Women's Health, Continuously

1Executive summary

2Situation

Department strengths

• Top of the risk pyramid. Memorial Hermann-TMC holds Level IV maternal designation (exp. 5/1/2027); LBJ is Level III. The Fetal Center at Children's Memorial Hermann is a national referral center (200-250 fetal procedures per year on one page; 150-200 on an older page UNVERIFIED current figure). A Placenta Accreta Program is in place.
• Research identity. NICHD MFMU Network site since 2001 (current 2023-2030 award, more than $2M); McGovern is the only Texas institution in both the MFMU and the Neonatal Research Network.
• Breadth. Divisions in General OB/GYN, MFM, Fetal Intervention, Gyn Oncology, Genetic Counseling, AMIG, Hospitalists and a Urogynecology Program with outpatient sites at Memorial City, Sugar Land, Southeast, Greater Heights, Katy and Bellaire.
• Footprint and volume. About 7,900 deliveries per year at MH-TMC and LBJ (about 5,400 + 2,500, undated). Nine hospitals served: MH-TMC, LBJ, and MH Southwest, Sugar Land, Memorial City, Katy, Cypress, Southeast and Greater Heights.
• AI infrastructure already paid for. UT System enterprise Abridge ambient scribe agreement⁹ (pilot: recording clinicians +73%, monthly notes +80% in 12 months); McWilliams School of Biomedical Informatics¹⁰ ($22M gift); AI centers including TEAM-AI and SAFE; Epic. Whether OB/GYN uses Abridge today is UNVERIFIED.
• As I understand it from my briefing, an existing referral pathway for women over 60 with incontinence (nothing public, so UNVERIFIED; scope to confirm). This plan extends it rather than proposing it; please correct me on how it works today.

Market forces

3Market analysis

Houston numbers

TAM / SAM / SOM by service line

TAM = annual spend if every relevant woman in the 9-county MSA used the service. SAM = the part UT Physicians plus Memorial Hermann can realistically serve. SOM = what the department can capture by Year 3. All values are ESTIMATE.

The two inputs that matter most for credibility: female age-band counts (replace with ACS B01001¹²²) and MSA births (replace with DSHS Vital Statistics Table 9¹²³).

Where to grow

Corridor reads are analysis from search results; confirm with a drive-time study.

4Competitive analysis

Department SWOT

5Initiatives

Horizons: H1 0-12 months, H2 12-36 months, H3 3-5 years. Medicare figures are 2026 national, non-facility, approximate; Houston, facility, commercial and Texas Medicaid rates differ.

6Lowering the cost to serve

Growth is half the plan. The other half is lowering what each patient, case and claim costs. All savings below are ESTIMATE, based on a department of 60-80 faculty and about 8,000 deliveries per year, a 32% cesarean rate (~2,560 cesareans), 400-700 hysterectomies and 3,000-5,000 gyn OR cases. None of these volumes is confirmed UNVERIFIED. Many source studies are old (2008-2016) and not inflation-adjusted. These savings are reported separately and are not added to the system contribution totals in Section 7.

Ranked cost initiatives

Ranked by size x strength of evidence x department control. All savings ranges are ESTIMATE. The department already has an Ob/Gyn Hospitalists division and an AMIG division, and whether ERAS runs today is UNVERIFIED; where these are already in place, the savings are partly banked and the gain is in measuring and sharing them.

