Texas

In 2011, S.B. 7, 82nd Legislature called for a study by the Health and Human Services Commission to submit a report to the Texas Legislature regarding the commission's work to ensure that Medicaid managed care organizations promote the development of patient-centered medical homes (PCMH) for recipients of medical assistance and provide payment incentives for clinicians that meet the requirements of a PCMH as required under Section 533.0029, Government Code. Beginning December 1, 2013, MCOs must develop and submit to HHSC an annual plan for expansion of alternative payment structures with its providers that encourage innovation, collaboration and increase quality and efficiency. The plans must include mechanisms by which the MCO will provide incentive payments to hospitals, physicians, and other providers for quality of care. Plans will include quality metrics required for incentives, recruitment strategies of providers, and a proposed structure for incentive payments, shared savings, or both.

 S.B. 58, 83rd Legislature, Regular Session, 2013  charges HHSC with integrating behavioral and physical health services within the Medicaid managed care program. Under this legislation, by September 1, 2014, HHSC shall establish two health home pilot programs in two health service areas, representing two distinct regions of the state for persons who are diagnosed with a serious mental illness and at least one other chronic condition.  

The Texas Department of State Health Services has an active Medical Home Learning Collaborative (MHLC), formerly the Medical Home Workgroup, which meets quarterly via conference call in order for members to share knowledge, implement strategies, and best practices on the philosophy and effectiveness of medical homes. Their mission is to enhance the development and promote the principles of the Patient-Centered Medical Home model within the state of Texas for all children and youth including those with special health care needs.

On May 23, 2014 the state of Texas signed a Memorandum of Understanding with the Centers for Medicare & Medicaid Services regarding a Federal-State partnership to test a capitated financial alignment model for the dual eligible population. 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
Yes
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
No
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
26,422,500
Uninsured Population:
20%
Total Medicaid Spending FY 2013: 
$28.3 Billion 
Overweight/Obese Adults:
66.1%
Poor Mental Health among Adults: 
28.1%
Medicaid Expansion: 
No
CPC+: 

Primary Care Collaborative Presents Primary Care Community Leadership/Research Award

One of three annual awards for excellence in the field

The Primary Care Collaborative (PCC) announced today the recipient one of its three annual awards for 2021. The awards recognize individuals and a practice in the primary care community that exemplify excellence in providing high-value primary care and shaping the policies that support such care. The award was presented during the PCC’s online working summit, being held Nov. 9 and 10.

Texas Primary Care Consortium Virtual Summit

2021-10-14 10:00 to 2021-10-15 15:30

Primary care is the foundation of a strong and effective healthcare system.

Announcement Type: 

In Dallas, an Expansion of ‘What Healthcare Should Be’

Amazon and Crossover Health are growing their partnership, flipping employer-sponsored primary care on its head.

Amazon is expanding its partnership with Crossover Health in DFW, opening four new neighborhood health centers in the region. The value-based model is directly contracted between Amazon and Crossover, cutting health insurance companies out of the arrangement entirely.

News Author: 
Will Maddox

Sustaining Primary Care Transformation Through a Pandemic and Beyond (day 5)

2020-11-19 12:00 to 14:30

With a theme of “Sustaining Primary Care Transformation Through a Pandemic and Beyond,” the 2020 Virtual Summit will be guided by a 4-part series of systems-focused discussions that allow us to learn from our current experiences and pursue a growth-oriented, forward-looking portrait of primary care in Texas.

Announcement Type: 

Sustaining Primary Care Transformation Through a Pandemic and Beyond (day 3)

2020-11-12 12:00 to 14:30

With a theme of “Sustaining Primary Care Transformation Through a Pandemic and Beyond,” the 2020 Virtual Summit will be guided by a 4-part series of systems-focused discussions that allow us to learn from our current experiences and pursue a growth-oriented, forward-looking portrait of primary care in Texas.

Announcement Type: 

Sustaining Primary Care Transformation Through a Pandemic and Beyond (day 2)

2020-11-05 12:00 to 14:30

With a theme of “Sustaining Primary Care Transformation Through a Pandemic and Beyond,” the 2020 Virtual Summit will be guided by a 4-part series of systems-focused discussions that allow us to learn from our current experiences and pursue a growth-oriented, forward-looking portrait of primary care in Texas.

Announcement Type: 

Sustaining Primary Care Transformation Through a Pandemic and Beyond (day 1)

2020-10-29 12:00 to 14:30

With a theme of “Sustaining Primary Care Transformation Through a Pandemic and Beyond,” the 2020 Virtual Summit will be guided by a 4-part series of systems-focused discussions that allow us to learn from our current experiences and pursue a growth-oriented, forward-looking portrait of primary care in Texas.

Announcement Type: 

5 Ways Nixing The Affordable Care Act Could Upend The Entire Health System

If Friday night’s district court ruling that the Affordable Care Act is unconstitutional were to be upheld, far more than the law’s most high-profile provisions would be at stake.

In fact, canceling the law in full — as Judge Reed O’Connor in Fort Worth, Texas, ordered in his 55-page decision — could thrust the entire health care system into chaos.

News Author: 
Julie Rovner

New Texas Medical School Set to Emphasize Primary Care

Something big is brewing in Texas -- a new medical school that aims to change the way medical students in the state are recruited and trained, and that ultimately will steer many of them straight into a career in primary care. 

Plans for the University of Houston (UH) College of Medicine were first discussed in 2013, and a vision for its framework began to take shape in 2014.

News Author: 
Sheri Porter

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