Thursday, December 15, 2022

Good News, Bad News on Texas’ Surprise Billing Law

Download PDFby Blake Hutson TDI’s new biennial report on the state’s surprise billing law shows that Texas patients are being protected from surprise billing, but that some physicians groups are misusing the law with overuse of arbitration and excessive billed charges. Background: In 2019, the Texas Legislature passed SB 1264 protecting patients from surprise medical…

Wednesday, October 19, 2022

New Poll: Texas Voters Support a Strong Medicaid Program

Download PDF88% of Texas voters say it’s important to have a strong, sustainable Medicaid program according to a new Morning Consult poll. Why it matters: Texas Medicaid provides coverage for 18% of Texas residents. Next to employer-sponsored coverage, it is the largest source of health insurance in the state. Texas Medicaid provides coverage for children, including those with special care needs, pregnant women, individuals with mental…

Tuesday, September 20, 2022

Surprise Billing Rules

Download PDFWhat’s New With the No Surprises Act? Final rules for the arbitration process of the No Surprises Act have been issued. While the No Surprises Act went into effect at the beginning of the year and has already protected millions of patients, the process for settling disputed payments between providers and insurers has been…

Monday, September 12, 2022

Medicaid Monday: Service Coordinators Connect Members to Services

Today’s Texas Medicaid is more than health care coverage—it connects Texans to the personalized care and support they need to stay healthy and live the fullest lives possible. Medicaid managed care gives Texans with complex medical needs access to caring health plan nurses that provide one-on-one support and walk families through every step of the complicated and overwhelming health care system.

Wednesday, August 17, 2022

Enhanced ACA Subsidies Mean More Coverage for Texans

Yesterday, President Biden signed broad ranging legislation that includes several major health care initiatives, including extending the enhanced subsidies for ACA health plans. First part of the American Rescue Plan Act, these enhanced subsidies help make coverage affordable for many Americans, but were set to expire at the end of this year. Under the new legislation, the enhanced subsidies will go through 2025.

Monday, August 8, 2022

Medicaid Monday: Managed Care Organizations Partnering with HHSC To Address Eligibility Issues After the Public Health Emergency

As the end of the COVID-19 Public Health Emergency approaches, the Texas Health and Human Services Commission (HHSC) is actively preparing to complete a large number of eligibility and enrollment actions. Beginning as soon as mid-October, an estimated 3.7 million Texans will need to have their Medicaid eligibility redetermined. For those individuals who found themselves needing Medicaid for the first time during the pandemic, this will be their first experience with the redetermination process. 

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