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On Demand Webinar

Health Insurance Exchange: Business Impact


Credit(s): 1 AMA PRA Category 1 Credits™ (Enduring)
Course Number: PME-HIX/GEN
Duration: 59 minutes
Access: Available until December 05, 2014
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  • With the Affordable Care Act (ACA) health care exchange up and running, officials expect it to make a dent in the state’s high uninsured rate. Roughly 6 million Texans — a quarter of the population — are uninsured. The Texas Health and Human Services Commission estimates 40 percent of those people are eligible for exchange subsidies. 

     

    For physicians, that could mean more patients walk in the door with health coverage. But the exchange still holds a lot of questions for doctors, especially exactly how the new marketplace health plans will play out in your practice. You need to figure out if you are participating in the plan(s) offered in your area and if they will affect your current payer contracts. You’ll need to learn how to identify patients on the exchange plans and what happens if these patients fail to keep current on their premium payments.

     

    Released: Dec. 5, 2013

    Expires: Dec. 5, 2014

     

     

    Target Audience
    Physicians in all specialties and practice managers

     

    Course Objectives

    Upon completion of this program participants should be able to:

    • Identify the challenges of determining if you are participating in qualified health plan networks;

    • Recognize the potential impact to existing health plan contracts; and

    • Discuss and develop processes for verifying coverage and collections policies for patients participating in the  exchange.

     

    Teaching Methods

    • Lecture

    • Questions and answers

     

    System Requirements

    • A Window's based computer or laptop with speakers, and 

    • Microsoft Silverlight. Click here to test that you have Silverlight. Please call (877) 880-1335 if you need technical support.

     

     

    1 AMA PRA Category 1 Credits™ (Enduring)   The Texas Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The Texas Medical Association designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    The Texas Medical Association requires physician to complete 70-percent of the test questions correctly to receive credit for this course.

    See TMA’s Web Site Privacy Statement

    Steven T. Levine, Vice President, Communications

    Steve Levine is vice president of communication for Texas Medical Association, the largest and strongest state medical society in the United States. Steve is a communications team player. Whether the task is message development, media relations strategy and tactics, social media, speechwriting or simply editing a news article, Steve begins and ends with the client’s needs foremost. And he brings his team of communications professionals – along with their magazine and their newsletter and their Web site and their social media outlets and all their personal skills – to the task. Their job is to help their clients deliver the right message to the right audience the right way.

     

    Steve is a graduate of two of the largest colleges in the country – the Pennsylvania State University and the University of Texas at Austin – and he also has two and one half years of medical school training under his belt. He has worked as a newspaper reporter for the Hearst Corporation in the Texas capitol press corps and served as a press secretary for former Texas Attorney General Jim Mattox and former state Comptroller John Sharp. As communication director at the Texas Lottery Commission, Steve helped hundreds of the state’s newest millionaires celebrate their good fortune.

     

    Steve and his wife, Linda, live in Bee Cave, Texas, with one of their three children. His outside interests include advocacy on issues related to individuals with disabilities, photography, and travel.

     

    Lee Spangler, JD, Vice President, Medical Economics

    Mr. Spangler is Vice-President of Medical Economics for Texas Medical Association.  The Division of Medical Economics represents, develops policy, and advocates for TMA on regulatory, socioeconomic, and health policy issues at state and federal levels. For the nine years prior to his appointment as vice-president he was associate general counsel practicing insurance law, health law, and administrative law for the Association. Prior to working for Texas Medical Association, Mr. Spangler was the acting general counsel for the Texas State Board of Physician Assistant Examiners, a staff attorney for the Texas State Board of Medical Examiners, and a staff attorney with the Texas Department of Insurance where he specialized in issues relating to HMO solvency.

    DescriptionPagesFile Size
    ACA Exchange Plans Handount5 Pages795 KB
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