The U.S. House passed a stand-alone Medicare package on December 7 that would address a significant portion of the 9.75% physician Medicare cuts that are scheduled to go into effect on January 1, 2022. In short, the 9.75% Medicare cut would become a .75% cut on January 1, 2022. The bill now moves to the Senate for…
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…
Have you paid your TOA dues for 2021? If you aren’t sure, email edberg@toa.org. If you have an interest in contributing to the Texas Orthopaedic Association Political Action Committee (TOPAC), click here to contribute. Click here to send a message to your state lawmakers about opioids today. Click here to fill out the CME evaluation so…
TOA submitted comments to Rep. Hugh Shine related to HB 2247, which would give the State Office of Risk Management (SORM) the ability to determine whether a demonstration project for prior authorizations within Texas’ Workers’ Compensation program would result in greater efficiency for the system. TOA opposed 2017 legislation due to the fact that it…
The Texas Orthopaedic Association (TOA) offered testimony today on SB 207 in the Texas Senate Committee on State Affairs earlier today. Click here to view TOA’s proposed language.
