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Internists offer recommendations for solutions to medicare payment problems
Date:2/14/2013

(Washington) "Repeal of Medicare's Sustainable Growth Rate (SGR) is essential, but repeal by itself will not move Medicare to better ways to deliver care," the American College of Physicians (ACP), said in its statement today to the House Energy and Commerce Subcommittee on Health. "We need to transition from a fundamentally broken physician payment system to one that is based on the value of services to patients, building on physician-led initiatives to improve outcomes and lower costs."

The 25-page statement was submitted for inclusion in the record for the committee's hearing today, "SGR: Data, Measures and Models; Building a Future Medicare Physician Payment System."

A summary of ACP's statement included these highlights:

A FRAMEWORK TO REPEAL THE SGR AND PROGRESS TO BETTER MODELS

ACP supports a two-phased approach to eliminate the SGR and transition to better payment and delivery systems that are aligned with value. During phase one, repeal the SGR formula, provide at least five years of stable physician payments, with positive increases for all physician services, and higher payments for primary care, preventive and care coordination services; and in phase two establish a process for practices to transition to new, more effective, models of care by a date certain. ACP is encouraged that this committee's SGR proposal, as released jointly with the Ways and Means Committee on Feb. 7, is largely consistent with this approach.

REFORMING FEE-FOR-SERVICE AND TRANSITIONING TO VALUE-BASED PAYMENT

ACP supports shorter-term reforms to start more physicians on the road to better payment models, and reward "early adapters" who already have taken the leadership to participate in payment programs focused on higher quality, improved patient experience, and greater value. This includes development and recognition under Medicare fee-for-service payment polices of two new sets of CPT codes for transition care f
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Contact: Sam Benton
sbenton@acponline.org
202-261-4552
American College of Physicians
Source:Eurekalert

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