Internists Aim to End 'Assault' on Patient-Physician Relationship
Greg Freeman, April 9, 2013
CMS should harmonize (and reduce to the extent possible) the measures used in the different reporting programs, working toward overall composite outcomes measures rather than a laundry list of process measures.
CMS should provide more clinically relevant ways to satisfy the requirement that physicians must transition to using ICD-10 codes for billing and reporting purposes.
Congress and CMS should consider working with physicians to encourage participation in quality reporting programs by reducing administrative barriers, improving bonuses to incentivize ongoing quality improvements for all physicians, and broadening hardship exemptions. If necessary, Congress and CMS should consider delaying the penalties for not successfully participating in quality reporting programs, if it appears that the vast majority of physicians will be subject to penalties due to limitations in the programs themselves.
The government, the medical profession, and standard-setting organizations should work with electronic health record vendors to improve the functional capabilities of their systems, to improve the ability of those systems to report on quality measures, and to ensure that those systems improve rather than add to workflow inefficiency.
Medicare and private insurers should move toward standardizing claims administration requirements, pre-authorization, and other administrative simplification requirements even in advance of, and in addition to, the simplification rules included in the ACA.
Congress should enact meaningful medical liability reforms including health courts, early disclosure errors, and caps on noneconomic damages.
State and federal authorities should avoid enactment of mandates that interfere with physician free speech and the patient-physician relationship.