Who captures the savings

Three best-evidenced items

1. Cesarean and gyn ERAS. A pre-post study of 3,679 cesareans⁷³ found $349 lower median direct cost per cesarean and a ~0.5-day shorter stay (3.2 to 2.7 days), with no change in 30-day readmissions. A gyn ERAS meta-analysis⁷⁴ reports a mean saving of $2,129 per patient (figure from a search summary, UNVERIFIED against full text).
2. NTSV cesarean reduction. California's CMQCC collaboratives cut the NTSV cesarean rate from 26.0% to 22.8% (2014-2019) with no added severe newborn complications (JAMA)⁷⁹, while the US rate stayed at 26.0%.
3. OB patient safety program. Yale-New Haven's program⁹⁰ reported claims payments falling from $50.7M (1998-2002) to $2.9M (2003-2007) and department malpractice premiums from $95K to $53K per year⁹¹. Single site. The UT System plan is self-insured⁹² and has used partial experience rating (2002 Regents policy; confirm current formula), so claims improvement can lower premiums, with a 3-5 year lag. Part of this program is becoming required: CMS obstetric Conditions of Participation call for OB staff training and an OB quality (QAPI) program by Jan 1, 2027¹¹⁰ (whether that phase stays on schedule is UNVERIFIED), which makes it an easy partnership with Memorial Hermann.

Deliberately not counted

• ARRIVE elective induction at 39 weeks. Shifts cost from outpatient and triage to L&D (median 20 vs 14 hours on L&D)⁸¹; offered for quality and patient choice, not savings.
• CenteringPregnancy.⁸⁷ Group care costs the practice more per patient. It is a value-based contract ask to Medicaid MCOs and Community Health Choice, not a department cost cut.
• 340B. A site-of-care lever only (Harris Health reports ~$169M per year in 340B savings⁸⁶); under federal policy pressure, so the plan is not built on it.

7Financial plan

All three pro formas are ESTIMATE, $M. Contribution margin = revenue minus direct costs (including build-out depreciation), before dean's tax and central overhead. Inputs are assumptions except where tied to cited benchmarks (AMGA comp and wRVU, Houston rents).

7a. Satellite OB/GYN clinic (west Fort Bend / Fulshear-Katy, 8,000 SF)

What this table says. The clinic loses money on its own in each of the first three years. Its deliveries and surgeries earn Memorial Hermann about $0.75-2.6M a year, so the combined system turns positive in Year 2. That is why the ask to Memorial Hermann is a funds-flow agreement. On a more conservative hospital benchmark the satellite is still about +$1.0M in Year 3 (see 7d).

Inputs: capex $1.6M (7-yr depreciation $229K/yr); rent $320K (8,000 SF x $40/SF all-in; Houston full-service asking rent is $33.56/SF metro and $37.54-39.42 in the Sugar Land and Far West submarkets, Q4 2025^71,147); MDs 2 / 3 / 4; APPs 1 / 1.5 / 2; productivity 55% / 80% / 95% of AMGA median 7,681 wRVU⁶⁹; $95 collections per wRVU; MD comp $419K + 25% benefits; 3.5 support staff per MD at $58K; malpractice $40K per MD.

7b. "UTHealth Signature" hybrid membership

Inputs: average fee $3,000; members 150 / 350 / 500; +$600 per member insurance billing; MDs 0.5 / 1.0 / 1.5 FTE (~330 panel per FTE); nurse navigators 1 / 2 / 2 at $95K; capex $500K; marketing $150K then $100K.

7c. Midlife & Pelvic Health Center (Memorial City or west corridor, 5,000 SF)

Inputs: urogynecologist 1 / 1 / 1.5 FTE at $1.0M collections, comp $450K + 25%; menopause OB/GYN 0.5 / 0.5 / 1.0 FTE; NPs 1 / 2 / 2; pelvic floor PTs 1 / 2 / 3; procedures $250K per urogyn FTE; ramp 55% / 80% / 95%; rent $200K (5,000 SF x $40/SF all-in); capex $1.0M.

7d. Combined summary

Combined rows are sums of the reported model figures. Three-year cumulative system contribution ~+$3.08M before the $3.1M capex (contribution already deducts depreciation). Conservative case: 4 x 0.95 x $1.35M x 30% = ~$1.54M hospital contribution, so the satellite is about +$1.0M in Y3 and the total about +$2.5M ($2.53M unrounded). The combined view assumes all three start in the same year; in practice openings will be staggered.

Breakeven and sensitivities

8Funding sources

9Implementation roadmap and KPI scorecard

H3 (years 3-5): open the second satellite if approved; scale RWE contracts and federated data partnerships, extend the hub statewide, and decide on REI (build, buy or partner).

10Risks and mitigations

11Assumptions to replace before decisions

1. UT Physicians OB/GYN actuals: collections per wRVU (model $95), support staff ratio (3.5 FTE per MD at $58K), malpractice structure ($40K per MD; UT may be self-insured), benefits load (25%).
2. Current deliveries at MH-TMC and LBJ (dated figures used); department deliveries placeholder of 6,000/yr in the RPM sizing; current Fetal Center volume.
3. Memorial Hermann net revenue per delivery ($12,000) and per gyn/urogyn case ($10,000-12,000), contribution margin (30%), and funds-flow terms.
4. Female age bands (ACS B01001 for the 9 MSA counties) and MSA births (DSHS Vital Statistics Table 9; model ~105,000).
5. Corridor-level income and payer mix (Katy, Fulshear, Richmond/Rosenberg, Conroe, Cypress, Pearland, League City, Sugar Land); share of households earning $200K+.
6. Competitor clinic lists verified with a drive-time map (TCH, HM, Kelsey, BSLMC, Pinnacle).
7. MGMA OB/GYN and AUGS-MGMA urogynecology benchmarks (paywalled); urogyn collections $1.0M per FTE.
8. The 60+ incontinence referral pathway: how it is set up, volumes, completion and outcomes (known only from briefing; nothing public).
9. Whether OB/GYN uses Abridge today and which internal AI projects exist.
10. Whether a cardio-obstetrics or menopause clinic exists under another name.
11. Texas Medicaid S9110 and 99091 fees, prior-auth path, and whether gestational hypertension or preeclampsia counts as "hypertension" (ask TMHP or the MCOs); Texas Medicaid rates for CoCM 99492-99494 (coverage confirmed since June 2022); commercial RPM rates. RTM for pelvic floor training is treated as Medicare only, with no revenue claimed.
12. 2026 CPT descriptors for 99470 and RTM codes; Medicare figures confirmed in the CMS PFS Look-Up Tool.
13. 340B status of LBJ / UTHealth clinics (HRSA OPAIS).
14. Houston Methodist payer mix, FY2025 financials, NICU levels and any postpartum RPM program.
15. Cost section baseline: faculty count (60-80 assumed), deliveries (~8,000), cesarean rate (32%), NTSV share (35-40%), hypertensive disorders (10-15%), hysterectomies (400-700), gyn OR cases (3,000-5,000), outpatient visits (150,000-200,000), professional claims (~200,000).
16. Current cesarean and NTSV rates at MH-TMC, the 7 suburban MH sites and LBJ; whether MH-TMC and LBJ already run cesarean and gyn ERAS.
17. Robotic and gyn OR volumes and supply cost per case by surgeon; whether Memorial Hermann has a device reprocessing contract.
18. Harris Health and Memorial Hermann 340B registrations and qualifying sites.
19. Current UT System liability premium for OB/GYN faculty and the experience-rating formula.
20. Department spend on human scribes, transcription and interpreters; denial rate (10% assumed); no-show rate.
21. Texas Medicaid pays prenatal and postpartum care per visit, with one postpartum code per pregnancy (TMPPM, March 2026)¹⁰¹; still to confirm: potentially preventable readmission rules for obstetrics, and how UT Physicians' main commercial payers and the Harris-area MCOs bill pregnancies that cross the Jan 1, 2027 CPT change (confirm against the AMA CPT 2027 code set).
22. Primary-source checks for figures from secondary summaries (Truven 2013, Bisch 2021 meta-analysis, Edmonton supply study, AMA 2024 survey).

