The Texas Legislature Passed the Nation’s Model Prior Authorization Law HB 3459, which passed in May 2021, will: Prohibit a PPO or HMO regulated by the state of Texas from requiring a prior authorization for a physician who meets certain thresholds. If during a prior six-month period a physician was approved for at least 90…
The Centers for Medicare and Medicaid Services (CMS) finalized an extension of the Comprehensive Care for Joint Replacement (CJR) demonstration on April 29, and the extension will add an additional three years through 2024. The extension will only apply to hospitals in the mandatory portions of the demonstration. Click here to read CMS’s final rule.…
October 3, 2016 Dear TOA Member: On May 18, 2016, the U.S. Department of Health and Human Services (HHS) issued a final rule regarding the Affordable Care Act’s non-discrimination policies in Section 1557. Click here to read a very lengthy summary from the Kaiser Foundation. The provision requires covered entities (physician practices) to post…
TEXAS ORTHOPAEDIC ASSOCIATION, INC. BYLAWS ARTICLE IThe name of this organization shall be the TEXAS ORTHOPAEDIC ASSOCIATION, INC. (hereinafter called the “Association”). ARTICLE IIPurposeSection 1. The purpose of this organization is to: Foster cooperation among the orthopaedic surgeons in the State of Texas. Encourage scientific, educational, and charitable endeavors which will promote and advance the…
