Trump releases seven-point health care reform plan . . . and it’s excellent!

I mentioned on Facebook yesterday that I am not that big a fan of election years, and here’s a case in point. At this moment, #NeverTrump is all the rage among conservatives, and there’s a tremendous push to get Republican primary voters united behind one remaining Trump rival to take the nomination away from him.…

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TDI Study proves Medicare based reimbursements large cause of patient Balance billing

TDI releases report on PPO out-of-network payments The Texas Department of Insurance today released the results of a survey that looked at out-of-network payments by preferred provider organizations (PPOs) for certain services. The survey found that most plans comply with the state requirement to pay such claims “at the usual or customary charge for the service.” TDI…

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Legislators Begin to Look at Network Adequacy in Balance Billing Fight

In the battle over balance billing, lawmakers are turning their attention to the state agency that maintains health insurance networks to ensure they’re robust and fair enough to make room for providers big and small. Earlier in the month, the Texas Tribune broke down the recent focus on network adequacy, featuring state Sen. Charles Schwertner…

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