Sources

1. UTHealth Houston OB/GYN department: https://med.uth.edu/obgyn/
2. Hospitals served: https://med.uth.edu/obgyn/hospitals
3. Urogynecology Program: https://med.uth.edu/obgyn/divisions/urogynecologists/
4. Placenta Accreta Program: https://med.uth.edu/obgyn/divisions/placenta-accreta-program
5. Fetal Intervention fellowship: https://med.uth.edu/obgyn/education/fellowships/fetal-center-fetal-intervention-fellowship
6. MFMU award: https://med.uth.edu/blog/2023/06/06/mendez-figueroa-rysavy-receive-prestigious-awards
7. MFMU and NRN: https://med.uth.edu/pediatrics/2024/06/21/uthealth-houston-receives-two-awards-for-continuing-research-in-neonatal-care-and-womens-health
8. UG1HD040545: https://www.highergov.com/grant/UG1HD040545
9. Abridge UT System agreement: https://www.fiercehealthcare.com/ai-and-machine-learning/abridge-university-texas-system-enter-enterprise-wide-agreement-expanded-ai
10. McWilliams School: https://sbmi.uth.edu/news/story/mcwilliams-school-of-biomedical-informatics-displays-its-new-name-to-the-world
11. UTHealth AI Hub: https://aihub.uth.edu
12. New LBJ hospital: https://nextlevelharrishealth.org/lbj/project-status/
13. Texas maternal levels of care: https://www.dshs.texas.gov/dshs-ems-trauma-systems/maternal-levels-care-designation/texas-maternal-facilities
14. UTHealth delivery volumes (teaching sites): https://med.uth.edu/obgyn/education/fellowships/maternal-fetal-medicine-fellowship/teaching-sites/
15. Houston Methodist facts: https://www.houstonmethodist.org/newsroom/facts-statistics/
16. Houston Methodist OB/GYN: https://www.houstonmethodist.org/for-health-professionals/department-programs/obgyn/
17. Houston Methodist Giving: Brockman Medical Research Foundation $110M gift, Brockman Centennial Tower (June 24, 2026): https://www.houstonmethodist.org/giving/articles/brockman-tower/
18. HM Ambience rollout: https://www.businesswire.com/news/home/20260217163873/en/Ambience-Healthcare-Announces-Houston-Methodist-Enterprise-Rollout-of-AI-Platform-to-Enhance-Patient-Care-and-Clinical-Workflows
19. HM Form 990 FY2024: https://philanthropy.org/990/report/352410801/methodist-hospital-group
20. TCH MFM flyer (HM West clinic): https://www.texaschildrens.org/sites/tc/files/uploads/documents/acog/MFM%20Flyer.pdf
21. TCH Pavilion expansion: https://www.texaschildrens.org/content/news-release/texas-childrens-pavilion-for-women-completes-transformational-expansion
22. Baylor Menopause Center: https://www.bcm.edu/healthcare/specialties/obstetrics-and-gynecology/ob-gyn-care-centers/the-menopause-center
23. MH-TMC U.S. News: https://memorialhermann.org/about-us/newsroom/press-releases/top-recognition-by-us-news-for-2026
24. MH + Midi Health: https://memorialhermann.org/about-us/newsroom/press-releases/midi-health-collaborate-expand-access-expert-midlife-care-women
25. MH Katy expansion: https://memorialhermann.org/about-us/newsroom/press-releases/katy-hospital-announces-major-expansion-2025
26. MH Cypress expansion: https://memorialhermann.org/about-us/newsroom/press-releases/cypress-hospital-expansion-breaks-ground
27. Kelsey-Seybold clinics: https://kelsey-seybold.com/why-kelsey-seybold/clinics-history
28. MSA population: https://www.citypopulation.de/en/usa/metro/26420__houston_pasadena_the_/
29. MSA growth: https://www.costar.com/article/216091039/houston-leads-the-nation-in-population-growth-for-2025
30. MSA ACS profile: https://censusreporter.org/profiles/31000US26420-houston-pasadena-the-woodlands-tx-metro-area/
