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Physician Ranking

  • TMA's Toolkit Helps You Challenge Unfair Rankings

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    Physician ranking (also known as physician tiering) has traditionally been a profiling methodology used by private insurance companies to steer patients toward lower-cost physicians. 

    TMA staff has developed a two page guide to appealing a health plan ranking or tiering based off HB 1888 which passed in the 2009 Texas Legislative Session. Physicians should use this information in developing their appeal to a health plan if they disagree with their ranking or tiering status.

    Get the Toolkit  

  • What Is Physician Ranking?

     
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    Physician ranking has traditionally been a profiling methodology used by private insurance companies to steer patients toward lower-cost physicians. 

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  • How Do I Dispute My Unfair or Inaccurate Rankings?

    TMA staff has developed a two-page guide to appealing a health plan ranking or tiering based off HB 1888.

    That bill passed in the 2009 Texas Legislature. Physicians should use this information in developing their appeal to a health plan if they disagree with their ranking or tiering status.

    Basic Steps for Reviewing and Disputing Physician Rankings & Tierings

  • Which Health Insurers are Currently Ranking Physicians?

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    Aetna, Blue Cross Blue Shield of Texas, Cigna, and UnitedHealth are among the plans currently ranking Texas physicians on cost and/or quality of care.

    Plans Currently Ranking Texas Physicians  
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