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Monday, March 12, 2012

HOW HAS DUAL-ELIGIBLE PAYMENT POLICY AFFECTED YOUR PRACTICE?

TMA’s fight to draw attention to the problems caused by the state’s new payment policy for dual-eligible patients hit the big time with an article in the New York Times. That piece, and a new TMA video, focus on the plight of La Joya family physician Javier Saenz, MD. But physicians across Texas have been squeezed by the decision to pay no more than the state’s Medicaid rate for services provided to patients who are eligible for both Medicare and Medicaid. State and federal officials say they have fixed a pair of computer problems that brought payments for many patients down to zero, but they haven’t announced when they will reprocess thousands of affected claims. TMA and the Hidalgo-Starr County Medical Society are hosting a March 27 town hall meeting on the issue in McAllen. In the meantime, we are collecting signatures on a petition asking lawmakers and the Health and Human Services Commission to “preserve access to quality health care.” We’re also asking all TMA-member physicians to share how the problem has affected their practice.

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