31. Montgomery County: https://www.census.gov/quickfacts/montgomerycountytexas
32. Fort Bend County: https://usafacts.org/answers/is-the-population-growing-or-shrinking/county/fort-bend-county-tx/
33. Fulshear: https://houston.culturemap.com/news/real-estate/fastest-growing-wealthy-suburbs-fulshear
34. Harris County births: https://houston.org/houston-data/population-growth
35. Texas uninsured: https://www.americashealthrankings.org/explore/measures/HealthInsurance/TX
36. Harris County uninsured: https://smartasset.com/data-studies/health-insurance-coverage-2025
37. Medicaid-financed births: https://www.tpr.org/public-health/2026-05-13/40-000-pregnant-texans-faced-month-long-wait-for-medicaid-application-to-be-processed
38. Texas MMMRC report: https://www.dshs.texas.gov/sites/default/files/legislative/2024-Reports/2024-MMMRC-DSHS-Joint-Biennial-Report.pdf
39. Preterm birth report card: https://www.marchofdimes.org/peristats/reports/texas/report-card
40. Maternity care deserts (Texas): https://marchofdimes.org/peristats/assets/s3/reports/mcd/Maternity-Care-Report-Texas.pdf
41. 12-month postpartum Medicaid: https://fhb.hhs.texas.gov/sites/default/files/documents/mepd-and-twh-bulletin-24-10.pdf
42. CY 2026 PFS summary (MM14315): https://www.cms.gov/files/document/mm14315-medicare-physician-fee-schedule-final-rule-summary-cy-2026.pdf
43. 2026 RPM codes: https://blog.prevounce.com/2026-remote-patient-monitoring-cpt-codes-whats-new-and-what-to-know
44. RTM codes: https://www.tenovi.com/rtm-cpt-codes-2026/
45. Care management codes: https://www.mindbowser.com/ccm-codes-cpt-variants-guide/
46. eConsult 99451: https://aasm.org/wp-content/uploads/2025/12/2025-2026-Telemedicine-Payment-and-RVU-Comparison.pdf
47. PTNS reimbursement: https://www.medtronic.com/content/dam/medtronic-wide/public/united-states/products/neurological/posterior-tibial-nerve-stimulation-reimbursement-guide.pdf
48. Community Health Choice OB incentive: https://provider.communityhealthchoice.org/wp-content/uploads/sites/2/2026/05/0037397_2026_STAR-CHIP_PIP-OB_Harris_121825_Final.pdf
49. HB 2727 telemonitoring: https://capitol.texas.gov/tlodocs/88R/billtext/html/HB02727F.htm
50. HB 1649 fertility preservation: https://capitol.texas.gov/tlodocs/88R/analysis/pdf/HB01649E.pdf
51. Hospital-at-home extension: https://www.ama-assn.org/public-health/population-health/lawmakers-extend-cms-hospital-home-waiver-five-years
52. HRT boxed warning change: https://www.patientcareonline.com/view/fda-removes-boxed-warnings-cardiovascular-cancer-dementia-risks-from-select-menopausal-hormone-therapy-labels
53. Elinzanetant approval: https://www.bayer.com/media/en-us/bayers-lynkuet-elinzanetant-approved-in-the-us-for-treatment-of-moderate-to-severe-vasomotor-symptoms-due-to-menopause/
54. Midi Health Series D: https://femtechinsider.com/midi-health-raises-100-million-series-d-surpasses-1-billion-valuation/
55. Penn Heart Safe Motherhood: https://nudgeunit.upenn.edu/heart-safe-motherhood
56. UW postpartum BP study: https://www.obgyn.wisc.edu/ob-gyn-department-news/hoppe-s-telehealth-blood-pressure-study-published-in-ajog
57. RPM cost-effectiveness: https://pmc.ncbi.nlm.nih.gov/articles/PMC10428007
58. sFlt-1/PlGF clearance: https://newsroom.thermofisher.com/newsroom/press-releases/press-release-details/2023/Thermo-Fisher-Scientific-Announces-FDA-Clearance-of-Breakthrough-Immunoassays-to-Aid-in-the-Risk-Assessment-of-Preeclampsia/default.aspx
