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May Owen, MD, Outreach Program - 02/23/2024

The May Owen, MD, Outreach Program is a grant program of the TMA Women Physicians Section (TMA WPS) that provides funding to bring female physician oriented programs and activities to small and mid-sized county medical societies.  


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.


The Power of One Voice: Elisabeth Potter, MD's Advocacy Helped Upend CMS' Plan to End Certain Breast Surgery Coverage - 11/01/2023

Elisabeth Potter, MD’s spirited advocacy helped upend CMS’ plan to eliminate coverage for a preferred breast reconstruction surgery.


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.


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.


Enhancing the Office Experience for Your Patients - 08/30/2023

Enhancing the Office Experience for Your Patients


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.  


Patient Care Protected: Women's Reproductive Health - 08/14/2023

One of the Texas Medical Association's top legislative priorities this session was to get clarity for physicians on how they can safely treat pregnant women while protecting the patient-physician relationship.


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.


Help Patients Make Wise Choices About Treatment Options - 07/20/2023

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


Texas Medicine Inbox: June 2017 - 07/17/2023

Inbox — June 2017 Tex Med. 2017 113(6) 6. I read with great interest the commentary, "Epidural Use Disparities by Spanish Speaking People in Labor," by Estevan A. Apodaca, MD, a family medicine resident,


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

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


Texas Physicians Push to Improve Health Care for LGBTQ Patients - 06/28/2023

Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ) patients face unique barriers that put them at greater risk for mental and physical health problems. Often, their health disparities result from a lack of family support, public prejudice, and fear of the health care system. Texas physicians have launched a new workgroup and are adapting their practices to treat this underserved population.


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.


Physician-Led Results: Women’s Reproductive Health - 06/28/2023

Physicians entered the 2023 legislative session with heavy concerns over and difficulties in interpreting Texas' abortion statutes when caring for pregnant women in crisis. A last-minute bill signed by Gov. Greg Abbott now provides some legal defenses under Texas' abortion ban when treating certain potentially life-threatening pregnancy complications.


TMA-Backed Bills Would Increase Access to Women’s Reproductive, Early Childhood Health Care - 03/24/2023

Twelve month postpartum coverage and a boost to certain Medicaid payments top a list of measures Texas lawmakers are moving on that would bolster women’s health care services, in line with the Texas Medical Association’s priorities for


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.


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.