2017 TAHP Managed Care Conference & Trade Show

October 23-25, 2017 • Registration Coming Soon!

The 2017 TAHP Managed Care Conference, “Connect. Innovate. Achieve.,” is quickly approaching! The conference will feature Dr. Uwe Reinhardt, one of the nation’s leading authorities on health care economics, plus a high-level roster of dynamic speakers who will be coming together to brainstorm and discuss ways to achieve greater value, affordability, transparency, and accessibility in health care.

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AHIP Health Care Forum

This half-day forum, geared for health care CEOs and their senior leadership teams, is more than a “sit-and-listen” meeting. You’ll engage in intense, roundtable-style conversations about the future of health care. You’ll network with peers from across the nation. You’ll address common challenges and discuss the realm of the possible.

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Medical Directors Forum Coming June 5th & 6th, 2017

Make plans now to attend or sponsor our upcoming Medical Directors Forum, June  5 & 6 in Austin! This forum’s topic is “Innovation In Care: Part 2.” • Monday, June 5th 5:00 p.m. – Networking Reception, The JW Marriott, Austin, TX • Tuesday, June 6th 7:30 a.m. – 3:30 p.m. – Medical Directors Forum, The JW Marriott, Austin, TX • Make plans now to attend! Please RSVP to me at pdoner@tahp.org if you wish to attend.

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TAHP Membership

Led by a team of seasoned health care policy and advocacy experts, the Texas Association of Health Plans is the statewide trade association representing health insurers, Medicaid plans, Medicaid Advantage plans, and other related entities in Texas. Experience the benefits of TAHP membership by joining today! Build relationships, promote your services, stay informed, and ensure you are well represented in the halls of the Texas Capitol and throughout the State government.

Become a TAHP Member Today

Building and Fostering Meaningful Relationships

TAHP hosts events year-round that provide opportunities to network in fun, informal venues with other health insurance and health care executives and professionals, legislators, agency leaders, and Capitols staffers and build meaningful relationships.

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Making a Positive Impact on the People of Texas

In addition to playing an integral role in keeping Texas healthy by covering more than 17 million Texans, the Texas insurance industry yields positive results for the economy—creating jobs and opportunity, and generating significant economic revenue for our State.

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Advocating for a Healthy Texas

The TAHP team is comprised of seasoned policy, government relations, and communications professionals with decades of experience on the state and federal levels. These key staff members successfully strategize, build relationships, and advocate for solutions that will make health care more affordable, more accessible and more valuable for all Texans.

More About TAHP Advocacy & Issues

Latest TAHP News
TAHP, TAB & Others Launch Coalition to Tell the Truth About Freestanding ERs

This week, TAHP, TAB, TALHI, TAHU, and TORCH launched a coalition to raise awareness about freestanding ERs, their exorbitant pricing and misleading a. . . read more Thu, 23 Feb 2017 19:15:07 GMT

HAC Begins Meeting

HAC started meeting this week with presentations by the Legislative Budget Board. On Wednesday the LBB provided an overview of Medicaid. Total Medicai. . . read more Thu, 23 Feb 2017 19:15:06 GMT

Trump Administration Releases Proposed Rule Addressing Market Stabilization Issues

This week HHS released a proposed rule that takes steps aimed at stabilizing the individual and small group health insurance markets. The proposed rul. . . read more Thu, 23 Feb 2017 19:15:05 GMT

Texas Association of Freestanding Emergency Centers Makes False Claims About Underpayments By Insura

The Texas Association of Freestanding Emergency Centers (TAFEC) issued a press release this week claiming 3,400 requests for mediations in Texas are c. . . read more Thu, 23 Feb 2017 19:11:57 GMT

Legislators File Bill Extending Sunset Date of State-Run Medicaid Formulary

HB 1917 (attached) was filed this week by Raymond, Zerwas, and Four Price.  The bill extends the sunset date of the state run VDP Medicaid formul. . . read more Thu, 23 Feb 2017 19:10:20 GMT

HHSC Releases 2017 Fact Book

HHSC has released the Fact Book for 2017, which provides overview of Medicaid programs and caseloads and the 11th Edition of Medicaid/CHIP in Perspect. . . read more Thu, 23 Feb 2017 19:09:03 GMT

