America needs health care that works

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Print Article: America needs health care that works America needs health care that works By MARCY ZWELLING-AAMOT 2017-01-13 07:46:19 Repeal of Obamacare has become a mantra of the new administration; one of many decrees to clean the proverbial swamp. Not so fast we hear from some in the GOP and the political left. And they’re probably correct to be cautious rather than cavalier and concentrate on fixing health care. Repeal gets us nowhere. It’s campaign rhetoric. The GOP needs to focus on a replacement that works to bring an opportunity for every American to purchase the affordable medical and health care that they need and want. Passing the ACA settled the debate about a person’s right to health care insurance … Read More

Public Health & Policy: MACRA Implementation Key Issue for Next Congress= ‘We all own it and it needs to be a success,’ says GOP staffer

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by Joyce Frieden  News Editor, MedPage TodayDecember 15, 2016  WASHINGTON — Members of the next Congress — from both sides of the aisle — will be watching to see whether the Medicare Access and CHIP Reauthorization Act (MACRA) is being properly implemented over the next few years, congressional staff members said here Thursday. “Making sure MACRA is a success [is important]; we all held hands and jumped on that one,” a Republican congressional aide said at the event, which was sponsored by the Alliance for Health Reform and the Jayne Koskinas Ted Giovanis Foundation for Health and Policy. “We all own it, and it needs to be a success, because this was our effort to take ideas from both sides and say ‘This … Read More

Surprise Medical Bills

Marcy ZwellingUncategorized1 Comment

  BY DON R. READ Surprise billing is a big problem — physicians agree with our patients. It’s easy to understand why someone with health insurance gets frustrated with an unexpected bill for dozens or even thousands of dollars from a physician, hospital or medical provider. “Why did I get this bill?” the patient asks. “I have insurance. I’m covered!” Why indeed? People receive surprise bills because that’s what their insurance companies want to happen. It’s part of their business plan: Make their insurance look valuable. Price the plan as attractively as possible. Enroll policyholders. Collect their premium dollars … then do whatever they can to keep most of those dollars rather than spend them on healthcare. For patients, insurance is to … Read More

Points of Consideration December 12, 2016 – World’s Greatest Healthplan

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Points of Consideration December 12, 2016 Contact: Emily Erb 202.225.2231 or Emily.Erb@mail.house.gov –  Amends the Affordable Care Act (ACA) by repealing the most onerous aspects o Repeals the individual mandate.o Repeals the employer mandate. –  Uses federal spending authorized by the ACA –  Uses pre-tax contributions to pay for premiums* o Employer-sponsored insurance pre-tax contributions remain the same. o –  Health Saving Accounts oo HSAs allow patients to play a more active and responsible role in managing their healthcare. –  Bureaucratic overreach This includes, but is not limited to IPAB, CMMI, and PPHF. –  Quality is determined by patient choiceo Free market principles will once again drive healthcare. o Allows for early January 2017 passage and implementation during the 2018 … Read More

TMA Offers Health System Reform List to House Leaders

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TMA Offers Health System Reform List to House Leaders In response to outreach from U.S. House Majority Leader Kevin McCarthy (R-Calif.), House Ways and Means Committee Chair Kevin Brady (R-The Woodlands), and other House Republican leaders, TMA provided a list of nine health care policy suggestions for the next Congress to consider. The House leaders asked the nation’s governors and state insurance commissioners to submit suggestions for replacing the Accountable Care Act (ACA) and improving Medicaid. Our list includes ACA, Medicare, and Medicaid reforms that are consistent both with TMA policy and with the proposals already laid out by President-Elect Donald Trump and House Speaker Paul Ryan. “Most of the flaws of the ACA — its errors both of commission and omission … Read More

the World’s Greatest Health Plan

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repeals the individual and employer mandates utilizes spending already authorized to provide tax credits so ALL americans can purchase the insurance of their choice and have money in an HSA that is theirs forever to spend as they choose. sunsets the bureaucratic nightmare IPAB – allows for a new minimal essential benefits plan that will open up all kinds of insurance  products that are more affordable (and valuable) to the average American.

Price Provisions–Quality Measures & Portal Reportcards

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One of my dermatology colleagues asked me to compare the Sessions-Cassidy Plan with Price’s HR 2300 “Empowering Patients First Act”. There is a 11 page section-by-section overview of the Price legislation. My major concerns are on page 10. Section 702 is entitled: Establishment of Performance-Based Quality Measures. Quality measures agreed upon by each physician specialty for Medicare are maintained. The positive side is that the specialties determine the measures. It is disturbing that this false premise that quality measures determine quality is further promulgated. Section 801 reads: State Transparency Plan Portal. This website is established to provide “standardized information on certified plans available in that state as well as price and quality information on health care providers (including hospitals and … Read More

letter to PRES-ELECT TRUMP

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Dear President-Elect Trump: Congratulations on your election as President of the United States of America.   Your election has brought an optimism amongst physicians that is energizing and exciting.  We are all truly eager to work with you, your administration and Congress to reduce government size and to find the best means to assure that all Americans have access to truly affordable health care. Established in 2014, under the leadership of Marcy Zwelling-Aamot, MD ((FACEP-goes at the end)) and John Gill, MD and facilitated by Congressman Pete Sessions (R-TX), the National Physicians Council for Healthcare Policy (NPCHCP) was created to be a national voice for the physician engaged in private practice. We are a multispecialty physician group representing a majority of states. … Read More

letter to CMS – Dr. Conway 12-2-16

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December 2, 2016 Dr. Patrick Conway, M.D. Deputy Administrator for Innovation and Quality and Chief Medical Officer Department of Health and Medicaid Services L 7500 Security Blvd L Windsor Mill, MD 21244-1849 Dear Patrick: We are writing to thank you for meeting with us today and memorialize our MIPS proposal and concerns surrounding big data. Most doctors agree that MACRA/MIPS is not in the best interest F of patients, or the greater physician community. It is expensive, intrusive, time consuming, and interferes with the sanctity of the patient-doctor relationship. Furthermore, it does nothing to enhance the quality of care we deliver, despite its intent. Big data is one of the most concerning consequences resulting from this regulation. The culture that … Read More