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

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