Published in The American Journal of Managed Care As a physician, my primary concern is ensuring my patients get the best care possible, which often requires coordinating with other specialists. Every day I work with doctors in my practice—and in other practices—to give my patients access to a diverse team of experts that works together […]
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Advocacy
Protecting the Integrated Model of Care
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...
Saving the In Office Ancillary Service Exception (IOASE)
Integrated models of care allow for better coordination across specialties, translating into higher quality, lower cost and more accessible care for patients. Read more...
Pathology Services Utilization
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...
Recent Advocacy
Step Therapy Reform Will Help Physicians Put Patients First
Published in American Journal of Managed Care As physicians, the health of our patients is always our first consideration. But unfortunately, patients aren’t always permitted to benefit from the treatment plan that physicians prescribe. Some patients are forced to try one or more medications that end up not helping them before insurers will allow the […]
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Modernization of Stark Law promotes value-based care
Pulished in Healio The bipartisan legislation, “The Medicare Care Coordination Improvement Act of 2017,” was recently introduced by the Senate to modernize the Stark Law and eliminate the barriers it poses to care coordination. Read More >>
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Where’s the money?
Published in POLITICO Stark Law bill: Sens. Rob Portman and Michael Bennet introduced a bill Wednesday to adapt Medicare’s anti-kickback laws. The regulations are intended to crack down on physician conflicts of interest in making referrals and purchasing services, but critics believe the laws need reform in a value-based payment era. Portman and Bennet’s bill, […]
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DHPA Supports New Legislation to Improve Care Coordination Under Federal Physician Self-Referral Law
The Medicare Care Coordination Improvement Act would remove barriers to physician practice participation in APMs. Specifically, it would provide CMS the same authority to waive restrictions in the Stark Law and Anti-Kickback Statute for physicians seeking to develop and operate APMs as was provided to Accountable Care Organizations in the Affordable Care Act. It would allow physician practices to incentivize practitioners to provide high quality care while alternative payment models are under development and in operation.
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