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April 11-13, 2019
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Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
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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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Panel discussion includes challenges and opportunities,
impact on patients, and ACP's role in helping practices
(Boston, May 1, 2015)- A summary of the key provisions of the
new Medicare Access and CHIP Reauthorization Act (MACRA), H.R. 2
and an explanation of how it will put Medicare on a pathway to
"value-based" payments was provided today at a press briefing,
"Medicare payment, post-SGR: How will the new law transform how
Medicare pays doctors?", during the American College of Physicians
(ACP) Internal Medicine Meeting 2015.
The Medicare Access and CHIP Reauthorization Act (MACRA), H.R. 2
was passed overwhelmingly by the House of Representatives on March
26 by a vote of 392 to 37. It was approved by the Senate on April
14 by a vote of 92 to 8, and then signed by the President on April
The summary and explanation were given as part of a panel
presentation featuring Bob Doherty, SVP, Governmental Affairs and
Public Policy for ACP; Shari Erickson, ACP's vice president,
Governmental Affairs and Medical Practice ; and Nitin Damle, MD,
MS, FACP, a founding partner in an eight-physician private practice
in Wakefield, R.I. and president-elect designee of ACP.
Doherty, who also moderated the session, summarized the
legislation and said why ACP supported it. "This legislation earned
the support of ACP and more than 750 additional
physician-membership organizations. It repeals the Sustainable
Growth Rate (SGR), and replaces the SGR's 21percent cut to
physicians with stable and positive payment updates for the next
four-and-a-half years. Then, starting in 2019, it gives physicians
options to earn performance based incentive payments, either by
participating in a new Merit-based Incentive Payment System or as
an Alternative Payment Model, like a Patient-Centered Medical Home.
Doherty said. A more detailed description of the law, compared to
ACP policy, can be found at http://tinyurl.com/SGR-HR2.
Erickson talked about the next steps for advocacy on the
legislation. She focused on what ACP will be doing to ensure that
it is implemented effectively and that there is proper preparation
for the 141,000 ACP members. She also described efforts to be
certain the right tools for measurement will be used.
"Moving forward, ACP will be very engaged in influencing CMS on
implementation of the law, to ensure it stays true to its intent of
significantly improving the Medicare physician payment system.
Additionally, ACP will make it our top priority to ensure that our
members are fully informed about and prepared for active and
successful participation in the newly established Merit-based
Incentive Payment System or an Alternative Payment Model," Erickson
Dr. Damle addressed the legislation's elimination of the SGR
formula as being especially important to patients because it
provides sustained and undisrupted access to care. "For the past 12
years, physicians and patients have had to deal with the
uncertainty of participation in the Medicare and Medicaid program
due to potentially unsustainable cuts in payments. Now patients
need not worry about the loss of their physician or the continuity
Dr. Damle pointed out that "the repeal of the SGR provides a
more secure environment for physicians to expand and invest in
their practices to improve care and lower costs. The movement to
more quality and cost-based payment requires a significant shift in
the practice of medicine, with continued adoption of the Patient
Centered Medical Home model, performance measurement and reporting
and accountability for costs. Physicians can now make choices
between the Merit Based Incentive Payment System and risk sharing
through an Accountable Care Organization. These payment models
offer opportunities for significant improvement in the quality of
care and improved reimbursement to primary care physicians."
The American College of Physicians is the
largest medical specialty organization and the second-largest
physician group in the United States. ACP members include 141,000
internal medicine physicians (internists), related subspecialists,
and medical students. Internal medicine physicians are specialists
who apply scientific knowledge and clinical expertise to the
diagnosis, treatment, and compassionate care of adults across the
spectrum from health to complex illness. Follow ACP on Twitter and Facebook.