Texas Medical Association Announces First-Ever ACO Pairing With Insurer

The race to engage independent physicians in an accountable care organization continues. The Texas Medical Association has enlisted Blue Cross Blue Shield of Texas in a rare joint-effort between a medical association and an insurers to create an easier road to value-based care.

Typically, insurance companies enter into an ACO agreement with hospitals, healthcare systems, or physician groups. The TMA PracticeEdge taps into the 48,000 statewide physicians in the association and gives them a path to more easily shift into fee-for-value service. And considering TMA numbers that show nearly two-thirds of the state’s physicians are independent, the impact could be wide.

The partnership means physicians in TMA—the largest medical association in the country—will have access to tools to help provide coordinated and collaborative patient care. BCBSTX said it will offer resources to lighten the data-entry load and provide coordinating care teams to monitor patients with chronic diseases once they leave the doctor’s office, a tenet of an ACO.

“BCBSTX will work with TMA to give physicians alternatives to today’s fee-for-service system,” said TMA President Dr. Austin I. King in a statement. “With today’s announcement, BCBSTX becomes the first health insurer to stand by independent Texas physicians in support of 21st century patient care.”

If you’re a TMA physician interested in enrolling, send an email to this address

Posted in Insurance/Benefits, News.