To serve as a primary resource on federal and state payment and taxation issues that could impact physician business operations. To assist with research on advance directives/end of life issues as related to current or future state legislation.
Legislative Advocacy • Read and analyze federal legislation on the following subjects: o Medicare physician payment and, to the degree necessary, other Medicare fee rules (e.g. outpatient hospital, ASC) o Health care reform o Regulation of physician office operations (e.g. CLIA) o Anything else that could impact physician business operations or viability • Read and analyze state legislation on the following subjects: o Business or health care taxation o Advance Directives o Workers comp fee schedules o Balance billing o Physician fees o Anything else that could impact physician business cost or operations • Provide information to TMA advocacy staff to inform and support advocacy efforts, including, o Survey results o Data-based analysis o Short, white papers and advocacy pieces based on data or other research o Be prepared to quickly respond to questions from legislators or their staff during the Texas legislative session
Regulatory Advocacy • Monitor, read, analyze, and submit written comments on proposed regulations in all of the above listed areas, especially Medicare physician fees.
Data-Based Analysis • Identify data sources for use in analysis or modeling including data available from: o CMS o Texas Department of Insurance o U.S Bureau of Labor Statistics o Medical Group Management Association • Understand available data and its possible uses • Develop or compile new data series, when needed • Maintain historical data for trend analysis • Monitor trends in physician practice including changing practice types and/or response to legislative/regulatory pressures. • Present analyzed data in graphic formats or charts to facilitate information communication • Perform cost analysis on physician practices to develop data to support legislative/regulatory goals. • Help to develop new or revise existing survey questions for TMA surveys and for other surveys of physicians or consumers. • Use data to construct models or other tools to aid in developing analysis of physician needs or financial impact of legislation/regulation on physician office operations. • Perform constant-dollar analysis on various data series, as needed.
Physician Communication • Develop information and reports for TMA leadership groups including the Council on Socioeconomics and the Council on Health Service Organization to support the process of TMA policy development. • Perform analysis of new policy proposals or old policies for review at TMA and AMA meetings. • Develop materials including webinars, seminars, calculators, and written materials to inform practicing physicians about compliance with or the impact of federal and state regulations • Develop materials to inform physicians about practice management subjects where there are knowledge gaps, including the following: o Practice cost analysis o Setting practice fee schedules o Health plan contract negotiation o New Medicare payment methodologies o New health plan designs that affect billing/collections (e.g. HSAs) • Work with TMA Communications staff to: o Help develop articles and publications on all the subjects listed above. • Answer physician email or phone questions on all the subjects listed above • Develop talks on any of the subjects listed above and make them available to groups of physician members or to practice management groups, working through TMA Ambassador speakers’ bureau and through County Medical Societies and other Texas organizations, with travel as necessary.
Will have supervisor responsibility
Assignment are complex and may vary greatly. They require the exercise of independent judgment regarding the definition of basic problems and determination of course of action to be taken. Working with staff of various departments and division is necessary to achieve assigned objections. The ability to research the history of a specific issue and apply that knowledge to developing a list of suggested changed is necessary.
GENERAL QUALIFICATION REQUIREMENTS
Knowledge and Experience: Requires concentrated understanding of a comprehensive field of knowledge. Knowledge required is normally equivalent to the attainment of a bachelor’s degree in related field and at least 5 years of experience in accounting or financial management of a medical practice. CPA with health care background preferred. Experience with researching federal and state legislation, rules and regulations is necessary. Must be skilled in Microsoft Word, Outlook, PowerPoint and Excel. Ability to understand physician perspective and needs and devise information/presentations to educate physicians is critical.
Skills and Abilities: Must be familiar with researching and analyzing federal and state legislation. Strong oral communication and interposal skills are essential. Proficient writing skills, especially related to commentary on federal and state legislation and policy is necessary. Must be skilled in Microsoft Word, Outlook, PowerPoint and Excel. Ability to understand physician perspective and needs and devise information/presentations to educate physicians is critical.
Internal Number: 910
About Texas Medical Association
Texas Medical Association was organized by 35 physicians in 1853 to serve the people of Texas in matters of medical care, prevention and cure of disease, and the improvement of public health. Today, with more than 51,000 physician and medical student members, TMA is the nation's largest state medical society.