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Monday, April 29, 2013


“Like a rundown house in need of repair, you’ve got to pick up a hammer and start somewhere. Increasing Medicaid payment rates to Medicare parity is the nail that needs to be hit first.” That was the take-home line of a letter TMA President Michael Speer, MD, sent to the five state senators and five representatives who are hammering out the details of the 2014-15 state budget. “Over the past several months, there has been considerable attention paid to Texas’ ‘broken’ Medicaid system, with particular interest in the plummeting physician Medicaid participation rate and the impact that exodus is having on patients’ ability to obtain timely, medically necessary care,” Dr. Speer wrote. He pointed out that “grossly inadequate payment” is the single largest reason our members gave to TMA’s Physicians Medicaid Congress for not participating in the program.

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