About TMA Related Organizations TMA Calendar Site Map Contact Us

Monday, March 10, 2014

TMA WORKING WITH BLUE CROSS TO CLEAN UP THE MARKETPLACE MESS

 We continue to hear horror stories of how much trouble physicians are encountering as they try to provide care to patients covered by the federal Affordable Care Act (ACA) marketplace exchange plans. We’re seeing difficulties in confirming patients’ coverage and trouble referring patients to specialists. TMA’s Payment Advocacy staff has begun weekly calls with Blue Cross and Blue Shield of Texas — which has marketplace plans in all 254 Texas counties — to address these issues, improve service, and help make the exchange better for patients and doctors. Blue Cross continues its efforts to reduce long hold times for practices attempting to verify eligibility for patients who have new coverage through the exchange. Through the TMA Hassle Factor Program, we are putting offices that are experiencing these difficulties directly in contact with senior Blue Cross personnel to resolve the problems. Have questions? See our updated, members-only question-and-answer white paper on the marketplace exchange plans.

No comments: