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Physician Groups Set 2011 Agenda: Medicare payment reform tops the list

by Geri Aston • January 10, 2011

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Other Priorities

Two other items on the ACS agenda are accountable care organizations (ACOs) and the national bundled physician-hospital payment pilot program in Medicare. The ACS is working on principles and guidelines so that it can weigh in with official comments during the regulation-making process, Hedstrom said. “We want these alternative payment models to be patient-centered, to be physician-led and to be quality-driven,” she added.

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Explore This Issue
January 2011

The health care law aims to change the way services are paid for, from reimbursement based on quantity to reimbursement based on quality and efficiency, Dr. Batra said. “Otolaryngologists have to be cognizant of what kind of changes are going to be coming, because it’s going to completely change the way health care is delivered,” he said.

Many physician groups will continue to press for comprehensive tort reform that includes a $250,000 cap on noneconomic damages. Such legislation could pass in the GOP-controlled House but is expected to fail in the Senate. In this time of budget and deficit crises, however, tort reform with a cap on noneconomic damages becomes more attractive, Dr. Imber said, because it would produce billions in savings each year by reducing defensive medicine.

The ACS will continue to press for tort reform with a noneconomic damages cap, but it is also open to exploring other reforms, such as health courts and safe harbors for doctors who follow evidence-based treatment guidelines, Hedstrom said, although these ideas have yet to be tested.

Meanwhile, other AAO-HNS priorities include:

  • Continuing to fight federal legislation that would give audiologists direct access to Medicare patients;
  • Pressing for federal “truth in advertising” legislation that requires non-physician health professionals to make their education and training clear in advertising materials and in their dealings with patients; and
  • Maintaining federal funding for early hearing detection and intervention programs.

The organization’s stances on audiologists’ access to Medicare patients and on truth in advertising are about patient safety, Dr. Imber said. “We don’t want people getting hurt,” he said.

A May 2010 AMA survey of 9,000 doctors found that 17 percent of physicians are already restricting the number of Medicare patients served by their practices.

Be Heard

AMA Grassroots Network

The online network includes features that allow doctors to look up, contact and view the voting records of elected officials. A call to the Grassroots Hotline at (800) 833-6354 connects physicians with their congressional lawmakers or the White House so that they can voice their opinions. Physicians who sign up can receive information and alerts about Medicare payment reform, patient safety, public health, medical liability reform and other issues.

Pages: 1 2 3 4 | Single Page

Filed Under: Health Policy, Practice Management Tagged With: CMS, healthcare reform, Medicare, Public policy, reimbursementIssue: January 2011

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