This was successfully posted to your pofile.
This box will close automatically in a few seconds. Close this window
We don't have an e-mail address on file for you. To use AAFP Connection, you must have an e-mail address in our records. Click Here
Scrap SGR Formula for More Equitable Payment System, Academy Tells Congress
By News Staff
"Family physicians and our colleagues throughout the medical community find it very challenging to develop workable business plans to maintain the financial viability of our practices under these circumstances," said Goertz. "Congress must reform Medicare payment so that patients know they have access to care when they need (it), physicians can be assured of appropriate payment for their expertise, and the health care system as a whole can anticipate and control costs without shifting those costs onto the shoulders of physicians and other health care providers."
- Congress must replace the sustainable growth rate, or SGR, formula with a more equitable Medicare payment system, says the AAFP.
- Use of the SGR formula has forced Congress to intervene repeatedly to block SGR-mandated reductions in physician pay for Medicare services.
- In the interim, Congress should impose a five-year extension of Medicare payment updates that includes a 3 percent positive payment differential for primary care physicians who provide primary care services.
"The PCMH provides not only the first contact a patient has with the health care system, but also the preventive care, management of chronic conditions and coordination of services provided by all the other members of a patient's health care team," he said.
In the AAFP statement, Goertz called for a five-year extension of Medicare payment updates that includes a 3 percent positive payment differential for primary care physicians providing primary care services to help strengthen the primary care physician workforce. "During these five years, Congress should work with the medical community to develop and implement system reform that builds the patient-centered medical home, rewards prevention and wellness, eliminates fragmentation and duplication, and results in a cohesive system of care that prevents unnecessary complications from acute or chronic illness, hospitalizations and other avoidable expenses," Goertz said.
"Only by putting value into the outcome of our services can we ensure better health for our patients and rein in spiraling costs. We call on Congress to end the cycle of threatened cuts and retroactive patches and to permanently reform the Medicare payment system. Only then will our health care system regain the stability that assures our patients access to the care they need, when they need it."