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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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GI News Round Up 10/30 -11/03

A collection of GI policy-related news curated weekly by DHPA. Topics include: MACRA, MIPs, APMs, Medicare, ambulatory surgery centers and other issues of importance to GI physicians providing high quality and cost-efficient care in the independent medical practice setting.
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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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