Members of our profession testified on Capitol Hill and sold us out.

Dr. Kris Held’s writes in:

Members of our profession testified on Capitol Hill and sold us out. Culprits include the AMA, ACP, AAFP, and Aurora Health Care Medical Group . I just finished reading these testimonies, and clearly they are vying for MACRA’s $20,000,000 per year for the net 5 years doled out to SAN awardees and PTN grantees to “educate physicians” about MACRA and “engage” with CMS. Selling our souls.

I would love to know how much $ the AMA got as a grantee of the TCPI and as an Awardee of the SAN. The ACP, AAFP, and Aurora Group (from WI) are begging for grant/award. ACP is working with AHIP.

“The AMA is also a grantee of the CMS Transforming Clinical Practice Initiative (TCPI). As a Support and Alignment Network (SAN) Awardee, the AMA is promoting the goals of the TCPI to the TCPI network of clinicians through education about MACRA, CME, dissemination of best practices, promotion of clinical data registry use, and provision of tools and resources on APMs.”

How did these private groups get invited to testify? Who authorized the to embrace MACRA and seek $Millions is awards and grants “Educate” their members(us lowly physicians) about it? Why were other “stakeholders” not invited to the party?

DPC Bill Still Allows Government to Dictate Standards of Care

Dr. Chip Smutny writes:

As I read about the AAFP endorsement of S 1989 I see we still have people in our organizations thinking that we can still play the government game at least partially.

“To participate in the demonstration project, DPC practices would have to meet performance targets established by Medicare. Qualifying practices would be required to offer enhanced services, including preventive care, wellness counseling, primary care, care coordination, appointments seven days a week, secure email and phone consultations, and 24/7 telephone access to consultations. If they failed to meet the targets for two consecutive years, they would be excluded from the initiative.”

This is still allowing government to dictate standards of care that they cannot support with data or even case studies that have any real statistical power. Continue reading

I don’t get it?

Dr. Horvitz writes ACOFP President Carol Henwood, D.O.:

I just read your email blast of August 19, 2014 promoting another ACOFP course, this time in patient centered medical homes, PCMH. It’s funny how patients are sort of mentioned, but it seems the real intent is third party payments, following third party rules and physicians paying for another course and taking time away from patient care.

I don’t get it?

“Creating team-based care improves efficiencies and decreases waste, which is exactly what payors like”
…..
I thought our mission as physicians was to help patients and keep their needs first and foremost.

I don’t get it?

Continue reading