One-Pager Opposing HB 4823: Undermines Managed Care
- HB 4823 expands the use of out-of-network care and incentivizes providers to remain out of network to gain higher reimbursement, resulting in increased costs for the Medicaid program and reduced ability of a MCO to ensure quality and coordinate care.
- HB 4823 wraps physician specialists in with equipment suppliers with the goal of giving DME suppliers the same continuity of care protections reserved for physician-patient relationships. There is no shortage of access to DME in Texas and this definition change creates a costly incentive for those suppliers to stay out-of-network.
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