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+: 

Doctors group warns of health risks for migrant children separated from parents

Medical experts are cautioning that there are long-term health risks for migrant children who are separated from their parents, including "irreplaceable harm" to those children's lifelong development.

News Author: 
Luis Sanchez

Treat Addiction Like Cancer

Two years ago, I spent a week in Houston helping my stepbrother while he underwent treatment for Stage 4 lymphoma at the University of Texas MD Anderson Cancer Center. I sat with him while a nurse cleaned his chemo port and made records of her work, to keep his medical team updated. I accompanied him for the blood tests that determined his readiness for the next treatment. I stayed by his bed as his stem cells were harvested for a transplant, one of the cutting-edge, evidence-based therapies that ultimately saved his life.

News Author: 
Laura Hilgers

Southeast Texas Medical Associates, LLP

Practice Type: 
Multispecialty practice
Private practice
Practice Setting: 
Urban
Practice Address: 
2929 Calder Suite 205
Beaumont, TX 77702

Southeast Texas Medical Associates, LLP was founded in 1995 by James L. Holly, M.D. and Mark A. Wilson, M.D. Their desire was to form a group practice and design a healthcare delivery system which would integrate all of the various components of a family's health needs in a multi-specialty setting. They took the best of the old healthcare-delivery system, which has provided outstanding care to Southeast Texas for decades, and merged it with a new technological approach .

PTN - VHA/UHC Alliance Newco (Vizient)

VHA and UHC will provide technical assistance support to help equip clinicians in their national network with tools, information, and support needed to improve quality of care, increase patients’ access to information, and spend health care dollars more wisely. As a national Practice Transformation Network, VHA-UHC will work with approximately 26,000 clinicians to help expand their quality improvement capacity, learn from one another, and achieve common goals of improved care, better health, and reduced cost.

UnitedHealthcare Patient-Centered Medical Home Program- Texas

UnitedHealthcare currently operates 13 medical home programs in 10 states for the commercially insured population  These programs include more than 2,000 participating physicians and 300,000 members. 

3rd Annual Primary Care and Texas Health Home Summit

2015-06-18 14:59 to 2015-06-19 14:59

Join your colleagues in San Antonio for the third annual Texas Primary Care and Health Home Summit June 18-19, 2015!

Announcement Type: 

S.B. 7, 82nd Legislature

The legislation called for a study by the Health and Human Services Commission (HHSC) 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.

S.B. 58, 83rd Legislature, Regular Session, 2013

The legislation charges HHSC with integrating behavioral and physical health services within the Medicaid managed care program.

UnitedHealthcare launches physician-led ACO in TX

While this new ACO relationship is UnitedHealthcare's first such in North Texas, the payer has been a leader in moving toward value-based reimbursement models.UnitedHealthcare reports that their physician and hospital reimbursements that are tied to value-based programs have nearly tripled in the last three years to $36 billion annually, and the company projects this number will reach $65 billion by 2018.

News Author: 
Heather Caspi

16th Annual International Summit on Improving Patient Care in the Office Practice and the Community

2015-03-15 12:00 to 2015-03-17 12:00

The 16th Annual International Summit on Improving Patient Care in the Office Practice and the Community will bring together more than 1,000 thought leaders from around the globe, in an intimate and dynamic conference setting, to examine new ways to improve care delivery and coordination across the continuum. Together with our expert faculty, explore how individuals and communities can have an impact on improving care, promoting health, and lowering costs within our changing health care system.

Announcement Type: 

Pages

Subscribe to RSS - Texas
Go to top