Surprise Medical Billing Legislation

The surprise medical bill issue is at a key juncture in Congress.  The insurance industry is lobbying aggressively for a solution that is based on an artificially low “benchmark payment” to physicians set by and controlled by local insurance companies.  In contrast, ASA is working with our coalition of medical specialty organizations in support of a payment mechanism based on a market-based interim or automatic payment to physicians and a fair appeals or arbitration “backstop” model to contest unfair insurance practices.  Only one side will prevail.  It must be medicine, not insurance companies. What should you do to make your voice heard? Do the following things:

MIPS report cards now on Physician Compare Website

As part of CMS’s continued phased-in approach to public reporting on Physician Compare, the agency recently published a subset of 2017 QPP information submitted under MIPS and APMs. The information added on profile pages for MIPS eligible clinicians and groups includes select quality measure and CAHPS survey data.

To learn more about Physician Compare and the 2017 QPP data publication, review CMS’s fact sheet. MGMA Government Affairs encourages members to share feedback with us regarding their experiences with Physician Compare.