🧵#OurAMA joined over 400 prominent physician, #healthcare and #technology stakeholder groups on a letter urging Congressional leadership to pass legislation that would permanently continue many of the current #telehealth flexibilities enacted at beginning of the #COVID19 PHE.
3/ Expanded #telehealth flexibilities have proven to be a lifeline for countless patients trying to retain access to their physician during the #pandemic.
4/ Temporary suspension of the Medicare geographic and originating site restrictions for #telehealth has been especially important for patients dealing with chronic conditions and looking to limit community spread of #COVID19.
5/ The #Medicare geographic and originating site restrictions largely preclude beneficiaries from accessing #telehealth services other than at qualifying health care facilities located in rural areas.
6/ Yet, absent Congressional intervention, these flexibilities that have permitted virtual services to proliferate will expire and numerous antiquated statutory restrictions related to #telehealth will snap back into effect.
7/ The sign-on letter urges #Congress to, among other things, remove restrictions governing where patients can access #telehealth services & eliminate recently enacted in-person requirements for patients seeking telemental health services upon the conclusion of the current PHE.
8/ The letter touts concepts included in 3 bills that are primary pillars of @AmerMedicalAssn’s advocacy agenda related to #telehealth:
•HR1332/S368 Telehealth Modernization Act
•HR2903/S1512 CONNECT for Health Act
•HR4058/S2061 Telemental Health Care Access Act
9/ @AmerMedicalAssn continues to work with federal lawmakers to enact legislation to retain existing #telehealth flexibilities beyond the COVID-19 PHE.
🧵UHC modifies laboratory designated diagnostic provider (DDP) program
AMA, many state medical associations, & national medical specialty societies expressed strong concerns about the DDP’s impact on physician practices & patients. In response to this advocacy, UHC made changes.
2/ Earlier this year, United Healthcare (UHC) announced the launch of its Designated Diagnostic Provider (DDP) program for laboratory services. To qualify as a DDP, a laboratory must meet certain quality and efficiency (i.e., cost) requirements.
3/ UHC initially presented the DDP as a strict covered/not covered benefit design, under which patients receiving services from a non-DDP laboratory would be responsible for the full cost of the test(s)—even if the lab was in network.
•Do not extend 2% #Medicare sequester as a spending offset in soon-to-be considered #infrastructure package.
•Do not divert scarce health-related offsets to meet objectives unrelated to healthcare.
Physicians already face steep Medicare fiscal challenges.
2/ AMA expresses “deepening alarm concerning the growing financial instability of the Medicare physician payment system.”
“Not only does Congress seem indifferent to the confluence of fiscal uncertainties confronting physician practices at the end of this year, but…”
3/ “…lawmakers’ pursuit of policies to extend the current Medicare sequester that, in effect, will require physicians and health systems to pay for
hard infrastructure amplifies our ongoing concerns.”
🧵#OurAMA issues initial summary of “Interim Final Rule (Part 1) Implementing Certain Provisions of the #NoSurprisesAct.”
Several initial concerns:
•Way the QPA (median contracted rate) will be determined
•Provisions that ⬆️ admin burden for physicians without patient benefit
3/ Given statutory timeframes required under the NSA & the pending implementation of most provisions by January 1, 2022, the Departments made the decision to issue an IFR.
As a result, the requirements outlined in the IFR are final & will become effective on September 13, 2021.
At the height of the #COVID19#pandemic, physicians reported being bedeviled by unnecessary, bureaucratic obstacles that the health insurance industry pledged to reduce three years ago.
2/ The data highlights the urgent need for new bipartisan legislation introduced in the House, the Improving Seniors’ Timely Access to Care Act. [TY @RepDelBene@MikeKellyPA@RepBera@RepLarryBucshon for introducing this vital measure.]
3/#OurAMA-conducted survey shows physicians are running into roadblocks because of #priorauthorization, the process of requiring health care professionals to obtain advance approval from health plans before a prescription medication or medical service is delivered to the patient.
•Detailed look at official US healthcare spending estimates through 2019 using data from @CMSGov
•Preliminary estimates of 2020 health spending from @Altarum
2/ •Health spending was 17.7% of GDP in 2019 and increased by 4.6% to $3.8 trillion ($11,582 per capita).
•Spending in hospital care (6.2%) and prescription drugs (5.7%) grew faster than physician services (4.2%) in 2019.
3/ • In 2019, spending growth in #Medicare (6.7%) and out-of-pocket payments (4.6%) reached their highest rates in the last decade while private #healthinsurance (3.7%) and #Medicaid (2.9%) were on a downswing.
1/ 👉 “After careful consideration and given the significant concerns set forth...@AmerMedicalAssn respectfully urges the @TheJusticeDept to conduct a thorough examination of the antitrust ramifications of UHG/Optum’s proposed acquisition of CHNG.” tinyurl.com/e2nfztbr
“There is substantial overlap in markets for health information technology (IT)/analytics services that the merging firms supply to health insurers, physicians, and hospitals.”
3/ “Given this overlap and the companies’ large sizes, it is likely that the merging firms have been, or absent the merger would become, substantial head-to-head competitors.”