Texas Association of Health Plans

10/30/2026

There is no single approach that fits every Texan. Building a stronger system starts with understanding how coverage works and supporting solutions that give families and employers the flexibility to choose what works best for them.

Learn more:
https://tahp.org/new-tahp-guide-breaks-down-coverage-spending-where-to-focus-to-tackle-affordability/

10/29/2026

TAHP member health plans cover over 25 million Texans.

Employer-sponsored insurance is the largest source of coverage in the state, with 46% of Texans receiving Health Care coverage through work. Millions more are covered through the individual market, Medicaid, and Medicare.

Understanding how Texans get covered helps create a clearer picture of our Health Care system and the opportunities to keep coverage strong, flexible, and affordable.

Learn more:
https://tahp.org/new-tahp-guide-breaks-down-coverage-spending-where-to-focus-to-tackle-affordability/

10/28/2026

Practical Solutions for Texas

Texas has already built important protections into its health care system, and there are opportunities to make those safeguards even stronger.

TAHP highlights four practical areas for continued improvement: aligning insurance fraud standards with Medicaid, strengthening accountability for confirmed fraudulent billing, improving enforcement of existing cost-sharing protections, and establishing safeguards for AI-assisted billing and coding.

Learn more about TAHP’s recommendations:

TAHP’s Food for Thought on September 9 featured Blake Hutson, Vice President of Public Affairs at TAHP. Blake explained how MCOs save Texas Medicaid billions of dollars. View our full presentation here.

10/28/2026

Managed Care Helps Health Care Dollars Go Further

Texas Medicaid managed care has helped deliver meaningful savings while supporting strong oversight. An HHSC study found that the shift to managed care produced $13.9 billion in savings from 2009 to 2017, equal to 11.7% of total spending during that period.

Those savings reflect the value of preventing unnecessary spending, improving payment accuracy, and identifying issues before they grow. Strong program integrity helps protect taxpayer dollars while keeping resources available for the Texans who rely on Medicaid.

Learn more:

TAHP’s Food for Thought on September 9 featured Blake Hutson, Vice President of Public Affairs at TAHP. Blake explained how MCOs save Texas Medicaid billions of dollars. View our full presentation here.

10/26/2026

Protecting Texas health care dollars starts with prevention, accuracy, and accountability. Strong oversight helps identify issues early, support accurate payments, and make every dollar work harder for Texans who depend on health care coverage.

10/24/2026

Texas Medicaid managed care has helped Health Care dollars go further. An HHSC study found that the shift to managed care produced $13.9 billion in savings from 2009–2017, representing 11.7% of total spending during that period.

These savings highlight the value of prevention and care management. By working together across the Health Care system, health plans, providers, and state partners can protect resources and support strong, sustainable coverage for Texas families.

10/22/2026

Practical Solutions for Texas

Protecting health care affordability means making sure Texas has modern tools to promote accuracy, transparency, and accountability.

TAHP has identified four opportunities to strengthen those protections: align insurance fraud standards with Medicaid, strengthen accountability for confirmed fraudulent billing, improve enforcement of existing cost-sharing protections, and establish safeguards for AI-assisted billing and coding.

These practical solutions give regulators the tools they need while helping protect patients, employers, taxpayers, and health care dollars.

Texas has already built important safeguards into its health care system. Continuing to modernize them can help make coverage work even better for Texans.

Learn more about TAHP’s recommendations:

TAHP’s Food for Thought on September 9 featured Blake Hutson, Vice President of Public Affairs at TAHP. Blake explained how MCOs save Texas Medicaid billions of dollars. View our full presentation here.

10/21/2026

Artificial intelligence can make health care more efficient, improve documentation, and reduce administrative burdens.

As AI becomes more common in medical coding and billing, Texas also has an opportunity to establish clear safeguards that support accuracy and transparency.
TAHP supports standards that keep billing connected to the care documented in a patient’s clinical record and provide greater transparency when AI is used in coding and billing.

Innovation and accountability can work together. With the right guardrails, Texas can embrace new technology while protecting patients, employers, and health care dollars.

Responsible innovation can help build a smarter and more affordable health care system for Texans.

Learn more:

TAHP’s Food for Thought on September 9 featured Blake Hutson, Vice President of Public Affairs at TAHP. Blake explained how MCOs save Texas Medicaid billions of dollars. View our full presentation here.

10/20/2026

Stronger, Consistent Protections for Texans

Texas has strong tools for protecting Medicaid dollars and should bring that same level of protection to more Texans.

TAHP supports aligning the state’s insurance fraud standards more closely with the broader protections already used in Medicaid. Consistent rules can give regulators better tools to identify inappropriate billing, resolve issues earlier, and protect employers, families, and health care dollars.

The goal is a system where the rules are clear, oversight is effective, and every health care dollar is used appropriately.

Modernizing these protections can strengthen accountability while helping keep coverage affordable and accessible for Texans.

Learn more about TAHP’s recommendations:

TAHP’s Food for Thought on September 9 featured Blake Hutson, Vice President of Public Affairs at TAHP. Blake explained how MCOs save Texas Medicaid billions of dollars. View our full presentation here.

10/19/2026

Prevention Makes a Difference

Strong oversight starts with prevention.

Texas Medicaid managed care plans review claims before they are paid, double check claims after payment to identify potential errors, and maintain Special Investigative Units that can review suspicious activity.

When additional action is needed, health plans work with state partners, including HHSC’s Office of Inspector General and the Attorney General’s Medicaid Fraud Control Unit.

This coordinated approach helps identify problems early, protect taxpayer dollars, and keep Medicaid resources focused on providing care for Texans.
Prevention, collaboration, and accountability are important tools for building a stronger and more sustainable health care system.

Learn more:

TAHP’s Food for Thought on September 9 featured Blake Hutson, Vice President of Public Affairs at TAHP. Blake explained how MCOs save Texas Medicaid billions of dollars. View our full presentation here.