59. FMF screening cost-effectiveness: https://www.ispor.org/heor-resources/presentations-database/presentation-cti/ispor-europe-2025/poster-session-4-2/first-trimester-screening-for-preterm-pre-eclampsia-in-the-united-kingdom-a-cost-effectiveness-analysis
60. PPH model external validation: https://www.medrxiv.org/content/10.1101/2025.08.20.25333642
61. BrightHeart clearances: https://www.massdevice.com/fda-clears-more-brightheart-ai-capabilities-in-fetal-heart-ultrasound/
62. Teal Wand approval: https://www.fiercebiotech.com/medtech/fda-approves-teal-healths-hpv-screening-test-home-alternative-pap-smear
63. Hologic Genius: https://www.businesswire.com/news/home/20240131786693/en/Hologic-Announces-First-and-Only-FDA-Cleared-Digital-Cytology-System-%E2%80%93-Genius%E2%84%A2-Digital-Diagnostics-System
64. leva digital pelvic floor: https://urologytimes.com/view/leva-pelvic-health-system-shows-efficacy-for-improving-symptoms-of-urinary-incontinence
65. Revi Extend: https://www.contemporaryobgyn.net/view/fda-clears-revi-extend-bluewind-medical-urgency-urinary-incontinence
66. UI prevalence and care-seeking: https://link.springer.com/10.1186/s12875-020-01282-y
67. ARPA-H Sprint for Women's Health: https://arpa-h.gov/engage-and-connect/sprint
68. ORWH FY2026: https://swhr.org/senate-appropriations-committee-advances-fy-2026-labor-hhs-bill-with-key-investments-in-public-health-and-womens-health-research/
69. AMGA 2026 compensation survey: https://www.amga.org/getmedia/6b7fc588-0aa3-4d42-a80c-5919fb7cbbbb/2026-comp-survey-charts-doc-final.pdf
70. Merritt Hawkins hospital revenue per physician: https://www.beckershospitalreview.com/quality/hospital-physician-relationships/the-cost-benefit-of-employed-physicians-for-18-specialties/
71. Matthews: Houston medical office market report, Q4 2025: https://www.matthews.com/insights/houston-tx-medical-office-market-report-q4-2025
72. Scripps concierge pricing: https://www.scripps.org/services/concierge-medicine
73. Cesarean ERAS, 3,679 cesareans: https://blogs.the-hospitalist.org/content/enhanced-recovery-program-improves-outcomes-after-cesarean-delivery
74. Gyn ERAS meta-analysis summary: https://nutrition-evidence.com/article/218622/enhanced-recovery-pathways-in-gynecologic-oncology
75. Mayo gyn ERAS: https://www.contemporaryobgyn.net/view/enhanced-recovery-pathway-effective-complex-gynecologic-surgery
76. Same-day discharge after hysterectomy: https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2023.1307694/full
77. Robotic vs laparoscopic hysterectomy cost (JAMA 2013): https://pubmed.ncbi.nlm.nih.gov/23423414/
78. Office hysteroscopy savings: https://pubmed.ncbi.nlm.nih.gov/25392645/
79. CMQCC NTSV cesarean reduction (JAMA): https://pmc.ncbi.nlm.nih.gov/articles/PMC8080226
80. Cesarean vs vaginal birth payments: https://www.hmpgloballearningnetwork.com/site/frmc/article/study-identifies-cost-having-baby-united-states
81. ARRIVE resource use: https://blogs.the-hospitalist.org/content/arrive-trial-womens-desideratum-versus-logistical-concerns
82. Postpartum telehealth BP cost analysis: https://www.obgyn.wisc.edu/ob-gyn-department-news/hoppe-published-in-journal-of-maternal-fetal-and-neonatal-medicine-0
83. Surgeon supply scorecards: https://www.beckershospitalreview.com/supply-chain/study-surgeon-scorecards-reduce-supply-cost-without-affecting-outcomes.html
84. Unused preference-card items (JAMA Surgery): https://jamanetwork.com/journals/jamasurgery/article-abstract/2841789
85. Reprocessed device savings (AMDR): https://amdr.org/wp-content/uploads/2024/10/Hospitals-Save-465M-and-Eliminate-95M-Pounds-of-GHG-Emissions-with-Reprocessed-Devices.Final_.pdf
