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Internists issue 2-pronged plan to improve health care system
Date:2/21/2013

>CMS should harmonize (and reduce to the extent possible) the measures used in the different reporting programs, work toward overall composite outcomes measures rather than a laundry list of process measures.
  • CMS should provide more clinically relevant ways to satisfy the requirement that physicians must transition to using ICD-10 codes for billing and reporting purposes.
  • Congress and CMS should consider working with physicians to encourage participation in quality reporting programs by reducing administrative barriers, improving bonuses to incentivize ongoing quality improvements for all physicians, and broadening hardship exemptions. If necessary, Congress and CMS should consider delaying the penalties for not successfully participating in quality reporting programs, if it appears that the vast majority of physicians will be subject to penalties due to limitations in the programs themselves.
  • The government, the medical profession, and standard-setting organizations should work with EHR vendors to improve the functional capabilities of their systems, to improve the ability of those systems to report on quality measures and to ensure that those systems improve rather than adding to workflow inefficiency.
  • Medicare and private insurers should move toward standardizing claims administration requirements, pre-authorization, and other administrative simplification requirements even in advance of, and in addition to, the simplification rules included in the ACA.
  • Congress should enact meaningful medical liability reforms including health courts, early disclosure errors, and caps on non-economic damages.
  • State and federal authorities should avoid enactment of mandates that interfere with physician free speech and the patient-physician relationship.

    "System-wide efforts to improve the health care system won't succeed on their own in improving access and quality if the physicians that the system is counting on to deliver are over
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  • Contact: Jackie Blaser
    jblaser@acponline.org
    202-261-4572
    American College of Physicians
    Source:Eurekalert

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