Nav: Home

Internists give Senate recommendations to improve care for patients with chronic diseases

June 19, 2015

The American College of Physicians (ACP) letter in response to a May 22 Senate Finance Committee letter requesting recommendations and policies that will improve care for patients with chronic diseases.

In a 19-page letter ACP President Wayne J. Riley, MD, MBA, MPH, MACP, to Finance Committee Chairman Orrin Hatch; Finance Committee Ranking Member Ron Wyden; Co-chairman of the Chronic Care Working Group Johnny Isakson; and Co-chairman of the Chronic Care Working Group Mark Warner, provides 18 detailed recommendations to:
  • Expand the flexibility of Medicare Advantage plans to tailor benefits;

  • Make improvements to the Medicare Shared Savings Program;

  • Consider expanding the Comprehensive Primary Care Initiative nationally;

  • Reauthorize the Medicare Primary Care Incentive Payment program;

  • Extend the Medicaid pay parity program;

  • Improve the functionality of electronic health records;

  • Eliminate the copayment requirement for chronic care management and create codes to provide reimbursement for diabetic care management and e-consultations;

  • Create Medicare reimbursement for advance care planning discussions;

  • Achieve neutrality in payment rates based on site of service;

  • Ensure that quality measurement targets remain patient-centered and reflect potential differences in benefits/harms for specific populations;

  • Consider ways to significantly reduce or remove the cost-sharing requirement for a defined set of evidence-based common chronic condition/medication pairings;

  • Engage representatives of the pharmaceutical industry, health plans, patients, physicians, and other stakeholders in ongoing discussions about the increasing prices and costs associated with prescription drugs;

  • Support the ongoing commitment of federal funds into research on the safety, efficacy, and cost-effectiveness of telehealth activities;

  • Require a study on the impact that flat or reduced payment rates to rural health centers has on health care access for Medicare beneficiaries, in particular those with chronic conditions;

  • Support and expand upon the current efforts of CMS to make transparent the quality and cost of services provided within the Medicare program;

  • Encourage Medicare to support approaches that allow for true shared-decision making and patient self-management;

  • Support studying the effectiveness of reimbursement for Patient-Centered Specialty Practices that actively engage in collaboration and coordination with the referring clinicians; and

  • Integrate care for behavioral health conditions into the primary care setting.

The recommendations are offered for consideration in response to the specific policy categories outlined by the Senate Finance Committee, in the context of the recently enacted Medicare Access and Chip Reauthorization Act of 2015 (MACRA), which creates incentive and payment structures that will lead overall to improvements in care for patients with chronic diseases. This will be particularly true with the Patient-Centered Medical Home (PCMH) provisions under the newly established Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) pathways.
ACP is the largest physician medical specialty society, and the second largest physician-membership organization, in the United States. ACP members include 141,000 internal medical physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illnesses.

American College of Physicians

Related Chronic Diseases Articles:

Widespread vitamin D deficiency likely due to sunscreen use, increase of chronic diseases
Results from a clinical review published in The Journal of the American Osteopathic Association find nearly 1 billion people worldwide may have deficient or insufficient levels of vitamin D due to chronic disease and inadequate sun exposure related to sunscreen use.
New understanding of chronic lung inflammatory diseases unfolding
Researchers studying chronic inflammation that can lead to the development of lung diseases such as asthma, pulmonary fibrosis, and cancer, are focusing on the role cytokines play in regulating the behavior of fibroblast cells and the extracellular matrix.
Scientists say they are a step closer to solving chronic bladder diseases
Scientists have begun to unlock the genetic code to understand how the lining of the bladder functions as a barrier to store urine -- paving the way for possible new treatments for chronic bladder diseases such as interstitial cystitis and cancer.
Grimes awarded Sloan Research Fellowship for work on chronic inflammatory diseases
Catherine Leimkuhler Grimes, assistant professor in the University of Delaware's Department of Chemistry and Biochemistry, has been awarded a prestigious Sloan Research Fellowship to investigate how chronic inflammatory diseases, such as asthma and Crohn's disease, arise.
Higher weekly activity levels linked to lower risk of 5 chronic diseases
Higher levels of total physical activity are strongly associated with lower risk of five common chronic diseases -- breast and bowel cancer, diabetes, heart disease and stroke, finds a study in The BMJ today.
More Chronic Diseases News and Chronic Diseases Current Events

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Do animals grieve? Do they have language or consciousness? For a long time, scientists resisted the urge to look for human qualities in animals. This hour, TED speakers explore how that is changing. Guests include biological anthropologist Barbara King, dolphin researcher Denise Herzing, primatologist Frans de Waal, and ecologist Carl Safina.
Now Playing: Science for the People

#534 Bacteria are Coming for Your OJ
What makes breakfast, breakfast? Well, according to every movie and TV show we've ever seen, a big glass of orange juice is basically required. But our morning grapefruit might be in danger. Why? Citrus greening, a bacteria carried by a bug, has infected 90% of the citrus groves in Florida. It's coming for your OJ. We'll talk with University of Maryland plant virologist Anne Simon about ways to stop the citrus killer, and with science writer and journalist Maryn McKenna about why throwing antibiotics at the problem is probably not the solution. Related links: A Review of the Citrus Greening...