Carol Vargo, AMA director for physician practice sustainability, recently discussed the survey and AMA QPP-preparation efforts with ReachMD host Matt Birnholz, MD.
“I would say that based on all of our focus groups and all of our conversations with physicians, the most overarching question they have is, ‘What do I need to do today?’” Vargo told Dr. Birnholz during a recent ReachMD podcast. “‘Yes, I want to know about the future but, frankly, just tell me what I need to know right now.’”
Vargo also cited the AMA’s “One Patient, One Measure, No Penalty” campaign. The effort offers resources instructing physicians on how to complete the minimum requirements in order to avoid a 4 percent penalty in 2019. These include an instructional video aimed at busy physicians that clocks in at less than three-and-a-half minutes and a nine-step guide for completing the process.
The resources have been disseminated to the specialty, state and local medical societies in the AMA Federation and many have posted the materials on their own websites.
Many physicians are exempt from MIPS participation because they see 100 or fewer Medicare beneficiaries or their Medicare revenue is less than $30K per year. CMS has a tool where physicians can check their status by entering their ten-digit National Provider Identifier number.
The AMA also has a Payment Model Evaluator tool to help physicians better understand the financial impact QPP may have on their practices.
The AMA’s goals for payment reform include:
- Giving physicians more resources and greater flexibility to deliver appropriate care to their patients than they have today.
- Improving the financial viability of physician practices in all specialties, and helping independent practices of all sizes remain independent.
- Minimizing physician administrative burdens that do not improve the quality of patient care.
- Enabling physicians to help control aspects of health care spending that they can influence, rather than having Medicare use inappropriate mechanisms to control costs such as payment cuts, prior authorization and/or non-coverage of services.
- Avoiding transferring inappropriate financial risk to physicians or jeopardizing the quality of patient care.
Other episodes of the AMA-sponsored ReachMD podcast series, “Inside Medicare’s New Payment System,” further examine the impact of the Medicare Access and CHIP Reauthorization Act.