Related Stories

Physician, Hospital Groups Distribute Urgent Measles Advisory - 08/06/2019

Texas doctors and hospitals have a new tool to fight the ever-increasing measles threat, as the number of people sickened by the infectious yet preventable disease climbs. The Texas Medical Association (TMA) and Texas Hospital Association (THA) have created a new resource to help physicians, hospitals, and other health care professionals combat the highly contagious, yet entirely preventable, respiratory illness.


Faulty Guidelines - 06/03/2019

Former Texas Medical Association President Josie Williams, MD, was tenacious in advocating that organized medicine pay zealous attention to two topics: data and guidelines. In this, she was both sage and prescient. We have done well in following her recommendations on data, but we continue to fall far short of where we need to be on guidelines.


Make Medicaid Managed Care More Efficient - 04/09/2019

HB 4178 is the culmination of work by physicians, hospitals, and health plans to reduce Medicaid red tape. Physicians feel heavily burdened not only by the number of prior authorizations they must complete but also the complexity of the process. The system must be reformed to make it more accountable, transparent, and simpler.


Medicaid Eligibility Verification Website to Be Shuttered Friday - 12/13/2018

The Texas Health and Human Services Commission (HHSC) will decommission the YourTexasBenefitsCard.com website and the Medicaid eligibility verification Interactive Voice Response system at 7 pm (Central) on Friday.


Summit Seeks Medicaid Improvements - 10/22/2018

Physicians, hospital administrators, and health plan executives gathered at the Texas Medical Association building last week in search of common ground to improve the state’s Medicaid system.


Learn From the Experts - 09/26/2018

The Texas Quality Summit, scheduled for November 18-19 and hosted by the Texas Medical Association and the American College of Medical Quality, will give physicians the tools they need to prosper in a value-based care environment.


Capitol Matters: TMA Weighs in on Medicaid MCO's, Telemedicine Before Texas Legislature - 09/20/2018

Committees in both chambers of the Texas Legislature are studying complex issues throughout this year to prepare for the next legislative session in 2019. As the year progresses, we’re periodically looking at the health care related issues


Medicaid Is Vital; Let’s Improve the Medicaid Managed Care Program - 08/29/2018

Texas’ Medicaid managed care system faces grave but surmountable challenges that must be addressed with all due haste, beginning with enhanced scrutiny not only of the health plans but also of how the state’s own actions, including deep funding cuts and insufficient agency staff, jeopardize Medicaid’s ability to care for the neediest among us.


Working the Capitol - 08/01/2018

TMA weighs in on opioids, Medicaid, cost transparency.


Pediatricians Offer Five Solutions to Improve Medicaid Managed Care - 06/28/2018

Pediatricians continuously encounter instances of managed care plans placing road blocks — some warranted, many not — between the pediatrician’s recommendations for care and the child receiving that care. These battles are now a way of life in every pediatrician’s office. We must find a way — in the best interest of our children accessing needed care — to create a lasting solution.


Medicaid Managed Care Needs Better Oversight, Networks, Care Coordination, and Physician Payment - 06/28/2018

Texas’ Medicaid managed care system faces grave but surmountable challenges that must be addressed with all due haste, beginning with enhanced scrutiny not only of the health plans but also of how the state’s own actions, including deep funding cuts and insufficient agency staff, jeopardize Medicaid’s ability to care for the neediest among us. At the same time, we must recognize not all Medicaid MCOs are created equal. Some are quite clearly poor performers while others go above and beyond what the state asks of them to ensure their enrollees receive the care they need, including expanding availability of specialty services and improving maternal health outcomes. Texas must learn from and replicate the best practices of the highest- performing plans rather than just punishing the bad apples.


No Progress in Hearing on Medicaid Managed Care Organizations - 06/22/2018

On Wednesday, the Texas House Human Services Committee held the first in what will undoubtedly be a series of hearings on the issues with Medicaid managed care organizations. The buck apparently stopped nowhere.


