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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
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April 11-13, 2019
Internal Medicine Meeting 2019
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ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
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Will Apply to both Fee-For-Service and Managed Care Medicaid
May 10, 2012
Attribution:David L. Bronson MD, FACP
President, American College of Physicians
Washington - The American College of Physicians (ACP),
representing 132,000 internal medicine specialists and medical
student members, is pleased to see the Centers for Medicare and
Medicaid Services' (CMS) release of the proposed rule to increase
Medicaid payment rates for certain primary care services to the
level of Medicare, which will apply to both fee-for-service and
managed care Medicaid plans. This increase in payments is a
critical element of the Affordable Care Act (ACA). Primary care
physicians, including general internists, will be particularly
affected by the Medicaid expansion that will take place in 2014,
when the ACA will result in Medicaid access to all individuals with
incomes below 133 percent of the federal poverty level. At that
time, it is expected that millions of new patients will enter the
health care system, including through Medicaid, and many will have
complex health care needs. And, presently, many practices do not
accept Medicaid patients because reimbursement rates are relatively
low and the administrative barriers are significant. Therefore,
enhanced payment rates may induce more physicians to participate in
Medicaid, making the health care system better equipped to meet the
needs of these new patients.
ACP is particularly pleased that CMS is proposing that all
physicians with the specialty designations of family medicine,
general internal medicine, or pediatric medicine-as well as all
subspecialists within those three specialty designations, as
recognized by the American Board of Medical Specialties-be eligible
for increased payment. This is encouraging because while primary
care physicians do provide the bulk of services accounted for by
the specified evaluation and management (E&M) and vaccine
administration codes, there are a significant number of internal
medicine and pediatric subspecialists that also provide these
services-and they should be included as well.
In addition, ACP is encouraged that CMS is proposing to include
non-Medicare covered primary care services in the list of specified
codes because these services do represent a core component of
services commonly delivered in the Medicaid program. These services
include comprehensive preventive medicine, counseling for risk
factor reduction and behavior change, and non face-to-face
Finally, it is important to note that for 2013-2014 states will
receive 100 percent payment by CMS for their expenditures equal to
the difference between the Medicaid state plan rate for primary
care services and the Medicare rate. Because CMS will be paying for
the increase with federal dollars as authorized by the ACA, the
increased Medicaid payments for primary care will not result in
offsetting cuts in payments to other (non-eligible) physicians and
specialties. After December 31, 2014, states are permitted to
continue funding Medicaid primary care reimbursement rates at or
above Medicare levels-but without additional federal funds, unless
the program is reauthorized through new legislation. ACP will be
urging Congress to extend the program.
ACP will be submitting detailed comments to CMS on this proposed
rule in the coming weeks, with the intent of providing meaningful
feedback on ways improve the rule prior to it being finalized.
The American College of Physicians (www.acponline.org) is the largest medical
specialty organization and the second-largest physician group in
the United States. ACP members include 132,000 internal medicine
physicians (internists), related subspecialists, and medical
students. Internists specialize in the prevention, detection, and
treatment of illness in adults. Follow ACP on Twitter and Facebook.
David Kinsman, (202) 261-4554, firstname.lastname@example.org
Jacquelyn Blaser, (202) 261-4572, email@example.com