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Internists respond to SFC with ideas on how to make improvements following repeal of SGR
Date:5/31/2013

(Washington) The American College of Physicians (ACP) today provided 19 specific recommendations, supporting evidence and implementation details on how to improve the Medicare physician fee schedule and the fee-for-service (FFS) system overall in response to a request by the Senate Finance Committee (SFC) on May 10. ACP cited ways to provide stability for physician reimbursement and lay the necessary foundation for a performance-based payment system following the repeal of the Sustainable Growth Rate (SGR).

ACP gave seven recommendations for each of the first two questions from the SFC and another five ideas in response to the Senate committee's third query. ACP's responses, all based on evidence-based policies, include specific thoughts about topics including utilization, relative values and helping physicians transition to new payment and delivery models.

On utilization, ACP's recommendations included: create an add-on to evaluation and management codes when physicians document that they have incorporated high value care clinical guidelines (such as guidelines from ACP's High Value Care Initiative into their practices and engaged patients in shared decision-making based on such guidelines; develop alternatives to pre-authorization that would encourage the use of appropriateness criteria by "outlier" practices; especially encourage use of such appropriateness criteria, and provide timely educational feedback, to physicians in practices that own ancillary services if they have higher utilization compared to peers that do not have such an ownership interest; expand bundled payments to more services and conditions; and explore ways to provide physicians with accurate data on the quality and total cost of care provided by other clinicians and hospitals within their geograph
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Contact: Jacquelyn Blaser
jblaser@acponline.org
202-261-4572
American College of Physicians
Source:Eurekalert

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