In June 2013, the U.S. Government Accountability Office (GAO) published a report, “Medicare Action Needed to Address Higher Use of Anatomic Pathology Services by Providers Who Self-Refer” (GAO Report), which discussed the utilization of anatomic pathology (AP) services in the fee-for-service (FFS) Medicare program. The GAO Report focused on the growth of AP services between calendar years 2004 […]
High-quality, integrated care delivered in the independent medical practice setting is worthy of protection as an alternative to care that is often more costly when furnished in the hospital setting. Read more...
Integrated models of care allow for better coordination across specialties, translating into higher quality, lower cost and more accessible care for patients. Read more...
Recent data, including 2009-2013 Medicare data relating to the cost and utilization of anatomic pathology (AP) services, demonstrates that the GAO report fails to tell the full story about cost and utilization. Read more...
In July 2014, DHPA wrote to Representative Charlie Dent to express support for his legislation, the “Removing Barriers to Colorectal Cancer Screening Act of 2014.” The legislation sought to remove a Medicare loophole that required patients to pay a co-pay if a polyp was discovered and removed during a routine diagnostic colonoscopy — a procedure which […]
In July 2014, DHPA wrote to Senator Sherrod Brown (D-OH) to express support for his legislation, the “Removing Barriers to Colorectal Cancer Screening Act of 2014.” The act sought to remove a Medicare loophole that required patients to pay a co-pay if a polyp was discovered and removed during a routine diagnostic colonoscopy — a procedure […]
Many medical services—for example, an MRI scan—are provided both in hospital outpatient departments (HOPDs) and community settings, such as physician offices and freestanding imaging or ambulatory surgical centers (ASCs). Services commonly provided in both settings include laboratory tests, physical therapy, outpatient surgery, standard and advanced imaging, physician visits, and noninvasive and invasive procedures, such as […]
In March 2014, DHPA co-signed a letter from many top healthcare professional organizations to the Senate Finance Committee urging the Committee to preserve the in-office ancillary services exception (IOASE). DHPA defended the exception by citing increased continuity of care, lower cost and higher convenience of allowing in-office ancillary services, including advanced imaging, radiation therapy, anatomic pathology […]