CMS has released the proposed 2018 regulations for MACRA and is asking for comments. The new changes don’t go far enough to protect independent physicians and their patients from harmful red tape.
Comments are dues August 21 and can be submitted here:
Dr. Marcy Zwelling had put together sample comments to help everyone get the correct message to CMS.
Below are comments that you can cut and paste –
We appreciate the sentiment of the new MIPS regulations, but it does not get the job done for many physicians struggling to go to work and NOT sit behind a computer all day. America’s physicians need to be able to just do our job and struggling with computers does not help us get it done. It is not about micro-managing the regulations; it’s about our professionalism.
We understand the statutory constraints, and we think we have the answer. If the regulations could be edited to read
Clinicians below the low-volume threshold – Medicare Part B allowed charges per physician less than or equal to $90,000 OR 200 or fewer Medicare Part B patients per physician up to a 6 person practice.
Thank you for your serious consideration. While this change does not save all small practices, we feel that this minor change will send the right message to American physicians and will encourage physicians to work with CMS and keep their offices open.
Further, we encourage CMS to follow thru with Dr. Price’s commitment to allow physicians to balance bill as a means of enhancing our patients’ options and keeping physicians’ doors open.
IP4PI Physicians support the following resolutions for the legislative, executive and judicial branches of the US:
1. The full repeal, nullification or reconciliation of ACA/Obamacare as it was:
A. ACA passed by a partisan Congress (one party) by reconciliation. B. Changed by the executive branch 43 times without appropriate congressional action. C. Changed by SCOTUS to be a tax bill. D. Tax bills must originate in the House and ACA originated in the Senate. E. ACA has changed healthcare from a professional physician-patient interaction into merely an act of government HHS/CMS unelected bureaucratic compliance. F. ACA lead to an uncontrolled rise in costs for all citizens through increased taxes, insurance costs, hospital costs, physician costs, use of narrow networks and severely limited ACA approved options. G. IRS and tax penalties for any American citizens violate the US Constitution. H. Mutually accepted individual customer-vendor purchases are the ideal way to allow personal choice, encourage excellence and establish price competition for best citizen consumer value. Continue reading
CMS ACA MACRA MIPS and APMs discriminate against independent solo and small primary care practices, while unfairly advantaging hospital health systems who employ doctors. Please exempt solo and small physician practices of 9 or fewer doctors or less than 999 Medicare patients. CMS ACA MACRA MIPS and APMs will put small independent practices out of business and will deprive patients of their physician, jeopardizing their health.
Submit your comments at:
IP4PI joins patients and physicians across the United States in cheering the appointment of Congressman and orthopedic surgeon Tom Price, MD to head the Department of Health and Human Services in the incoming Trump administration.
Dr. Price has a long history of standing up for the patient-physician relationship against the myriad forces seeking to intervene to the detriment of quality patient care. And indeed, proponents of top-down government control are quickly sounding the alarm realizing they have an enemy in the congressman & good doctor from Georgia.
We look forward to supporting Dr. Price in his efforts to roll back ObamaCare, MACRA, MU and many other failed policies harmful to American medicine. Proven patient-centered solutions can then be unleashed to increase access to high-quality, low-cost medical care.
Congratulation’s Dr. Price on this well-deserved new job! We are here to help you in this crucial and challenging work over the coming years. The future of American patients and physicians will depend on it.