Prior to founding Rockpointe, Thomas worked as a political consultant. Overview of Electronic Health Records. Leave A Reply Cancel Reply. Save my name, email, and website in this browser for the next time I comment. A the Doc Fix.
A the Doc Fix Healthcare Reform. By Thomas Sullivan Last updated May 6, Recommendations and Proposals In October, , MedPAC recommended eliminating the formula without increasing the deficit by cutting fees for specialists and imposing a year freeze on rates for primary care physicians.
The House Republicans stated that SGR Reform must: Not increase the deficit; Involve the physician community and other stakeholders; Foster clinically meaningful not government determined care for patients; Encourage achievable improvements in quality, efficiency, and patient outcomes based on physician-endorsed measures; Be applicable to all specialties, practice arrangements, and geographic locations; Reward the value rather than the volume of services; Motivate all stakeholders to adopt reforms; and Strengthen Medicare for seniors.
Related Posts. Sep 10, Dec 2, Nov 6, Doc Fix Health Care. What's Next. Oct 22, Blog Paper Health Care. Oct 1, Blog Paper Health Care. Sep 23, Blog Paper Health Care. Though it could be improved, this legislation is a good start. For more information on the implementation of alternative payment models, read our Medicare reform health policy brief. This is a huge challenge. And unfortunately there has been virtually no discussion of how to pay for it. Elsewhere, we wrote about how to pay for a permanent SGR fix , and suggested that if such a discussion proves to be too challenging, then Congress should consider a semi-permanent fix in the three to five year range.
It is critical that physicians have a period of stability and incentives to invest in the management tools that will help them move away from the current, inefficient, fee for service models. With a new Congress it remains to be seen how this will proceed. Because there is little time before then to develop consensus around the legislation and how to pay for it, the odds again favor some sort of further short term extension.
But this could be done in a way that facilitates a permanent or semi-permanent fix soon, perhaps in this Congress. If Congress, adopts a new budget and moves to implement it, it is quite possible SGR will be included as one of those items. That process, however, can take several months to unfold. What is the Medicare Sustainable Growth Rate?
Related Books. Mark B. Matthew Fiedler. Now that the SGR has been repealed, it is likely that policy conversation about physician payments will move on to other outstanding issues, such as the balance of payments between primary care and other services and continued delivery system reforms, including population-based payments, with no fee-for-service component. Until the details of the measures of quality and value and incentive payments become available, it is uncertain if physicians will consider them reasonable and fair.
At some point, the cumulative effect of the new payment updates will not keep up with physician costs, unless the volume and cost of services substantially decrease, which is the same underlying issue as with the old payment updates.
The SGR formula lasted 18 years. Within the decade, its replacement is likely to be under scrutiny as well. Published Online: April 17, Steinbrook R. Coronavirus Resource Center. Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy Continue.
Save Preferences. Privacy Policy Terms of Use. Twitter Facebook. This Issue. Views 25, Citations View Metrics. May 26, Robert Steinbrook, MD 1.
0コメント