May 24, 2021 The managed care model has transformed Texas Medicaid from a disjointed, ineffective system to a more…

When people visit a hospital, they are often in the most vulnerable position of their lives. They need to be able to trust that tests and treatments ordered for them are both safe and medically necessary.

In the last decade, Medicaid managed care transformed Texas Medicaid into a more efficient and effective system that helps Texans live healthy and full lives. The COVID-19 crisis has highlighted how managed care can respond to patient and community needs beyond what is available through a fee-for-service model.

heduled to hear two bills that would allow “insurance-like” products that would create instability in the market, drive up premiums, and expose Texans, particularly those with pre-existing conditions, to significant liabilities.

Thursday kicks off Nurses Week, which runs from May 6 through 12 this year. While all nurses deserve to be celebrated, TAHP would like to highlight a special group of nurses in Medicaid managed care. Texans with complex medical needs in Medicaid have access to health plan nurses who provide one-on-one support and walk families through every step of the complicated and overwhelming health care system.

When members of the Texas Legislature consider a bill, they often consider the fiscal note (an estimate of what new legislation would cost the state) to weigh the costs and benefits of the legislation and make a decision. But when it comes to health care, legislators also need to understand the financial impact new health insurance mandates have on Texas employers and families.