CMS Projects Accelerating Health Care Cost Growth

Overall health care spending is expected to rise over the next decade and account for 19.9% of the economy by 2025, with the pace of growth to rise 5.. . . read more Thu, 23 Feb 2017 19:08:38 GMT

Kaiser Releases Interactive Tool to Compare Proposals to Replace ACA

A new interactive tool from the Kaiser Family Foundation enables users to create side-by-side comparisons of major ACA alternative plans, now includin. . . read more Thu, 23 Feb 2017 19:06:02 GMT

AHIP: 20 Million Americans Have Health Savings Accounts

The use of health savings accounts has exploded over the last decade, according to a new survey released by AHIP. Just over 20 million Americans had a. . . read more Thu, 23 Feb 2017 19:05:13 GMT

Reminder/Materials for Visiting Capitol Offices

Just a reminder that TAHP has everything you need to visit Capitol offices and get the word out about legislative priorities, including Session Guides. . . read more Thu, 23 Feb 2017 19:03:38 GMT

House Committee Scheduled Announced

Click here to access the full 85th House Committee Schedule. Below are important hearings happening next week: Monday The House Appropriations Subcom. . . read more Thu, 23 Feb 2017 19:02:25 GMT

FOR IMMEDIATE RELEASE • May 19, 2017

FOR MORE INFO CONTACT: Jessica Sandlin, jsandlin@tahp.org


Pro-Consumer Legislation Requiring Greater Transparency from Freestanding ERs Headed to the Governor

May 19, 2017

AUSTIN—The Texas Association of Health Plans (TAHP), the statewide trade association representing commercial and public health plans operating in Texas, today applauded Senate passage of Rep. Tom Oliverson’s HB 3276, which requires independent freestanding emergency rooms in Texas, which are almost all out-of-network for insured Texans, to be more transparent and upfront with patients about their network status. HB 3276 now heads to the Governor for his signature.

With health care costs rising across the board, more than ever Texans deserve greater transparency and more information to make the best health care decisions for their families, their medical needs, and their budgets. Freestanding ERs pose the biggest concerns for confusing advertising, scant details, out-of-network care, and exorbitant pricing. We applaud Rep. Oliverson and his fellow legislators for taking an important step today to hold freestanding ERs accountable and better equip consumers so they can make more informed decisions and protect themselves against surprise medical bills,” said Jamie Dudensing, TAHP CEO and a former practicing nurse.

HB 3276 would:

  • Help consumers know if a freestanding ER is in their health plan’s network by increasing disclosure requirements of network status at freestanding ERs.
  • Require these facilities to tell Texans explicitly if they are in the patient’s health plan network or not in their health plan network.
  • Require freestanding ERs to post a notice that informs patients if the facility does not participate in any health plan network.

Background:

Texas is home to more than half the nation’s population of freestanding ERs (FSERS), which largely choose to remain out of network, allowing them to charge up to 10 times more than similar urgent care centers. FSERs often mislead consumers by telling them they “accept” their insurance, when in reality most are not in their insurance networks. In their recent editorial “Billing abuses at standalone emergency care centers are costing Texans a hefty chunk of change,” the Dallas Morning News editorial board wrote: “Consumers shouldn’t be stunned with predatory charges when they make a health care choice…Some freestanding emergency rooms even tell patients that their insurance will cover the procedure when they know that the facility or the doctor are not in the health plan network. Such misleading behavior is unconscionable.”

  • There are more than 200 FSERs in Texas – more than half the nation’s population of these facilities.
  • Freestanding ERs pose the highest risk or surprise medical bills for Texans and are responsible for nearly 70 percent of out-of-network emergency facility claims in Texas.
  • Charge for treating a cough at a freestanding ER: $3,044. Treating a cough at an urgent care center: $180.

Read more about the emergency care cost crisis in Texas, along with background on freestanding ERs and how they use misleading advertising, charge exorbitant prices, and refuse to go in network:

Amerigroup Texas Names Health Plan President

Amerigroup Texas Names Health Plan President TAHP Member Amerigroup Texas last week announced Tisch Scott has been named health plan president, effective immediately. Scott, a 24-year industry veteran, succeeds LeAnn Behrens who was recently named president of the...

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BCBS TX Names New President

BCBS TX Names New President Blue Cross and Blue Shield of Texas has named Dr. Dan McCoy president, effective July 1, succeeding Bert Marshall, who will retire. Marshall is retiring after 20 years with the company, during which he also served as president of Blue Cross...

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