86. Harris Health 340B savings: https://www.tha.org/wp-content/uploads/2023/11/Rep-Ted-Poe-TX-2.pdf
87. CenteringPregnancy SC Medicaid study: https://www.centeringhealthcare.org/uploads/files/SC-Study-Cost-Savings-CenteringPregnancy-March-2016.pdf
88. No-show cost: https://pmc.ncbi.nlm.nih.gov/articles/PMC4714455/
89. MiPATH prenatal schedules: https://pubmed.ncbi.nlm.nih.gov/34352810/
90. Yale OB safety program: https://psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments
91. Yale premiums: https://reliasmedia.com/articles/17184-hospital-cuts-medmal-50-in-obstetrics
92. UT System liability plan: https://med.uth.edu/gme/professional-liability-insurance/
93. Kaiser ambient scribe hours: https://www.ama-assn.org/practice-management/digital-health/ai-scribes-save-15000-hours-and-restore-human-side-medicine
94. AMA prior authorization survey: https://ama-assn.org/practice-management/prior-authorization/fixing-prior-auth-nearly-40-prior-authorizations-week-way
95. Denial rework cost: https://www.beckershospitalreview.com/finance/how-to-prevent-claim-denials-and-bolster-the-bottom-line/
96. Video remote interpreting: https://fiercehealthcare.com/hospitals/main-line-health-video-remote-interpretation-cost-patient-satisfaction-health-it
97. HB 12 one-pager (benefits, CHIP Perinatal exception): https://www.texaschildrenshealthplan.org/sites/default/files/2024-02/HB12%20One%20Pager%20APPROVED%2020240205.pdf
98. AAFP: CPT 2027 maternity code changes: https://www.aafp.org/practice-operations/billing-and-coding/maternity-obstetrical-cpt-codes
99. MGMA: 2027 maternity coding transition (Aug 2026): https://www.mgma.com/articles/obgyn-2027-maternity-coding-chn
100. SMFM: services billable outside the global obstetric package: https://smfm.org/news/services-billable-outside-of-global-obstetric
101. Texas Medicaid Provider Procedures Manual, OB/GYN handbook (March 2026): https://www.tmhp.com/sites/default/files/file-library/resources/provider-manuals/tmppm/pdf-chapters/2026/2026-03-march/2_07_gyne_and_repro_health_srvs.pdf
102. Texas Medicaid telecommunication services handbook (Sept 2026): https://www.tmhp.com/sites/default/files/file-library/resources/provider-manuals/tmppm/pdf-chapters/2026/2026-09-september/2_19_telecommunication_srvs.pdf
103. UTHealth billing compliance: remote therapeutic monitoring: https://med.uth.edu/mshbc/digital-health-services/remote-therapeutic-monitoring-rtm/
104. BCBSTX medical policy PSY301.016 (Feb 2025): https://medicalpolicy.bcbstx.com/content/dam/bcbs/medicalpolicy/pdf/mental/PSY301.016_2025-02-01.pdf
105. BCBSTX Medicaid: collaborative care became a benefit June 2022: https://www.bcbstx.com/provider-medicaid/education-and-reference/news/2022-archive/effective-june012022-collaborative-care-model-new-medicaid-benefit
106. Houston Methodist: maternal-fetal medicine: https://www.houstonmethodist.org/pregnancy/maternal-fetal-medicine/
107. Pediatrix MFM of Houston at Houston Methodist Hospital: https://www.pediatrix.com/find-care/practices/mfmhouston/facilities/houston-methodist-hospital
108. Thermo Fisher: sFlt-1/PlGF indication and PRAECIS performance: https://thermofisher.com/us/en/home/clinical/diagnostic-testing/brahms/prenatal-screening/preeclampsia-screening/clinical-solutions.html
109. MLO: Roche Elecsys sFlt-1/PlGF clearance (Feb 2025): https://www.mlo-online.com/diagnostics/news/55268748/roche-elecsys-sflt-1-plgf-ratio-for-preeclampsia-receives-fda-510k-clearance
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