SGR Repeal Bill Advances to Full House Committee
Expanded Data for Care Improvement
To expand the availability of Medicare data for providers to use in developing new models of care and improving quality and patient care, the legislation expands access to Medicare data for certain certified entities.
The legislation eliminates the roadblocks that prevented these entities from sharing data directly with providers to facilitate the development of alternative payment models and care improvement.
Improved payment accuracy
The bill would ensure that providers could be compensated for the cost of submitting data. The legislation also directs Medicare to identify improperly valued services under the fee schedule that would result in a net reduction of 1% of the projected amount of expenditures for a year during 2016 through 2018.
Numerous physician groups, including the American College of Physicians, the American Academy of Family Physicians, and the Premier healthcare alliance, are voicing general support for the bill.
There are, however, calls for Congress to make changes in the bill to monitor patient access, to risk-adjust the quality measures for patient socio-economic status, and provide more funding for primary care physicians.
Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
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