GI Endoscopy Unit Leadership: Mapping the Specifications for a High-Performing Unit (On-Demand) | November 2021-01_Khan

01_Khan_Legislative Landscape

Pdf Summary

The current legislative and regulatory issues discussed in the document include:<br /><br />1. Rising Costs of Health Care: The case for a shift from Fee From Service to Value-Based Care.<br />2. Modernizing Stark Law: Developing alternative payment models to promote value-based care.<br />3. Efforts to increase screening rates for colorectal cancer through the CDC colorectal cancer prevention program and the congressional colorectal cancer caucus.<br />4. Legislative acts like the Safe Step Act and Improving Seniors' Timely Access to Care Act to improve seniors' access to care.<br />5. Fighting Medicare Sequestration: Addressing the automatic spending reductions that impact physician reimbursements.<br />6. Surprise Billing (No Surprises Act): Regulations to prevent patients from receiving unexpected medical bills.<br /><br />The document also highlights the need for addressing unchecked expenses, cost shifting, and the reliance on overcharging to make up for financial losses. The shift towards value-based care is advocated to reward quality over quantity in healthcare delivery. The document mentions the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) which replaced the Medicare Sustainable Growth Rate (SGR) and introduced the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).<br /><br />The importance of supporting legislative agendas that reduce Stark regulation, promote alternative payment models, improve access to care, and increase colon cancer screening is emphasized. Additionally, the document highlights the need for increased funding for the CDC colorectal cancer control program and the importance of legislation like the Safe Step Act and Improving Seniors' Timely Access to Care Act.<br /><br />The role of professional societies in supporting these legislative efforts and promoting value-based care is mentioned. Lastly, the document concludes with practice pearls, advising professionals to understand the issues, get involved with their societies, support beneficial legislation, focus on quality/value, and drive positive change in healthcare.

Keywords

rising costs of health care

value-based care

modernizing Stark Law

alternative payment models

colorectal cancer screening

Safe Step Act

Improving Seniors' Timely Access to Care Act

Medicare Sequestration

surprise billing

professional societies