Texas House Bill HB2197

Texas 2009 - 81st Regular

Caption

Relating to the implementation of a quality improvement initiative in the Medicaid program.

Impact

The enactment of HB 2197 would modify the existing framework guiding quality measures and healthcare reimbursements under Medicaid in Texas. By implementing a pay-for-performance system, the bill seeks to incentivize healthcare providers to deliver improved outcomes for patients, particularly those with chronic conditions. Such changes aim to align Medicaid services better with successful health outcomes while focusing on the efficient use of resources. The bill also emphasizes the importance of data-driven, recipient-centered approaches to healthcare, potentially reshaping how Medicaid recipients experience care.

Summary

House Bill 2197 sets forth a legislative initiative aimed at enhancing the quality of care within Texas's Medicaid program. The bill empowers the Health and Human Services Commission to implement various quality improvement strategies designed to benefit medical assistance recipients. These strategies may include establishing disease management outcomes, a pay-for-performance reimbursement system, expanding evidence-based care standards, and developing a medical home model for primary care services. The overarching goal is to create more effective healthcare delivery for vulnerable populations relying on Medicaid services.

Contention

Discussions around HB 2197 may include debates on the balance between improving healthcare quality and ensuring accessibility and affordability. Opponents might express concerns regarding the administrative burden placed on healthcare providers due to new quality measurement and reimbursement models. Additionally, questions about the effectiveness of pay-for-performance systems in achieving desired health outcomes could lead to contention among stakeholders, including healthcare providers and policymakers. Such debates would be critical in evaluating whether the proposed quality improvement initiatives truly benefit those receiving Medicaid services.