What's Next? Post-election Reaction and Healthcare Reform

The ACP Advocate

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November 21, 2008
In this issue
» Sen. Baucus Outlines Vision for Health Reform

» Will New Congress Make Headway on Health Reform?

» Medicare Physician Fees Face Uncertain Future

» Medicare Payments to Rise 1.1 Percent in 2009

» Make Your Voices Heard on Capitol Hill

» Making a Difference: ACP's Key Contact Program


About this newsletter

The ACP Advocate is an e-newsletter, edited by the College's Washington, DC governmental affairs division, created to provide you, our members, with succinct news about public policy issues affecting internal medicine and patient care. To learn more about ACP's Advocacy, go to www.acponline.org/advocacy


Welcome to our third issue of The ACP Advocate:

Last week, Senate Finance Committee Chairman Max Baucus released a white paper, Call to Action, Health Reform 2009, containing his plan for Health Care Reform.  It  not only addresses goals that are also of the highest priority for ACP, but is remarkably consistent with ACP's policies on expansion of health insurance coverage and recognizing the importance of primary care.  Senator Baucus, calling primary care the "keystone" of the health care system, proposes increases in Medicare payment rates for primary care physicians and expansion of the Patient Centered Medical Home.

This issue of The ACP Advocate features a look at the Senator's white paper.  It's linked to a letter of response from ACP President Jeffery P. Harris, MD, FACP.

A white paper, How is a Shortage of Primary Care Physicians Affecting the Quality and Cost of Medical Care?, was released two days ago by ACP.  It documents the value of primary care by reviewing 20 years of research. An annotated bibliography based on a literature review of more than 100 studies documents the evidence to support the critical importance of primary care in providing patients with better outcomes at lower cost, and the urgency of the need to prevent shortages of primary care physicians.

 

“The evidence for the value of primary manifests itself in better quality of life, more productive longevity, and lower costs as a result of reduced hospitalization, improved prevention and better coordination of chronic disease care," ACP President Harris, MD, FACP, noted.  "The nation must take immediate steps to address the issues that threaten primary care’s survival.”

 

In addition to this white paper, ACP is developing a new policy paper to provide a comprehensive set of recommendations to assure that the supply of primary care physicians is sufficient to meet current and future needs. Many of ACP’s ideas are reflected in the Preserving Patient Access to Primary Care Act, H.R. 7192, introduced by Rep. Allison Schwartz of Pennsylvania. This bill will be reintroduced by Rep. Schwartz in the 111th Congress, and Senator Maria Cantwell of Washington is expected at that time to introduce a companion bill in the Senate. Later in 2009, ACP will release a position paper that will make recommendations on how primary care itself needs to change to meet the needs of an aging population with more chronic diseases.

 

And, a couple of things to remind you about:

The ACP Advocate Blog by Bob Doherty  reflects my work with ACP.  It is not a mouthpiece for ACP's positions. Instead, I invite thoughtful commentary on the most provocative, ground-breaking and intriguing health policy discussions I come across in my daily work.

Send your thoughts on the ACP blog to: TheACPAdvocateBlog@acponline.org.

Like The ACP Advocate e-newsletter, the blog is another of the new communications vehicles launched by the College to inform members about public policy.  Produced by the College's Washington, D.C. governmental affairs division, the newsletter and blog are created to provide you, our members, with up-to-the-minute information.

I hope this issue answers many of your questions about what we're doing for you on the advocacy front. 

Please send your feedback and suggestions on this newsletter to: TheACPAdvocate@acponline.org.

Yours truly,

Bob Doherty
Senior Vice President
Governmental Affairs and Public Policy
American College of Physicians


In the news
» Sen. Baucus Outlines Vision for Health Reform
  Plan seeks access for all, strong role for primary care
 

HealthDay News -- Detailing his vision for health reform focusing on reducing excessive cost and providing better care, Senate Finance Committee Chairman Max Baucus (D-Mont.) on Nov.12 issued a "Call to Action" urging Congress to ensure meaningful coverage and care for all Americans.

The plan envisions investing in a health system that emphasizes quality, value and, over time, less costly car... » Click to read the full article


» Will New Congress Make Headway on Health Reform?
  Tactical questions on timing and scope of action remain
 

HealthDay News -- With Democratic majorities in the U.S. House and Senate and key health committee leaders poised to take action, the climate for health reform in 2009 -- by many accounts -- is favorable. But given the nation's economic challenges, how it plays out is anybody's guess.

President-elect Barack Obama's transition team must decide what to focus on initially, said Fred Hannett, a co... » Click to read the full article


» Medicare Physician Fees Face Uncertain Future
  The nation's ailing economy may complicate payment reform
 

HealthDay News -- Last July, Congress replaced a 10.6 percent cut in Medicare physician payments for 2009 with a 1.1 percent increase. But physicians could face steep pay cuts in 2010 and beyond unless lawmakers take decisive action next year, according to interviews with healthcare experts.

The payment reductions are a function of the sustainable growth rate (SGR), a major component of Medic... » Click to read the full article


» Medicare Payments to Rise 1.1 Percent in 2009
  Final rule describes incentive payments, changes to 'anti-markup' rule
 

HealthDay News -- Medicare participating physicians will get a 1.1 percent across-the-board fee increase in 2009, with the Centers for Medicare & Medicaid Services (CMS) projecting that internists' payments will increase another 1 percent because of changes in the agency's methodology for determining payments. Further, physicians may earn additional incentive payments in 2009. CMS announced all of... » Click to read the full article


» Make Your Voices Heard on Capitol Hill
 
 

Last April, an unprecedented and record-setting 500 internists and medical student members, hailing from all 50 states, DC and Puerto Rico, took time out of their busy schedules to come to Washington to have their voices heard. After a briefing on ACP's top issues -- access to care, physician reimbursement, the future of primary care and stopping Medicare pay cuts -- they took the College's message to ... » Click to read the full article


» Making a Difference: ACP's Key Contact Program
 
 

The American College of Physicians' continued success on Capitol Hill depends on the grassroots advocacy efforts of its more than 5,600 Key Contacts. It's a network of physicians and medical students that is an integral part of the College's multi-faceted advocacy efforts.

These ACP members volunteer to communicate with their members of Congress on issues of importance to their patients and ... » Click to read the full article


In focus
Make Your Voices Heard on Capitol Hill
Last April, an unprecedented and record-setting 500 internists and medical student members, hailing from all 50 states, DC and Puerto Rico, took time out of their busy schedules to come to Washington to have their voices heard. After being briefed about ACP’s top issues - access to care, physician reimbursement, the future of primary care and stopping Medicare pay cuts - they took the College’s message to Capitol Hill. As a result, many of the key policies recommended by ACP were later incorporated into Medicare legislation enacted by Congress and signed into law by President Bush.

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