Tex. Gov't Code Section 543A.0102
Quality-based Health Home Payments

(a)

The commission may develop and implement quality-based payment systems for health homes designed to improve quality of care and reduce the provision of unnecessary medical services. A quality-based payment system must:

(1)

base payments made to an enrollee’s or recipient’s health home on quality and efficiency measures that may include measurable wellness and prevention criteria and the use of evidence-based best practices, sharing a portion of any realized cost savings the health home achieves, and ensuring quality of care outcomes, including a reduction in potentially preventable events; and

(2)

allow for the examination of measurable wellness and prevention criteria, use of evidence-based best practices, and quality-of-care outcomes based on the type of primary or specialty care provider practice.

(b)

The commission may develop a quality-based payment system for health homes only if implementing the system would be feasible and cost-effective.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 543A.0102 — Quality-based Health Home Payments, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­543A.­htm#543A.­0102 (accessed May 18, 2024).

Green check means up to date. Up to date

Accessed:
May 18, 2024

§ 543A.0102’s source at texas​.gov