SGR Repeal Bill Advances to Full House Committee

Margaret Dick Tocknell, for HealthLeaders Media , July 24, 2013

Expanded Data for Care Improvement
To expand the availability of Medicare data for providers to use in developing new models of care and improving quality and patient care, the legislation expands access to Medicare data for certain certified entities.

The legislation eliminates the roadblocks that prevented these entities from sharing data directly with providers to facilitate the development of alternative payment models and care improvement.

Improved payment accuracy
The bill would ensure that providers could be compensated for the cost of submitting data. The legislation also directs Medicare to identify improperly valued services under the fee schedule that would result in a net reduction of 1% of the projected amount of expenditures for a year during 2016 through 2018.

Numerous physician groups, including the American College of Physicians, the American Academy of Family Physicians, and the Premier healthcare alliance, are voicing general support for the bill.

There are, however, calls for Congress to make changes in the bill to monitor patient access, to risk-adjust the quality measures for patient socio-economic status, and provide more funding for primary care physicians.

Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
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1 comments on "SGR Repeal Bill Advances to Full House Committee"

Matthew Taber (7/24/2013 at 11:59 AM)
Multiple attempts to repeal the SGR have failed miserably in the past. Proponents of the repeal completely had the opportunity to [INVALID] a repeal into the Fiscal Cliff legislation that passed with flying colors January 1st but proponents must have been too busy partying over New Years because they failed to [INVALID] the repeal into the legislation. Having worked for a member of the House in the past and worked on healthcare policy on the U.S. Senate HELP Committee, I understand exactly what it takes to get legislation passed. In order for this bill to pass, it will have to have all 20 physicians in Congress vote for it. In addition, it will need the votes of the fiscally conservative Blue Dog Democrats, Nancy Pelosi, John Boehner, Steny Hoyer, Harry Reid, Mitch McConnell, Mike Enzi, Lamar Alexander, Max Baucus, and Dick Durbin. Physicians and practice managers should lobby these individuals directly (very easy to do as I do it on a daily basis) if they wish to see the SGR be repealed.




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