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Committee on Independent Physician Practice Announces Members - 06/21/2024

After recognizing the dire needs of private practice physicians, Texas Medical Association leaders have appointed the members of its inaugural Committee on Independent Physician Practice with broad representation.

TMA Presses Congress to Preserve Independent Practice Viability - 06/13/2024

Administrative hassle, cyberattacks, and other threats to physician practice viability have caught the attention of federal lawmakers, with the Texas Medical Association weighing in heavily on the attendant impacts on physician practices following a May 23 hearing, “The Collapse of Private Practice: Examining the Challenges Facing Independent Medicine.”

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.

TMA House Prioritizes Noncompetes, Physician Payment Reform - 05/13/2024

The TMA House of Delegates adopted several policies intended to alleviate economic pressure on physician practices. Those include directing the association to advocate for more statutory limitations on noncompete agreements in employment contracts and protections from health plans’ problematic payment policies. 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.

TMA Moment in Time: SGR Repeal - 04/09/2024

The historic victory has roots in TMA advocacy and may provide a playbook for future Medicare reform.

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.

Fix Medicare Now: 2024 Fee Schedule Solidifies Cut, Heightens Calls for Reform - 03/05/2024

This latest cut stems from the 2024 Medicare physician fee schedule and Congressional inaction, both of which further erode physician payment, practice viability, and patient access to care.

Medicine’s MIPS Win: 2024 Medicare Physician Fee Schedule Stabilizes Program - 03/05/2024

The Centers for Medicare & Medicaid Services yielded to the Texas Medical Association’s concerns about its proposal and the impact of constant changes to MIPS on its participants.

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.

“We Can Compete:” Direct Payment Models Present Opportunity for Independent Practices - 10/13/2023

Rising health care costs. Declining outcomes. Restricted patient access to care. Rampant consolidation. Incessant physician payment cuts. Excessive prior authorization. Creeping scope-of-practice attacks.

AMA Launches National Study of Physician Practice Expenses - 10/11/2023

With the backing of the Texas Medical Association and 172 other health care organizations, the American Medical Association recently launched a survey of U.S. physicians to better understand practice expenses and to support its advocacy for physician payment reform.

TMA Fights Another “Devastating” Medicare Physician Pay Cut Threat - 08/04/2023

Despite medicine’s calls for comprehensive reform, the recently proposed 2024 Medicare physician fee schedule would continue the worrying trends of deepening physician pay cuts and increased risk associated with the Merit-Based Incentive Payment System.

Congress Weighs Medicare Payment Reform During Health Care Consolidation Hearings - 07/25/2023

Federal lawmakers in both chambers recently took up the issue of increasing consolidation – and, with it, decreasing competition – in the health care industry. Surfaced as possible solutions were several of the Texas Medical Association’s legislative priorities, including Medicare physician payment reform.

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.

Relief in Site: Physicians Say Setting Should Not Determine Medicare Payments - 06/07/2023

Physicians want to reform a Medicare policy that allows hospital-owned outpatient clinics to charge more than medical practices and ambulatory surgical centers for most medical procedures. This pay discrepancy pressures medical practices to merge in order to protect themselves from hospitals hot to acquire medical practices that, once bought, can collect much higher fees.

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.

Mending Medicare: Federal Spending Law Reduces Physician Pay Cut Amid Reform Push - 04/12/2023

A massive federal spending law took effect in late 2022, delivering a smaller-than-scheduled Medicare physician pay cut in 2023, but the Texas Medical Association and others in organized medicine continue to push for comprehensive reform.

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.