TMA PracticeEdge, LLC, is pleased to announce service agreements with Houston Regional Accountable Care Organization, LLC, and Alliance ACO, LLC, in rural, south central Texas. TMA PracticeEdge anticipates these physician-led accountable care organizations (ACOs) will initially represent 50-plus physicians providing care and managing the population health for more than 12,000 patients.
The alphabet soup of Medicare's quality reporting programs has not been easy for physicians to swallow, or follow. But for many, they are an entry point to a fast approaching value-based care system that seeks to break the cycle of high health care spending and reorganize and reward care delivery around better patient health.
This guide breaks down the what, when, why, and how behind what has become a confusing web of requirements for physician practices at a critical juncture: In 2015, all three of Medicare's main physician quality reporting programs start penalizing practices for noncompliance, and penalties will grow into the future.
For most of my 18 years as a practicing neurosurgeon, I couldn't fathom working for a health insurance company. What sort of industry, I thought in those pre-2010 days, would be so coldly efficient as to reject anyone with a pre-existing condition as a part of its business model?
In Texas, 60 percent of practicing physicians operate independently, this despite shrinking reimbursements and increased governmental oversight and a heavier administrative burden. Stretch that demographic to the entire country and you’ll see the percentage of physicians who practice outside a hospital, clinic, or large group plunged to 35 percent in 2014, according to the most recent Physicians Foundation survey.
The Texas Medical Association’s new physician services organization has named a chief operating officer.
TMA PracticeEdge, which offers everything from contracting services to technology and care coordination for independent physicians, was announced last month. Dave Spalding will be its COO. He has been involved in...
TMA PracticeEdge, the new physician services organization launched by the Texas Medical Association (TMA), has named Dave Spalding as its chief operating officer.
Mr. Spalding brings to the position 15 years of experience as a health care executive. He has specialized in managing new ventures and high-growth businesses, including a management services organization company, a national telehealth network company, a five-star Medicare Part D administrator, and one of the largest health savings account banking companies in the country. Most recently, Mr. Spalding served as board chair of Availity, LLC, a trusted intermediary of information exchange between physicians, providers, and health plans.
The Texas Medical Association and BCBS think 'yes'
TMA PracticeEdge, the new company formed as a partnership between the Texas Medical Association and minority investor Blue Cross Blue Shield of Texas, has been widely reported to be an ACO. In fact, it's not an ACO at all. It's a service-based organization that will allow physicians to access tools, education and technology—and in some cases financial assistance—to become involved in both public and private coordinated care organizations.
Two of the most traditional actors in Texas health care are joining forces to see how they can improve quality and lower costs by transforming the way medical care is delivered.
The Texas Medical Association and Blue Cross and Blue Shield of Texas have launched a joint venture to help doctors become more efficient, save money and improve patient care as they struggle to survive in an evolving industry.
After two-and-one-half years of planning and negotiation, the Texas Medical Association in February launched TMA PracticeEdge, LLC, a new services company developed by TMA to bring physicians the technologies and expertise that are essential to providing—and proving—quality care.