Modernize Medicaid MCOs with Value-Based Payment Initiatives - 05/17/2018

As managed care has proliferated, so too has the amount of red tape. Texas has multiple health plans for each product type — STAR, STAR+PLUS, and so forth. Physicians who contract with multiple Medicaid MCO plans must contend with different PA requirements for each, though such red tape brings no concomitant increase in quality. Most prior authorization requests are ultimately approved, so imposing them only increases physician overhead while delaying care.


Register Now for the Texas Quality Summit - 04/24/2018

This fall, TMA is hosting a unique event to help you improve performance, increase efficiency, and continue to deliver high-quality care. Join your colleagues for the Texas Quality Summit Nov. 18–19, and get the latest resources and hands-on training to take your practice to the next level. Register now, as seating is limited.


Register for the Texas Quality Summit - 04/24/2018

This fall, TMA is hosting a unique event designed to help you improve performance, increase efficiency, and continue to deliver high-quality care. Join your colleagues for the Texas Quality Summit Nov. 18–19, and get the latest resources and hands-on training to take your practice to the next level. Register now, as seating is available to a limited number of participants on a first-come, first-served basis.


TMA Wise Choice for Choosing Wisely Grant - 04/20/2018

The ABIM Foundation awarded TMA a $50,000 grant to advance the Choosing Wisely campaign among Texas physicians. Choosing Wisely is leading a national conversation about doing the right thing at the right time for the right patient and avoiding unnecessary care. TMA is one of only five state medical associations to receive a grant from the ABIM Foundation.


Help Patients Make Wise Choices About Treatment Options - 04/20/2018

Tools are emerging to help physicians overcome the time constraints that can preempt discussions with patients.


And the Award for Practice Quality Improvement Goes to … - 04/20/2018

Almost 100 medical practices in Texas earned a TMF Physician Practice Quality Improvement Award in 2017


TMF Offers Resources to Navigate CMS Requirements - 04/20/2018

TMF has launched three physician-focused networks designed to save time, improve patient care, and reduce costs associated with meeting these requirements. These programs, focused on immunizations, behavioral health and value-based improvements, are designed to help physicians benefit from—and not be penalized by—these mandates.


QPP Made Simple(r) - 04/20/2018

The Physicians Advocacy Institute is helping doctors understand the MACRA Quality Payment Program (QPP) by launching an online resource center with the help of the Texas Medical Association, other state medical societies, and health care consulting firm Healthsperien.


Quality Improvement: Practice Awards and Free Webinars - 04/20/2018

TMA, the Texas Osteopathic Medical Association (TOMA), and the TMF Health Quality Institute are collaborating again to provide the Physician Practice Quality Improvement Award program. The award formally recognizes physician practices for their dedication and commitment to providing high-quality patient care and improving outcomes.


Registration Open for the Texas Primary Care and Health Home Summit - 04/20/2018

This year’s Texas Primary Care and Health Home Summit will be the fifth annual statewide conference focused on expanding access to high-quality, person-centered primary care for Texans and their families. Sponsored by TMA, the summit will offer stakeholders the opportunity to learn about innovative primary care models, including the health home. Attendees will become conversant with best practices for innovation in primary care and will have opportunities to interact with program experts at various stages of implementation. Register now to attend the summit May 11–12 at the Sheraton Gunter in San Antonio.


Quality and Cost Reports Are Here - 04/19/2018

This fall, the Centers for Medicare & Medicaid Services (CMS) made quality and cost reports available to physicians and group practices nationwide for the first time. The Quality and Resource Use Reports (QRURs) provide comparative information about the quality and cost of the care you delivered to your Medicare fee-for-service patients during 2013.


Tips on How to Report Data on Quality Measures for MACRA - 04/19/2018

Tips from TMA to help you determine which reporting mechanism will best fit your practice for the first Merit-Based Incentive Payment System (MIPS) performance period in 2017.


Tell Your Patients What They Want to Know - 04/19/2018

Patients want their doctor to provide health-related information and often feel they are not getting enough information. Choosing Wisely® can help you bridge the gap with guidelines from medical specialty societies.