Blog Archives

Tennessee Payment Reform Initiative Questioned

In February, TMA Past President, B. Winfred Ruffner, MD, along with TMA’s Vice President, Yarnell Beatty and Assistant General Council,

Tagged with: , , , , , , ,
Posted in Blue Cross Blue Shield News, Headlines, Health Insurance Exchange News, insurance, Insurance News, Legal, Legal News, Medicare Insurance News, News, Physician Information, TennCare Insurance News

TennCare News and Advocacy for February 2014

Payment Reform Initiative For basic information as to what this is, please see last month’s report. On February 26, TMA

Tagged with: , ,
Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

TennCare News and Advocacy for January 2014

Payment Reform Initiative The TennCare program is a recent recipient of a federal State Innovation Model (SIM) grant to facilitate

Tagged with: , , ,
Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

TennCare’s Budget Cuts for 2015

Tennessee’s Health Care Finance and Administration (HCFA) and TennCare officials outlined their proposed budget and subsequent budget cuts during a

Tagged with: , , , , , , ,
Posted in Government Health Insurance, Headlines, insurance, Insurance News, Insurance Plan Programs, News, TennCare Insurance News

TennCare News and Advocacy for December 2013

Payment Reform Initiative The TennCare program is a recent recipient of a federal State Innovation Model (SIM) grant to facilitate

Tagged with: ,
Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

TN Payment Reform Initiative Delay

Organized medicine is responsible for the TN Payment Reform Initiative Delay. Due in part to the advocacy efforts of TMA and other

Tagged with: , , , ,
Posted in Government Health Insurance, Headlines, health reform, Health System Reform, insurance, News, TennCare Insurance News

TN Payment Reform Initiative Impacts Medicaid Reimbursement

Physicians can learn all about the Tennessee Payment Reform Initiative, which will change Medicaid reimbursement (TennCare) for providers, in a

Tagged with: , , , , , , ,
Posted in Government Health Insurance, Headlines, insurance, Insurance Issues and Solutions, Insurance News, Insurance Plan Programs, Legal, Legal News, News, Payment Issues, TennCare Insurance News

TennCare Pay Increase for Primary Care Physicians Effective Jan. 1

Effective January 1, 2013, qualified primary care physicians as detailed by CMS regulation are to receive a rate increase through

Tagged with: , , , , , , ,
Posted in Government Health Insurance, Headlines, insurance, Insurance Issues and Solutions, Insurance News, News, Payment Issues, Physician Information, TennCare Insurance News

TMA and TNA: Medicaid Expansion an Investment in the Future

The TMA and the Tennessee Nurses Association (TNA) have joined forces to urge state officials to opt for Medicaid expansion

Tagged with: , , , , , , ,
Posted in General Health System Reform News, Government Advocacy News, Government Health Insurance, Headlines, health reform, Health System Reform, Health System Reform News, insurance, Insurance News, News, Press Releases, TennCare Insurance News

Alert: Some HHS Activities Continue, Some Cease Under Government Shutdown

Some Department of Health and Human Services (HHS) programs and healthcare services will continue under a federal government shutdown, while

Tagged with: , , , , , , , ,
Posted in General Health System Reform News, Government Advocacy News, Government Health Insurance, Headlines, Health System Reform News, Legal News, Medicare Insurance News, Member Alerts, News, TennCare Insurance News

TennCare to Cover Facet Injections With Limits

TennCare has reversed its decision to stop paying for Facet joint injections starting October 1, thanks to the advocacy of

Tagged with: , ,
Posted in Government Health Insurance, Headlines, Insurance News, News, TennCare Insurance News

TennCare Payment Reform Emphasizes Outcomes, Care Delivery

TimeEqualsMoney

The Tennessee Medical Association is actively monitoring the progress of TennCare’s new payment reform initiative, set to begin in early

Tagged with: , ,
Posted in Government Health Insurance, Headlines, Insurance News, News, TennCare Insurance News

New Medicaid Refund Policy Issued By TennCare

The Bureau of TennCare has released a new policy on the Medicaid reclamation refund process; physicians should familiarize themselves with

Tagged with: , ,
Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

Legal Analysis: Professional Responsibility For Mid-Level Providers

What does it mean for a supervising physician to accept “professional responsibility” for mid-level providers in their practice? Attestation of

Tagged with: ,
Posted in Insurance News, News, TennCare Insurance News

TennCare MCOs Implement Rate Reduction For OB Deliveries

Due to TennCare budget cuts, obstetrical practices in Tennessee are beginning to receive either recoupment demands or letters notifying them

Tagged with: , ,
Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

Alert: Letters Sent On TennCare Primary Care Rate Increase

Physicians will soon receive letters from TennCare MCOs outlining how they will receive the new payment increase for Medicaid primary

Tagged with: , ,
Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

Absent Federal Funds Force More TennCare Cuts

A lack of hoped-for federal funding has forced TennCare officials to enact another 4.25-percent reimbursement cut for certain services, effective

Tagged with:
Posted in Insurance News, News, TennCare Insurance News

VSHP Quest Lab Exclusion List Updated

The Volunteer State Health Plan (VSHP) Quest Lab Exclusion List has been updated to include POS 24 – Ambulatory Surgical Center, identified

Tagged with: ,
Posted in Insurance News, News, TennCare Insurance News
Be Seen With TMA!

Advertise your company with 4 ad sizes to help maximize your exposure. For pricing information, contact Michael Hurst, Director of Business Development.

Categories