Hey, Doc” educational campaign in 2013. This week we’re discussing the different kinds of health insurance plans available and costs. 


What If My ACA Marketplace Health Plan Excludes My Doctor? - 03/14/2018

This week’s installment of Texas Medical Association’s (TMA’s) “Hey, Doc” education campaign offers some suggestions for what to do if you find your marketplace health plan excludes your doctor.


When & How Do I Enroll (or Re-Enroll) in the Marketplace? - 03/14/2018

This week, TMA’s “Hey, Doc” answers Texans’ questions about when they can sign up for marketplace insurance, how to apply for coverage, and where to get help enrolling.


Where Can I Get More Information About the Marketplace? - 03/14/2018

In this week’s installment of “Hey, Doc,” TMA provides a list of reliable resources for Texans to learn more about the marketplace ahead of open enrollment on Nov. 15.


With Marketplace Health Insurance, Who Will Care for Me? - 03/14/2018

This week’s Texas Medical Association (TMA) “Hey, Doc” educational segment explains health insurance networks and how they influence patients’ ability to pick a doctor to take care of them. 


My Battle with Guideline Fatigue Syndrome - 02/28/2018

Too often different guideline committees have differing values. And values influence how we view data and certainly what we value in developing our guidelines. You likely know several examples of "dueling guidelines" – breast cancer screening, prostate cancer screening, and goals of diabetes control.


TMA Applauds Trump Appointment to HHS - 11/29/2016

Statement by Texas Medical Association (TMA) President Don R. Read, MD, on President-Elect Donald Trump’s announcement that he will appoint U.S. Rep. Tom Price, MD, of Georgia as secretary of the Department of Health and Human Services (HHS).


Protect Texas' Medical Liability Reforms - 06/22/2016

We must make sure the final health care bill contains plain language clearly stating that the new clinical standards do not create new causes of action and that states’ existing liability reforms, such as Texas’ cap on noneconomic damages in medical liability cases, are not preempted.


Getting Preexisting Coverage Easier - 06/13/2016

Physicians can help patients obtain immediate health insurance coverage for preexisting conditions, now that the federal government has relaxed eligibility requirements.


Federal Legislative Priorities - 05/20/2016

The top three federal legislative priorities, as rated "very important" by respondents to TMA's latest survey, are Medicare payments, opposition to any proposal to make participation in Medicare a condition of licensure, and revising or eliminating some provisions of the health system reform law.


The Price of Prevention - 05/13/2016

Supporters of the health system reform law hope a whole lot of prevention – and free prevention, at that – will significantly reduce Americans' mortality and morbidity from cancer, smoking, obesity, vaccine-preventable illnesses, and other diseases. A provision of the Affordable Care Act (ACA) requires health plans to cover a wide array of preventive care services without charging patients copayments, coinsurance, or deductibles.


What Are Marketplace Deductibles, Coinsurance, and Copayments? - 05/12/2016

Texas Medical Association’s (TMA’s) “Hey, Doc” education campaign explains deductibles, coinsurance, copayments, and more.


How to Find Out Your Health Insurance Marketplace Coverage and Cost - 05/06/2016

This week’s installment of Texas Medical Association’s (TMA’s) “Hey, Doc” weekly education campaign offers several steps patients can take to learn what their benefits and costs are before they visit their doctor.


What Will It Cost to Use My Marketplace Insurance? - 05/06/2016

This installment of the Texas Medical Association’s (TMA’s) “Hey, Doc” weekly education campaign breaks down the different costs associated with health insurance plans on the marketplace.