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Second Opinion

Learn about policy issues important to medical schools and teaching hospitals, with Executive Vice President Atul Grover, M.D., Ph.D.

Washington Highlights

AAMC Comments on Proposed Changes to the Medicare Physician Fee Schedule

September 7, 2012—The AAMC Aug. 30 submitted comments  to the Centers for Medicare and Medicaid Services (CMS) on the proposed changes listed in the Medicare 2013 Physician Fee Schedule proposed rule [see Washington Highlights, July 13].  The letter responds to proposals for establishing the physician value modifier, reporting requirements for group practices, and improving quality reporting.

In particular, the AAMC notes concern with the proposal that all groups report quality data as a single group or face penalties in 2015 under the value-modifier. The AAMC believes this is a major shift in policy and that group-level quality reporting should be optional. The AAMC also provides several recommendations to improve the current group practice reporting option web interface tool (GPRO web), including recommending that CMS adopt a primary care attribution methodology.

The letters also supports a new code for discharge care coordination, but recommends that CMS allow multiple providers to bill that service.  Finally, the letter reiterates the AAMC’s position in support of a full repeal of the sustainable growth rate, and encourages CMS to work with Congress to revise the physician payment formula. 

Contact:

Mary Patton Wheatley, M.S.
Director, Health Care Affairs
Telephone: 202-862-6297
Email: mwheatley@aamc.org

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Washington Highlights, a weekly electronic newsletter, features brief updates on the latest legislative and regulatory activities affecting medical schools and teaching hospitals.


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For More Information

Jason Kleinman
Sr. Legislative Analyst, Govt. Relations
Telephone: 202-903-0806
Email: jkleinman@aamc.org