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Monday, November 25, 2013


In an increasingly rare show of unity on a difficult issue, the AMA House of Delegates endorsed a strong plan to repeal the SGR by the end of the year. The plan maintains support for AMA’s and TMA’s pay-for-performance principles and pushes to keep fee-for-service as an important Medicare payment model. Before approving the proposal, delegates insisted on adding language directing AMA to work for increases in the Medicare physician fee schedule. The agreement stems from what AMA President Ardis Hoven, MD, called “a new cause for optimism” on repealing the SGR in Congress and among physicians. In other action on the top issues defined by the Texas Delegation to the AMA, the House of Delegates:
  • Sent back to the AMA Board of Trustees for revision two proposed sets of policy on supervision of nonphysician practitioners. Both policies included the term “collaboration,” which caused significant consternation among the delegates. “Too many people want to do what we do without having done what we’ve done,” said Gary Floyd, MD, of Fort Worth.
  • Directed AMA to once again support delaying or canceling the implementation of ICD-10.
  • Called on the Centers for Medicare & Medicaid Services to repeal the “two-midnight rule” for hospital in-patient admissions.
  • Said health plans should be required to notify physicians that a patient is in the 90-day grace period for a subsidized Affordable Care Act exchange plan when the physician checks on the patient’s eligibility for services. 

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