TAHP’s agenda focuses on creating increasing affordable coverage and building on the success of Medicaid managed care in the state.

The full guide gives a comprehensive explanation of health insurance issues for the legislative session, the agenda focuses on key, proactive items.

This week, Rep. Capriglione filed legislation to give Texas employers the flexibility to select the best value in health insurance for their employees. HB 1001 would allow health plans to offer coverage that meets all the protections of insurance but is exempt from mandates that go beyond federal requirements.

TDI’s new biennial report on the state’s surprise billing law shows Texas patients are being protected from surprise billing, but that some physicians groups are misusing the law with overuse of arbitration and excessive billed charges.

88% of Texas voters say it’s important to have a strong, sustainable Medicaid program according to a new Morning Consult poll. Why it matters: Texas Medicaid provides coverage…

What’s New With the No Surprises Act? Final rules for the arbitration process of the No Surprises Act have…

Today’s Texas Medicaid is more than health care coverage—it connects Texans to the personalized care and support they need to stay healthy and live the fullest lives possible. Medicaid managed care gives Texans with complex medical needs access to caring health plan nurses that provide one-on-one support and walk families through every step of the complicated and overwhelming health care system.

What’s New With the No Surprises Act? Final rules for the arbitration process of the No Surprises Act have…

Today’s Texas Medicaid is more than health care coverage—it connects Texans to the personalized care and support they need to stay healthy and live the fullest lives possible. Medicaid managed care gives Texans with complex medical needs access to caring health plan nurses that provide one-on-one support and walk families through every step of the complicated and overwhelming health care system.

Yesterday, President Biden signed broad ranging legislation that includes several major health care initiatives, including extending the enhanced subsidies for ACA health plans. First part of the American Rescue Plan Act, these enhanced subsidies help make coverage affordable for many Americans, but were set to expire at the end of this year. Under the new legislation, the enhanced subsidies will go through 2025.

As the end of the COVID-19 Public Health Emergency approaches, the Texas Health and Human Services Commission (HHSC) is actively preparing to complete a large number of eligibility and enrollment actions. Beginning as soon as mid-October, an estimated 3.7 million Texans will need to have their Medicaid eligibility redetermined. For those individuals who found themselves needing Medicaid for the first time during the pandemic, this will be their first experience with the redetermination process. 

Health plans focus not just on the health of individual members, they also invest in the health of communities. By helping to build strong communities, health plans support better health outcomes for everyone. Since the beginning stages of the pandemic, Superior HealthPlan has worked with more than 70 schools and organizations in Texas to launch and fund hygiene closets for lower-income neighborhoods. Grants to the community-based organizations hosting the closets help organizations meet people’s basic needs and create community connection.

In 2021, 34.2% of adults in Texas reported symptoms of anxiety and/or depression. Experiencing mental health challenges can have long-lasting consequences, especially for vulnerable populations. Every Texan deserves access to mental health services. Today’s Texas Medicaid managed care organizations provide a broad spectrum of screenings and treatment services for mental health conditions and substance use disorders with timely access for members and appropriate follow-up care. Managed care allows for flexibility in developing new models of service delivery that are not possible in traditional fee-for-service. 

ov. Greg Abbott is making major changes in his office after his first two regular sessions — and a special session — bringing in several new senior staffers with deep legislative experience, according to aides.

oday, the Texas Association of Health Plans, sent the below letter on behalf of all health plans operating in Texas, to U.S. Senators and Representatives of the Texas Congressional delegation urging them to act swiftly to delay the onerous Health Insurance Tax. A copy of the letter can also be found here.

It’s been more than a week since Harvey ravaged the Texas Coast and left Houston — the nation’s fourth-largest city — grappling with unprecedented flooding. Do you need help? Or do you want to help those in need? Check out the resources below.

Texans enrolled in Medicare that had medical supplies that were lost or damaged due to Hurricane Harvey will have access to an altered set of rules for a short time.

The Texas Association of Health Plans (TAHP), the statewide trade association representing commercial and public health plans operating in Texas, today shared a growing list of its members’ efforts to assist Texans who were impacted by Hurricane Harvey. TAHP members serve more than 17 million people in Texas, and more than 50,000 of their employees call Texas home. Health plans and related entities in Texas are responding to the storm, both in the form of donations to relief efforts and also in offering 24-hour hotlines, free consultations with telemedicine physicians, assistance with emergency prescription refills and medical equipment, and more. 

The Texas Department of Insurance is urging health insurers in Texas to loosen restrictions and show flexibility for people who have already sought or may need medical or mental health treatment in coming weeks.