Navigation Links
American College of Physicians commends MedPAC June 2008 report to Congress
Date:6/20/2008

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
dkinsman@acponline.org
202-261-4554
American College of Physicians
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:2/13/2016)... , ... February 13, 2016 , ... ... of Nursing with an in-kind gift of a VeinViewer® Vision vein finder ... they learn how to start an IV and draw blood, combining technology with ...
(Date:2/12/2016)... ... February 12, 2016 , ... Mystic Buddha Publishing House presents Valentine’s ... Buddha, the biography of Rama - Dr. Frederick Lenz. , According to ... of a Buddhist teacher for teaching and helping others. Valentine’s Day celebrates love ...
(Date:2/12/2016)... ... February 12, 2016 , ... Fixed Dose ... – 3:00 p.m. EST, http://www.fdanews.com/fixeddosecombination , Fixed dose ... products, garnering increased attention from all stakeholders in the development of new chemical ...
(Date:2/12/2016)... ... February 12, 2016 , ... The ... Zuckerberg San Francisco General Hospital on April 5-7. The series is a multi-day, ... new habits. The workshops cover a broad range of topics, including coaching skills, ...
(Date:2/12/2016)... ... February 12, 2016 , ... The Jones Agency, a family owned ... Texas, is launching a cooperative charity drive with the Tarrant Area Food Bank in ... 50,000 individuals and families in need, the Tarrant County Food Bank offers hope and ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... INDIANAPOLIS , Feb. 12, 2016  Eli Lilly and ... High Court decided the Alimta® (pemetrexed disodium) vitamin regimen patent ... in the UK, France , ... instructions to dilute the product only with dextrose solution.  ... of 2015, the UK Court of Appeal held that Lilly,s ...
(Date:2/12/2016)... Ky. , Feb. 12, 2016 /PRNewswire/ ... has completed a $47.1 million Series D ... Cormorant Asset Management, Hillhouse Capital Group and ... Morningside Venture Investments, AJU IB Investment, and ... be used to further advance clinical trials ...
(Date:2/11/2016)... The primary goal of this research is to analyze ... of liquid biopsy. Key information the survey seeks to ... liquid biopsy adoption amidst future users - Predominantly used ... Sample inflow to conduct liquid biopsy tests - Preference ... on. - Correlation analysis of sample type and biomarker ...
Breaking Medicine Technology: