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SGR Bill's Payment Transparency Provision Elicits Concern

John Commins, for HealthLeaders Media, December 19, 2013

If the language is not stripped from the budget, the transparency provisions for physicians would take effect on July 1, 2015, and on July 1, 2016 for other healthcare professionals.


Ardis Dee Hoven


Ardis Dee Hoven, MD,
President of the American Medical Association

The transparency language was greeted with caution by the physicians' lobby. American Medical Association President Ardis Dee Hoven, MD, lauded the demise of the SGR, but offered guarded praise for the transparency provisions.

"With certain safeguards, the AMA supports expanding physician access to Medicare claims data from Qualified Entities and qualified clinical data registries to support quality improvement activities," Hoven said in prepared remarks.

"The AMA has concerns about requiring the Department of Health and Human Services to publicly release raw Medicare physician claims data without similar safeguards as currently applied to QEs. These safeguards include appropriate attribution and risk adjustment, timely correction of errors with appeal rights, and explanatory information to best inform patients."

Shari M. Erickson, vice president, Governmental and Regulatory Affairs, American College of Physicians, says the college shares the AMA's concerns.

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