Company Overview

Company Information

TMF Health Quality Institute focuses on promoting quality health care through contracts with federal, state and local governments, as well as private organizations. For more than 40 years, TMF has helped health care providers and practitioners in a variety of settings improve care for their patients.

TMF was chartered in 1971 as a private, nonprofit organization of licensed physicians (MDs and DOs) to lead quality improvement and medical review efforts in Texas. Originally known as the Texas Medical Foundation, the company changed its name to TMF Health Quality Institute in 2005 to reflect the expansion of its work throughout the nation.

Since 1984, TMF has been the Centers for Medicare & Medicaid Services’ Quality Improvement Organization (QIO) for Texas, improving care provided to Medicare beneficiaries through cooperative efforts with the health care community. In 2014, TMF became the Quality Innovation Network QIO for a region comprising Texas, Arkansas, Missouri, Oklahoma and Puerto Rico, improving cardiac health, reducing disparities in diabetes care, improving prevention efforts through meaningful use of health information technology, reducing infections in hospitals, reducing harm in nursing homes, assisting providers with quality reporting and helping communities improve the coordination of health care for patients to reduce unnecessary hospital readmissions and adverse drug events.

TMF’s expansive reach in health care continues with the Comprehensive Primary Care initiative through the Center for Medicare & Medicaid Innovation. The initiative seeks to improve care, improve health and lower costs for patients and their families in the primary care setting. This is accomplished through enhanced care coordination, care management and health information technology.

Through this project, TMF works with approximately 500 physician practices, serving about 385,000 Medicare and Medicaid beneficiaries, in seven U.S. regions. TMF is the lead contractor overseeing the project’s National Learning Network – a mix of Web-based and live, face-to-face events, with a curriculum for participating practices as well as learning opportunities through peer brainstorming and sharing of best practices for collective problem solving.

In 2011, TMF acquired C2C Solutions, Inc., a Medicare Qualified Independent Contractor with offices in Florida and employees throughout the nation. This acquisition expanded TMF’s scope of services and increased our presence in the government contracting market.

C2C specializes in providing health care sector support and administrative services in the handling of Medicare second-level appeals. It adjudicates second-level Medicare Part A appeals from 24 western states and three U.S. territories. In addition, C2C adjudicates second-level Medicare Part B appeals for the entire U.S. and its territories. The Medicare Part A West task order and the Medicare Part B South task order, which added 15 states and two territories, thereby completing Medicare Part B coverage of the entire U.S., were awarded to C2C in 2014. The company also conducts reconsiderations of initial Medicare claim determinations concerning durable medical equipment (DME) across the entire U.S. and its territories. C2C has processed more than 4.1 million QIC claims adjudications.

In 2013, TMF established the TMF Foundation in support of TMF’s vision to improve lives by improving the quality of health care. The TMF Foundation provides resources and educational support to organizations focused on the health of Texas residents. Recently, the foundation joined an effort to affect the trend of childhood obesity. In partnership with the Texas PTA, the foundation is championing an initiative that finds and rewards children making healthy eating choices in the K-5 school lunchroom. A second new project is one in which children age 3-5 are motivated and taught about physical activity, health, gardening and healthy eating behaviors.

The foundation also continues teaching people with diabetes how to control and monitor their disease through the successful ¡Adelante! program, which began in 2013 to provide education and resources at no cost to populations at high risk for diabetes.

We partner with health care providers in multiple settings:

TMF partners with health care providers to ensure that every patient receives the right care… every time.

Bylaws of TMF Health Quality Institute as revised July 26, 2014.

Contact TMF Health Quality Institute

Bridgepoint I, Suite 300
5918 West Courtyard Drive
Austin, TX 78730-5036
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Telephone and fax numbers