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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.
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    2 comments on "Internists Aim to End 'Assault' on Patient-Physician Relationship"


    Robert Luedecke, MD (4/12/2013 at 6:40 PM)
    Outstanding article in that it says the well-being of each and every patient must remain the most important focus of healthcare and that we need to make system changes in a way that make sense for physicians. Thank you for asking state and federal legislators to resist the temptation to practice medicine by telling us what tests to order in a specific case.

    Lyle Kelsey (4/11/2013 at 10:27 AM)
    "State and federal authorities should avoid enactment of mandates that interfere with physician free speech and the patient-physician relationship." Dr. Freeman, I read your article with interest in that as a state regulator, the Oklahoma Medical Board is currently changing the way the patient-physician relationship (PPR) is delivered to embrace better interstate Telemedicine access for physicians. This is a major progressive step for a regulatory board. I want to make sure what the ACP means by the "assault" on PPR? Do they mean the assault to do away with the actual face to face PPR or the assault to keep actual face to face "in person" PPR or simply more regulatory intrusion into the PPR? Lyle Kelsey executive Director Oklahoma Medical Board