Navigation Links
Internists express support for new payment and delivery models as basis for replacing SGR
Date:7/18/2012

(Washington) "We know that the current Medicare payment system is not serving the needs of patients, physicians or taxpayers," David L. Bronson, MD, FACP, president of the American College of Physicians (ACP), today told the House Energy & Commerce Subcommittee on Health. "Congress needs to do its part by repealing the SGR, once and for all. But the medical profession needs to do its part by leading the adoption of innovative models to align payment policies with the value of care provided to patients."

Dr. Bronson pointed to several promising payment and delivery system reforms that are being extensively implemented in the public and privates sectors, and could soon be broadly adopted by Medicare.

Specifically, ACP recommended that the Patient-Centered Medical Home model be scaled up for broad Medicare adoption. Features of the medical home contribute to increasing the quality of care and reducing unnecessary costs to patients and the health care system in general. There is an extensive and growing body of evidence on the medical home's effectiveness in improving outcomes and lowering costs.

"This model, which is built on a strong, redesigned primary care infrastructure, has demonstrated significant cost savings," Dr. Bronson said. "Congress should accelerate Medicare adoption of the medical home model by providing higher payments to physician practices that have achieved recognition. At a subsequent stage, medical home performance metrics could be added and incorporated into Medicare payment policies."

Both as part of his comments and in submitting ACP's statement for the record, Dr. Bronson also recommended that Congress should enact payment policies to accelerate adoption of the related Medical Home Neighborhood model.

"The concept of a 'medical neighborhood' is essential to the ultimate success of the medical home," he said. "It recognizes that specialty and subspecialty practices, hospitals, and other healthcare professionals and entities that provide treatment to the patient need to be recognized and provided with incentivesboth non-financial and financialfor engaging in patient-centered practices that complement and support the efforts of the PCMH to provide high quality, efficient, coordinated care."

ACP proposes that Congress help increase non-primary care specialists' participation in the medical home neighborhood model by offering higher Medicare payments to practices that have achieved neighborhood recognition with standards to be developed by the Secretary of HHS.

"Congress should establish Medicare incentives for physicians to incorporate evidence-based guidelines from national medical specialty societies into shared decision-making with their patients," Dr. Bronson implored.

ACP's "High Value, Cost-Conscious Care Initiative," which includes clinical, public policy, and educational components, was designed to help physicians and patients understand the benefits, harms, and costs of an intervention and whether it provides good value, as well as to slow the unsustainable rate of health care cost increases while preserving high-value, high-quality care.

Programs like this initiative could be incorporated into Medicare payment policies by:

  • reimbursing physicians appropriately for spending time with patients to engage them in shared decision-making based on the recommendations from this initiative and similar efforts by other specialty societies, and
  • developing a way to recognize, with higher payments, physicians who can demonstrate that they are incorporating such programs into their practices and engagement with their patients.

ACP also believes that additional steps could be taken now to help physicians move toward models aligned with value to patients, as well as rewarding those who have taken the leadership and risk of participating in new models like medical homes and ACOs.

Even as new models are being more thoroughly developed and pilot-tested, physicians in the meantime could get higher updates for demonstrating that they have successfully participated in an approved transitional value-based payment program.

"ACP believes that for the first time in many years," Dr. Bronson concluded, "we can begin to see a vision of a better future where the SGR no longer endangers access to care, Medicare recognizes and supports the value of primary and coordinated care, and where every person enrolled in Medicare has access to high-functioning primary care through certified medical homes, and other promising care coordination models, including value-based payment models.

"I hope that my testimony today demonstrates that enough progress is being made to move forward on new payment and delivery models as the basis for replacing the SGR," Dr. Bronson concluded. "Getting from here to there, though, will require that Congress enact a legislative framework to eliminate the SGR, stabilize payments during a transition phase, evaluate and implement new models, and specify a pathway and timetable to such models. ACP specifically calls on Congress to work from the Medicare Physician Payment Innovation Act of 2012, H.R. 5707, introduced by Reps. Allyson Schwartz (D-Penn.) and Joe Heck (R-Nev.), the only bipartisan bill that we are aware of that would facilitate such a transition to a better payment system for patients and doctors alike."


'/>"/>

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

Related medicine news :

1. Internists in Washington to discuss patient and professional issues in meetings on Capitol Hill
2. Gene expression test identifies low-risk thyroid nodules
3. Overexpression of proteins 14-3-3 related to chemotherapy resistance
4. Control of gene expression: Histone occupancy in your genome
5. Changes in gene expression may help explain high blood pressure in pregnancy
6. Unmet needs: Adolescents and young adult cancer patients lack psychological, social support
7. Supporting patient autonomy is critical to improving health
8. University of Minnesota licenses Clinical Decision Support technology
9. ASTRO, the Center for Cancer Support and Education to promote cancer survivorship
10. Mahvrick Expands to Brazil, Russia, India, China to Support Existing Client Customer Growth
11. Narconon Louisiana Supports United Nations International Day Against Drug Abuse and Illicit Trafficking
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are confused ... endometriosis. These women need a treatment plan to not only alleviate symptoms and ... help for preservation of fertility and ultimately achieving a pregnancy. The specialists at ...
(Date:6/25/2016)... ... 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily ... of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures ... . Simply select a ProHand generator and drag it above media or text in ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary of ... award to iHire in recognition of their exemplary accomplishments in worksite health promotion. , ... Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was ...
(Date:6/24/2016)... ... , ... June 19, 2016 is World Sickle Cell Observance Day. In an ... of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued a ... Cell Disease (SCD) is a disorder of the red blood cells, which can cause ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... ... is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience ... Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Guerbet announced today that it has been named a ... One of 12 suppliers to receive the ... of Premier members through exceptional local customer service and ... lower costs. "We ... customer service from Premier," says Massimo Carrara , ...
(Date:6/23/2016)... June 23, 2016 Research and ... Procedure Volumes: Global Analysis (United States, China, Japan, Brazil, ... report to their offering. ... for healthcare business planners, provides surgical procedure volume data ... trends with an in-depth analysis of growth drivers and ...
(Date:6/23/2016)... The Biotechnology industry might still ... great opportunities to investors. Stock-Callers.com assesses the recent performances ... XON ), Vertex Pharmaceuticals Inc. (NASDAQ: ... ARNA ), and Regeneron Pharmaceuticals Inc. (NASDAQ: ... your complimentary trade alerts at: http://stock-callers.com/registration ...
Breaking Medicine Technology: