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Feds Extend Marketplace Special Enrollment Amid Medicaid Unwinding - 04/19/2024

Texas patients who have been disenrolled from Medicaid in the wake of the COVID-19 public health emergency now have more time to find alternative coverage on the federal marketplace. The extension could mitigate a coverage cliff about which the Texas Medical Association has long raised concerns.

Postpartum Coverage Extension Brings Payment Complexities - 04/05/2024

As the 12-month postpartum coverage Texas legislature approved took effect March 1, physicians and their practice staff should take note of subsequent payment complexities, Texas Medical Association experts caution.

ACOG Toolkit Assists Maternal Care in Non-Obstetric Settings - 02/21/2024

In the wake of the startling statistic that 80% of pregnancy-related deaths are preventable if treated properly, the American College of Obstetricians and Gynecologists has created an educational toolkit focused on educating physicians located in non-obstetric settings, such as emergency departments and trauma centers, who do not regularly deal with pregnant patients.

Medicaid, CHIP Postpartum Coverage Extension Will Take Effect March 1 - 02/08/2024

After a multi-session advocacy effort by the Texas Medical Association, specialty societies, and women’s health advocates, Texans who are enrolled in Medicaid or the Children’s Health Insurance Program and who are pregnant or become pregnant will see their postpartum coverage automatically extended starting March 1.

Spending Growth Rate for Physician Services Slows - 01/09/2024

Although spending on physician and clinical services increased 2.7% year-over-year to $884.9 billion in 2022, the spending growth rate fell, due in part to a slowdown in the use of such services and in physician prices. In comparison, spending on physicians and clinical services grew 5.3% in 2021.

On the Mend: Maternal Care Wins Encourage Better Outcomes in Texas - 11/05/2023

Twelve months of postpartum coverage and other maternal wins encourage physicians for better outcomes.

First Steps: TMA Secures Medicaid Physician Rate Increases With Hopes for Momentum - 11/05/2023

TMA helped secure the first Medicaid physician rate increases in decades in hopes it will build momentum for future gains.

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.

Coming Unwound: Mass Disenrollments Hurt Patients and Physicians Alike - 11/02/2023

The end of continuous Medicaid eligibility has led to mass disenrollments, hurting patients and physicians alike.

Reminder: Revalidate Your Medicare and Medicaid Enrollment - 09/25/2023

Starting Nov. 1, physicians must use a revised Medicare enrollment application. On the Medicaid front, physicians who were due to re-up their enrollment during the COVID-19 public health emergency get a grace period to complete this requirement, but all physicians must review and update their practice addresses. Read more.

TMA Pushes Back Against Planned Vaccine Payment Cuts - 09/06/2023

As the influenza virus continues to spread statewide, the Texas Medical Association and other specialty societies have taken a stand against a plan to cut by almost 36 percent payments to physicians who administer a flu vaccine in their offices.

Law Would Help Improve Data Collection on Maternal Deaths - 09/06/2023

A bill that became law in December is designed to help states fix some of their problems with collecting maternal death information. The Preventing Maternal Deaths Act of 2018 would help states and fund maternal mortality review committees that can evaluate, improve, and standardize maternal death data.

Zika Reminder: Mosquito Repellent Covered Under Medicaid - 09/06/2023

To protect against Zika, mosquito repellent prescriptions are covered through Medicaid and other state programs, including the Children’s Health Insurance Program.

How to Identify Dual-Eligible Patients - 08/23/2023

The Centers for Medicare & Medicaid Services has been working to rein improper billing of Qualified Medicare Beneficiary program-enrolled patients, who have both Medicare and Medicaid coverage. You can verify patient status in several ways.  

Medicaid Drops Thousands of Texans; Many Still Qualify - 08/07/2023

Texas’ effort to “unwind” continuous Medicaid coverage – a pandemic-era benefit – has resulted in a steep coverage cliff. State officials and advocates urge physicians to help soften patients’ falls. Read more.

TMA Leaders Outline Initiatives to Protect Texas Mothers, Children - 07/17/2023

The Texas Medical Association will call on Texas lawmakers to support initiatives designed to improve maternal and children's health during this year's legislative session, according to the chairs of two TMA committees who spoke at Winter Conference in Austin on Saturday.

Mastering Quality Reporting: Ease the Challenge of Quality Reporting - 07/10/2023

Understanding the maze of quality reporting pathways may help ease the challenge.

Physician-Led Results: Medicaid Rate Increase - 06/28/2023

Texas physicians aimed to win a focused Medicaid rate increase in this year’s Texas legislative session, one designed to improve coverage for children and young mothers. For the first time in more than a decade, they got it.

Stop Maternal Deaths: Texas Report Reinforces TMA Legislative Priorities - 03/10/2023

The latest biennial survey of maternal death and illness shows why the Texas Medical Association made improving maternal health one of its top priorities for the current state legislative session.

The Unwinding: What the End of the COVID PHE Means for Continuous Medicaid Coverage - 02/24/2023

After nearly three years and 11 extensions, the federal public health emergency related to COVID-19 is poised to end this spring, and with it, continuous Medicaid coverage for more than 2.5 million Texans.

Maternal Death Report Reinforces TMA Priorities for Maternal Care - 12/29/2022

The latest biennial report on maternal deaths in Texas and a subsequent update show Texas still has a long way to go to adequately protect the health of women in their child-bearing years – especially women who are Black – reinforcing the Texas Medical Association’s long-standing efforts to improve maternal care and access.

Counting on Women’s Health: Texas Takes Steps to Fix Maternal Mortality Data - 11/23/2022

There is a lot of confusion about how cases of maternal death and illness are counted in Texas, and the work of unraveling that confusion falls on the Texas Maternal Mortality and Morbidity Review Committee.

Marketplace Enrollment Could Help Blunt Potential Uninsured Surge as Public Health Emergency Ends - 11/11/2022

AA number of positive changes expanding access to and affordability of federal marketplace health plans could be coming just in time as Texas’ uninsured rate stands to worsen after the end of the public health emergency.

Commissioned With Change : An Interview With HHSC Commissioner Cecile Erwin Young - 11/11/2022

As leader of the state’s largest agency, Texas Health and Human Services Executive Commissioner Cecile Erwin Young is faced with some of the largest health care challenges among some of the most vulnerable patient populations. She visited the Texas Medical Association’s Winter Conference in late January to talk to Texas physicians about their concerns in caring for those patients, especially during a pandemic.

COVID-19 Now a Major Cause of Maternal Death, GAO Report Says - 11/01/2022

An analysis by the Government Accountability Office provides the first glimpse into the impact of COVID-19 on pregnant women, and – not surprisingly – the disease has become a leading cause of death among them, says Houston obstetrician-gynecologist Rakhi Dimino, MD, chair of the Texas Medical Association’s Committee on Reproductive, Women’s, and Perinatal Health.