Navigation Links
American College of Physicians commends MedPAC June 2008 report to Congress

Washington -- The American College of Physicians (ACP) today commended the Medicare Payment Advisory Commission (MedPAC) for its recognition of the importance of primary care in a well-functioning health-care delivery system in its June 2008 Report to Congress. ACP commended MedPAC in a letter to Glen D. Hackbarth, chairman of the diverse 17-member independent advisory Commission that advises the U.S. Congress on issues affecting the Medicare program. In addition, ACP broadly supported a specific recommendation included in MedPAC's report to increase Medicare Part B payments for primary care services. ACP also came out in favor of another MedPAC recommendation to establish a Medicare medical home pilot program. The Medicare medical home pilot, as recommended by MedPAC, would expand on a much more limited program authorized by Congress in 2006. Taken together, these recommendations by MedPAC would implement and evaluate two major payment strategies to address the current undervalution of primary care services and the trend toward decreased availability of primary care physicians and services.

MedPAC which also is challenged with analyzing access to care, quality of care, and other issues affecting Medicare reported that primary care services have been historically undervalued by Medicare and other payers.

"The result of the undervaluation has been that an average income for primary care physicians is at least 40 percent lower than most other medical specialties," said Jeffrey P. Harris, MD, FACP, president of the 125,000-member ACP. "The effects of this undervaluation include a precipitous decrease over the last decade in the share of U.S. medical school graduates entering primary care; an increase in the number of internal medicine residents choosing to subspecialize rather than enter into a general primary care practice; and a disproportionate number of physicians who have chosen the field leaving general practice compared to other specialties."

In its letter to MedPAC, ACP supported the Comission's recommendation that Congress establish a budget-neutral payment adjustment for primary care services billed under the physician fee schedule and furnished by primary-cared-focused practitioners, but recommended that MedPAC consider recommending changes in budget-neutrality rules to allow the Department of Health and Human Services (HHS), the agency responsible for administering these rules, to take into account the demonstrated impact of primary care in reducing overall Medicare program costs. A budget neutrality adjustment is unwarranted for investments in primary care that result in overall program cost reduction, such as those generated by reductions in preventable hospital admissions. ACP agrees with MedPAC that this adjustment should be made through use of a modifier to billing codes for primary care services further refined through the development of additional criteria to target the increases specifically to primary care physicians.

ACP also supported MedPAC's recommendation that Congress initiate a medical home pilot project in Medicare, noting that this would be a significant improvement over the Medicare medical home demonstration project Congress previously authorized under the Tax Relief and Health Care Act of 2006 (TRHCA). The new pilot should not delay moving forward on the existing medical home demonstration, but allow for the existing project to transition to the new recommended pilot.

MedPAC's report also outlined a number of stringent criteria that practices must meet to be eligible for participation in the medical home pilot. While ACP is supportive of most, if not all, of the criteria, it is concerned about the ability of most solo and small practicesthe type of practices that provide care to the majority of Medicare beneficiariesto meet them all. ACP recommends, therefore, that implementation of this project include mechanisms to assist a suitable number of the practices in meeting the criteria and participating in the pilot.

"The need for action is urgent," Dr. Harris said in conclusion. "ACP looks forward to helping Congress understand the importance of these recommendations and to assisting in their future implementation."


Contact: David Kinsman
American College of Physicians

Related medicine news :

1. Cranberry Power: This American Native Fruit Doesnt Have to be Exotic to be Super
2. American Academy of Dermatology, Major League Baseball and Major League Baseball Players Association Play Sun Smart(TM) to Strike Out Skin Cancer
3. Statement From Bayer(R) Aspirin Regarding the American Medical Associations New Aspirin Policy Resolution
4. Corn Refiners Association Applauds American Medical Association Decision on High Fructose Corn Syrup
5. Blue Cross Blue Shield of Hawaii and American Well Bring Online Care to the State of Hawaii
6. American Well and Microsoft Enter Into a Strategic Collaboration to Bring Healthcare to Peoples Homes
7. American Well Launches the Online Healthcare Marketplace
8. Johnson & Johnson and American Red Cross Announce Resolution of Lawsuit
9. Nature Made SAM-e Complete Helps Americans Find Their Good Moods
10. LIVESTRONG.COM Survey Reveals 86 Percent of Americans Attempt Changes to Improve Their Health but Less Than Half are Successful
11. American Association for Homecare Applauds Bill to Delay the Flawed Medicare Bidding Program for Home Medical Equipment
Post Your Comments:
(Date:11/29/2015)... ... ... Effective immediately, every single IguanaMed scrub style will be available at Target via ... “Buy One Scrub Set, Get the 2nd Scrub Set 50% Off” for a limited ... price. , IguanaMed’s mission is to outfit every healer around the world ...
(Date:11/28/2015)... , ... November 28, 2015 , ... Safe storage for ... of two inventors, one from Lakewood, New Jersey and the other from Bradley Beach, ... patent-pending PROTECTOR to save the expense of having to replace NuvaRings more often than ...
(Date:11/28/2015)... ... November 28, 2015 , ... Pixel Film Studios is back again ... choose from, the possibilities are endless. Users have full control over angle of view, ... masking effects, users are sure to get heads to turn. , ProPanel: Pulse offers ...
(Date:11/27/2015)... ... 27, 2015 , ... According to an article published November 6th ... the University of British Columbia suggested that laws requiring bicyclists to wear helmets may ... part of the reason for the controversial conclusion is that, while helmets have certainly ...
(Date:11/27/2015)... , ... November 27, 2015 , ... A team of ... ways to treat it. Surviving Mesothelioma has just posted the findings on the website. ... Hospital Zurich analyzed the cases of 136 mesothelioma patients who were treated with chemotherapy ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 2015 ) ... "Radioimmunoassay Market by Type (Reagents & Kits, ... Clinical Diagnostic Labs), Application (Research, Clinical Diagnostics), ... report to their offering. --> ... of the "Radioimmunoassay Market by Type ...
(Date:11/25/2015)... 2015 ... "Global Brain Monitoring Devices Market 2015-2019" ... ) has announced the addition ... Market 2015-2019" report to their offering. ... ) has announced the addition of ...
(Date:11/25/2015)... THOUSAND OAKS, Calif. , Nov. 25, 2015 /PRNewswire/ ... of a Biologics License Application (BLA) with ... Administration (FDA) for ABP 501, a biosimilar candidate to ... the first adalimumab biosimilar application submitted to the FDA ... biosimilar pathway. Sean E. Harper , M.D., ...
Breaking Medicine Technology: