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Closing the Gap: New Texas Network Adequacy Law Tackles Waivers - 12/04/2023

Although Texas has some of the strongest network adequacy rules in the country, poor enforcement and an overused waiver system have weakened physician practice viability and patients’ access to in-network care; thanks to advocacy by the Texas Medical Association, this will soon change.

Surprise Billing Rules Garner More Legal Action - 02/10/2023

Pressure is mounting on federal authorities with several legal actions now aiming to stop what physicians and hospitals say is an unfair arbitration process outlined in rules implementing the No Surprises Act, legislation passed in 2020 to address surprise medical bills.

Far-Reaching Implications: The Ripple Effects of Texas' Uninsured Rate - 12/04/2019

Data compiled by the Texas Medical Association and other organizations, as well as physicians’ own anecdotal experiences, show how 5 million uninsured patients in Texas become 5 million dominoes. As they fall, so do countless others representing the health of Texas: The economy and well-being of entire communities. The classmates and friends of uninsured children. And yes, the physicians who deal with the burdens of treating uninsured patients in emergency rooms and providing uncompensated care.

Big Noises Big Issues: Health Care Takes Center Stage One Year Out From 2020 Election - 11/11/2019

One year from now, Texas voters will hit the polls. They’ll be voting for president, for Congress, and for seats in the Texas Legislature. At the state and national levels, health coverage, Medicaid access, and prescription drug costs have gotten plenty of attention already, and they’ll get plenty more between now and the closing of the polls on Nov. 3, 2020. Here’s a look at some of the major health care debates taking center stage during the 2020 election cycle, what voters are and will be hearing about, and what Texas Medical Association policy says on those particular issues.

Plan Directories Should Cross-Reference Physician Network Status - 03/25/2019

As a physician, I rely on online health plan network directories to see not only my own network status but also that of physicians and facilities I refer patients to for additional care and treatment. While I can find what physicians are in network and what facilities are in network, there is no easy or uniform way to cross-reference the facilities at which the facility-based physicians provide services.