Two newly developed TMA resources examine how insurance plans' network designs and payment decisions are leaving many Texans with "surprise bills" for health care services.
A proposed supersize merger in the Texas health insurance market raises concerns about fewer health care options and higher costs for patients, according to Texas Medicine magazine.
Sooner than later, physicians will have to prepare for participation in one of the new quality-focused payment pathways set to replace Medicare's Sustainable Growth Rate (SGR) formula, which Congress eliminated in April via the Medicare and CHIP Reauthorization Act (MACRA).
TMA’s Hassle Factor Log® helps you resolve insurance-related problems. TMA meets regularly with Medicare, Medicaid, health plans, and large insurers to discuss the specific problems that you bring to our attention.
Physicians and patients are tired of the administrative roadblocks that came with the expansion of Medicaid managed care in Texas and the toll they take on access to care. Thanks to advocacy by the Texas Medical Association's Medicaid Congress and cooperation from new Medicaid leadership, relief may be in sight.
Got Insurance questions? Call or email the Knowledge Center.