the current state of health care reform
Download
Skip this Video
Download Presentation
The Current State of Health Care Reform

Loading in 2 Seconds...

play fullscreen
1 / 21

Power Point Slides of the Webinar - PowerPoint PPT Presentation


  • 267 Views
  • Uploaded on

The Current State of Health Care Reform Aiken Hackett Director, Government Affairs Health Care Reform Objectives 2010 Physician Fee Schedule Senate Health Care Reform House Health Care Reform Medicare Physician Fee Schedule 2010 Proposed Rule Elimination of Consultation Codes

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Power Point Slides of the Webinar' - paul


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the current state of health care reform

The Current State of Health Care Reform

Aiken Hackett

Director, Government Affairs

health care reform
Health Care Reform

Objectives

  • 2010 Physician Fee Schedule
  • Senate Health Care Reform
  • House Health Care Reform
medicare physician fee schedule 2010 proposed rule
Medicare Physician Fee Schedule2010 Proposed Rule
  • Elimination of Consultation Codes
  • Decrease of Infusion payments 25%
  • Continuation of PQRI
medicare physician fee schedule 2010 proposed rule what is the acr doing
Medicare Physician Fee Schedule2010 Proposed Rule What Is the ACR Doing?
  • Submitting comments to CMS
  • Working with other medical organizations and advocacy groups
  • Submitted op-ed articles to major newspapers
  • Encouraging members to submit comments to CMS and reach out to Congress
medicare physician fee schedule 2010 proposed rule what can you do
Medicare Physician Fee Schedule2010 Proposed Rule What Can You Do?

1. Submit letter to CMS by 5pm ET August 31

Letter Template Online at www.rheumatology.org and instructions on submission

  • Electronically at www.regulations.gov
  • USPS

Center of Medicare & Medicaid Services

400 Independence Ave, S.W

Washington, D.C. 20201

2. Express your concerns with your members of Congress

Information can be found on the ACR Website at

www.rheumatology.org/advocacy under News Flash

acr position on health care reform
ACR Position on Health Care Reform

To ensure access to care, the ACR supports:

  • Access to affordable health coverage

2) Access to an adequate health care workforce for arthritis, rheumatic and musculoskeletal diseases

3) Access to quality care for these diseases

4) Cost-effective care without reduction in quality health care

ACR paper online at www.rheumatology.org/advocacy.

major players
Major Players
  • Administration
    • President Obama
    • HHS
  • Senators
    • HELP Committee
      • Kennedy
      • Dodd
    • Finance Committee
      • Gang Of Six
  • Representatives
    • Waxman (D-CA)
    • Rangel (D-NY)
    • Miller (D-CA)
senate bills
Senate Bills

Background

  • Senate Health, Education, Labor & Pensions Committee passed the “Affordable Health Choices Act” on July 15.
  • Senate Finance Committee still negotiating bill. The Senate Finance Committee is discussing the public insurance option among other proposals.
  • Senate will merge two committee bills and send to floor for a vote.
senate help bill estimated cost 597b
Senate HELP BillEstimated cost: $597B

Coverage

  • Includes an individual mandate on health insurance
  • Prohibits excluding coverage based on pre-existing conditions
  • Creates a public option (Community Health Insurance Option)

Provider participation is voluntary within the public plan option.

The Secretary can negotiate provider rates.

senate help bill
Senate HELP Bill

Other Provisions

  • Follow-on biologics
  • Loan repayment program for pediatric sub-specialties
h r 3200 tri committee bill estimated cost 1 042t
H.R. 3200 Tri-Committee BillEstimated cost: $1.042T

Background

  • Passed by Education & Labor Committee on July 17.
  • Passed by Ways & Means Committee on July 17.
  • Passed by Energy & Commerce Committee on July 31.

Energy & Commerce has 55-60 additional amendments to consider after August recess.

h r 3200 tri committee bill
H.R. 3200Tri-Committee Bill

Coverage

  • Creates a Health Insurance Exchange where individuals and employers can purchase health coverage
  • Requires employers to provide coverage or pay into a Health Insurance Exchange Trust Fund
  • Prohibits excluding coverage based on pre-existing conditions
h r 3200 tri committee bill13
H.R. 3200Tri-Committee Bill

Provider Payment

  • Eliminates 21.5% scheduled cut in Medicare Physician Fee Schedule
  • Includes a 1% update
  • Establishes two service categories which will receive individual updates
  • E/M services in one category and volume growth is at a rate of GDP + 2%
  • Removes Part B drugs from calculations
  • Increases Medicaid payments to encourage provider participation
h r 3200 tri committee bill14
H.R. 3200Tri-Committee Bill

Access to Drugs

  • Allows the Secretary to negotiate drug prices with pharmaceutical manufacturers
  • Grants the Secretary authority to determine a drug’s coverage in the public plan
h r 3200 tri committee bill15
H.R. 3200Tri-Committee Bill
  • Includes provisions on follow-on biologics
  • Includes provisions relating to HIT
  • Includes provisions relating to CER
  • Removes prompt pay discounts of up to 2% from the ASP calculation
h r 3200 tri committee bill16
H.R. 3200 Tri-Committee Bill

Imaging

  • Calls for study on DXA utilization
h r 3200 tri committee bill17
H.R. 3200 Tri-Committee Bill

PQRI

  • Requires Secretary to develop feedback mechanism (no deadline specified) and appeals process for providers participating in the PQRI program by January 1, 2011

Pending Amendment

Workforce

  • Loan Repayment for Pediatric Subspecialties
what to expect in september
What to Expect in September
  • Energy & Commerce will consider the remaining amendments.
  • House will merge 3 committee passed bills and will send to floor for a vote.
  • Senate Finance Committee has set a September 15 deadline to develop their bill.
  • Senate must merge two bills and send to floor.
  • Upon passing in both Chambers, Congress will go to “conference” to negotiate final bill.
what can you do
What Can You Do?
  • Contact your Representative and Senators and express your opinions on health care legislation.
    • www.capwiz.com/acr
    • AMA Grassroots Hotline: (800) 833-6354
  • Visit your legislators at home: congressional recess through September 7.
  • Attend Annual Meeting Session with Rep. Allyson Schwartz (D-PA) on Monday, October 19, 2:30-4:00, to receive an update on health care reform.
what can you do contribute to rheumpac
What Can You Do? Contribute to RheumPAC

Q:What is RheumPAC?

A: RheumPAC is a political action committee dedicated to increasing the ACR’s presence on Capitol Hill.

A: RheumPAC supports the ACR in its efforts to build contacts, influence and visibility within Washington, D.C.

A: RheumPAC increases the ACR’s access to members of Congress and the opportunity to educate them on issues of importance to rheumatology.

questions

Questions?

ACR Government Affairs Department

Patton Boggs LLP

ad