Stories written by Emma Freer

Lifelong Leadership: TMA Debuts Development Program for Physicians at Every Career Stage - 03/26/2024

The Texas Medical Association's new Lifelong Leadership Program is a self-paced, 18-month program free to any TMA member physician; along with the Leadership College and the Leadership Summit, the program responds to members' requests for more career development opportunities.


Straight Shooter: Incoming TMA President Ray Callas, MD, Aims for Practice Protections, Membership Gains - 03/26/2024

Incoming Texas Medical Association President Ray Callas, MD, an anesthesiologist from Beaumont, cites as his top priorities preventing scope-of-practice creep, defending physician autonomy, and bolstering the TMA's membership.


MedPAC Backs Medicare Physician Payment Increase – Again - 03/26/2024

Echoing advocacy by the Texas Medical Association and others in organized medicine, the Medicare Payment Advisory Commission recently reupped its recommendation that Congress increase Medicare physician payment by tying such payment to inflation, among other factors.


CMS to Debut Primary Care Payment Model - 03/25/2024

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.


Congress Mitigates 2024 Medicare Physician Pay Cut - 03/21/2024

Congress recently passed legislation halving the 3.4% Medicare physician pay cut that took effect on Jan. 1, 2024, following a months-long, high-pressure advocacy campaign by the Texas Medical Association, the American Medical Association, and others in organized medicine. But TMA and its allies continue to push for additional reform given that any cut threatens physicians’ practice viability and vulnerable patients’ access to care.


TDI Proposed Rules for State Network Adequacy Law Raise Strong Concerns - 03/20/2024

After securing network adequacy reform during the 2023 regular state legislative session, the Texas Medical Association has shifted its focus to ensuring the Texas Department of Insurance’s network adequacy rules conform to the plain language and intent of the law.


Cyberattack Prompts CMS to Extend 2023 MIPS Flexibilities - 03/19/2024

The Centers for Medicare & Medicaid Services recently announced two flexibilities related to Medicare’s Merit-Based Incentive Payment System 2023 performance year, citing the recent cyberattack on Change Healthcare and heeding advocacy by organized medicine.


Closing the Loop: Payers Address Social Drivers of Health - 03/15/2024

Houston family physician Lindsay Botsford, MD, received a call in late February from a Medicare patient with shingles. She prescribed an antiviral medication to treat the infection – and then the real work began.


Medicare Advantage – and Disadvantage: Program Enrollment Grows Amid Physician Concerns - 03/15/2024

Despite its growing popularity among Medicare patients, Medicare Advantage is divisive among physicians.


Power Data: Texas' Claims Database Will Help Clarify Care Costs - 03/15/2024

Texas is building an all-payer claims database, which will provide a clearer view of opaque health care costs.


Medicare Sunsets Beleaguered Appropriate Use Criteria Program - 03/14/2024

After longstanding opposition from the Texas Medical Association and others, the Centers for Medicare & Medicaid Services finally nixed the appropriate use criteria program for advanced diagnostic services as part of the 2024 Medicare physician fee schedule.


Feds’ Response to Cyberattack Aids Physicians, But Further Measures Needed - 03/14/2024

Eligible physician practices and others impacted by the recent cyberattack on Change Healthcare now may apply for accelerated and advanced payments for certain Medicare and Medicaid claims.


Medicare to Debut “Stay of Enrollment” Status for Physicians, Others - 03/13/2024

Medicare soon will introduce a “stay of enrollment” status for physicians and others enrolled in the federal program, despite pushback from the Texas Medical Association.


Residency Revival: Grassroots Advocacy Averts Residency Program Closure - 03/12/2024

Grassroots physician advocacy averts emergency medicine residency program closure.


Feds Capitulate to Some of TMA’s NSA Regulatory Challenges Amid Appeal - 03/06/2024

Although federal regulators are appealing a recent court ruling in one of the Texas Medical Association’s four lawsuits regarding their implementation of the No Surprises Act, TMA already can declare a partial victory – via footnote.


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.


Exceptional Circumstances: TMA Advocates “Legislative Clarity” Amid State Abortion Bans - 03/05/2024

TMA advocates “legislative clarity” amid state abortion bans.


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.


New Federal IDR Data Highlight Importance of Ongoing TMA Advocacy - 03/05/2024

Health professionals and facilities are prevailing in most out-of-network payment disputes resolved under the federal No Surprises Act, but the implementation of the law remains flawed, as indicated by a significant backlog of unresolved disputes and other issues.


Extensions to End for Dispute Resolution Process Under No Surprises Act - 03/01/2024

After courtroom advocacy by the Texas Medical Association, physicians seeking to resolve out-of-network billing disputes under the No Surprises Act (NSA) received extensions of certain deadlines within the federal independent dispute resolution process. However, all currently applicable extensions will end March 14.


TMA to Start 2024 Listening Tour - 02/29/2024

The TMA Board of Trustees, leadership, and staff are hitting the road in 2024 to learn directly from Texas physicians what is working, what isn’t, and what TMA can do to ensure Texas is the best place to practice medicine.


New Law Prohibits Employer COVID-19 Vaccine Mandates, With Exceptions - 02/28/2024

Thanks to advocacy by the Texas Medical Association, guardrails for patient safety and practice viability are included in a new state law that prohibits employers, including physician offices and health care facilities, from mandating COVID-19 vaccines among employees.


CMS Lifts Ban on Texting Patient Care Orders - 02/28/2024

Clinicians in hospitals and critical access hospitals may now securely text patient information and orders to other members of the health care team if using a compliant platform, thanks to advocacy by the Texas Medical Association.


Grassroots Physician Advocacy Fuels Early TEXPAC Win - 02/16/2024

Looking to build on the victory, TMA’s bipartisan political arm has endorsed a long list of medicine-friendly candidates, informed by local physician support and its own rigorous evaluation process. The Texas primary election is on March 5. Read more.