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New Lewin Report Shows Need For National Medicaid Out-of-Network Claims Policy
The Lewin Group today released a new report assessing the financial impact and administrative burden that out-of-network claims pose in Medicaid managed care. The authors of the report recommend a federally mandated payment standard for Medicaid health plans similar to that used in the Medicare Advantage managed care program.
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President Obama on Wednesday signaled in a letter to top Senate Democrats that he may be open to requiring all Americans to have health insurance coverage as part of health care reform.
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TMA "Deeply Troubled" By Health Reform Bill

Texas Medical Association (TMA) statement from TMA president William H. Fleming III, MD, regarding H.R. 3200, "America"s Affordable Health Care Choices Act of 2009," Congressional legislation to reform America"s health care system. "The physicians of the Texas Medical Association believe our health care system is broken and needs reform. However, we have concerns about the current House proposal, H.R. 3200, "America"s Affordable Health Care Choices Act of 2009." While it addresses some of health care"s ailments, it leaves gaping wounds which do not serve Texas patients well. "As physicians, our primary goal is to improve the health of our patients. We believe that patients and their physicians must be free to make choices that best fit their individual health care needs. This legislation severely limits those choices. "Therefore, TMA cannot support a proposal to create another government-payer health plan while existing government-payer plans, such Medicare, Medicaid, and the military health care program, TRICARE, are failing patients. We are deeply troubled there is no fix to the flawed Medicare funding formula, which limits seniors" ability to see a doctor when they need to; and the absence of medical liability reforms, which provide greater access to care to Texas patients. We remain extremely concerned that the "public option" will soon become the controlling payer in all health care, resulting in an unworkable government price-setting scheme like we now see in Medicare. TMA physicians also are concerned that this plan limits at which hospitals patients can receive care. "TMA physicians will continue to review and analyze H.R. 3200, and pledge to work with Congressional leaders and the Obama administration in crafting legislation that truly would improve health care - the patient-physician relationship - in the United States and Texas. As physicians, it is our ethical duty to provide leadership on these public policy decisions." TMA is the largest state medical society in the nation, representing nearly 44,000 physician and medical student members. It is located in Austin and has 120 component county medical societies around the state. TMA"s key objective since 1853 is to improve the health of all Texans. Click here to see TMA"s letter to the Texas congressional delegation. Texas Medical Association


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