DHPA

  • Home
  • About Us
    • Leadership
      • Executive Committee
      • Board Members
    • DHPA Members
    • Contact Us
    • Join Us
  • Advocacy
    • Patient Access to Independent GI Care
      • Colorectal Cancer Screening
    • Diversity Equity and Inclusion
    • Modernizing the Stark Law
    • Saving the IOASE
    • Pathology Services Utilization
  • Resources
    • CRC Screening
    • Independent GI Careers
    • Research
    • Fact Sheets
    • Letters to Policymakers
    • Leadership Webinar Series
  • Newsroom
    • Press Releases
    • DHPA in the News
    • GI News Round Up
  • Take Action

June 27, 2016

DHPA Comment Letter on MACRA Proposed Rule

DHPA today filed comments in response to CMS’s proposed rule implementing the Merit-Based Incentive Payment System (MIPS) and Incentives for Alternative Payment Models (APMs). This major proposed rule establishes new ground rules for physician payments under the MACRA legislation passed by Congress last year.

MACRA represents a fundamental change in the way physicians are paid under Medicare in two ways. First, payments to physician groups will increase or decrease based on their performance under certain quality, resource use, and other reporting programs. Second, physicians who participate in APMs like ACOs, bundled payment arrangements, and other new models of care will receive a Medicare payment bonus and certain other incentives.

Our comments remind CMS of the fundamental importance of independent gastroenterology practice and make a number of actionable suggestions to ensure that the physician payment system works for GI physicians working in the independent setting. In its comments, DHPA:

  • Asks CMS to provide flexibility under the Stark Law so that independent gastroenterology practices can properly reward efficient and high-quality physicians, and participate in a wide range of models to coordinate care across sites of service.
  • Requests a wider range of options to report on measures related to care coordination and clinical practice improvements under the MIPS.
  • Advocates that CMS change the “episode of care” rules it proposes to use to evaluate specialty services, so that such “episodes” can be triggered in the ASC setting for services like colonoscopies and other endoscopic procedures.

Click here to read the full comment letter.

Filed Under: Advocacy, Letters to Policymakers, Modernizing the Stark Law, Newsroom, Protecting Patient Access to Integrated GI Care in the Independent Setting

Member Spotlight

Adult Gastroenterology Associates is a single-specialty GI and hepatology practice serving Tulsa and much of Northeastern Oklahoma, with physicians who specialize in colon cancer screening, treatment of GERD, IBD, and treatment of diseases of the liver and pancreas.

Learn more at:
www.tulsagastro.com

Become a Member

    Is your practice interested in promoting and preserving accessible, high quality and cost-efficient care in the independent GI medical setting? Contact us today about joining DHPA.

    Recent News

    • The Value of Colonoscopy: The Gold Standard in Colorectal Cancer Screening (Video)

    • Colorectal Cancer: Am I at Risk? (Video)

    • The Value of Colonoscopy (Infographic)

    • Colorectal Cancer: Am I at Risk? (Infographic)

    • Value of Colonoscopy Spanish Translation (Infographic)

    • Colorectal Cancer: Am I at Risk? Spanish Translation (Infographic)

    • DHPA Recommends MACRA Improvements to Bipartisan Group of U.S. Representatives

    • New Study in Gastro Journal: GI Patients Consider Telehealth to be the Same as In-Person Visits

    • DHPA Comment Letter on OPPS/ASC Proposed Rule for Calendar Year 2023

    Digestive Health Physicians Association, Inc.
    10770 Columbia Pike, Suite 400
    Silver Spring, Maryland, 20901
    © 2020 DHPA

    Follow @DHPAnews
    Tweets by DHPAnews

    Copyright © 2023 · Executive Pro Theme on Genesis Framework · WordPress · Log in