2015-04-16 19:46:51 UTC

Goodbye SGR, Hello Value-Based Reimbursement

April 16, 2015

The SGR repeal has passed Congress and is expected to be signed into law by the president.

This week, the Senate approved H.R. 2, the Medicare Access and CHIP Reauthorization Act, by a vote of 92-8. Since the House had already passed the legislation, it is expected that the president will sign it into law. This legislation, which repeals the sustainable growth rate (SGR) formula and transitions physicians to a more value-based system that links payment to quality, was a major victory for the physician community, which has been advocating for a repeal for the past 14 years.

What’s Next?

The legislation provides physicians with a five-year period of stable payment updates, while transitioning to valued-based payments; see the timeline for implementation of reimbursement changes (login required). It also consolidates current quality reporting programs into one program. If you are not currently reporting on Physician Quality Reporting System measures, it is more important than ever that you begin doing so. AGA can help.

“Why Should Physicians Be Involved in the Political Process? An Insider's View”

Join the the AGA Government Affairs Committee during DDW® for a session featuring Reps. Phil Roe, R-TN, and Raul Ruiz, D-CA, two physician members of Congress who were instrumental in getting this bill passed in Congress. The congressmen will talk about what the legislation means for physicians, as well as why it is important for physicians to be involved in the political process. Additional speakers will discuss what payments to physicians will look like in the post-SGR world and provide guidance on what GIs need to do to get ready. The session is being held from 8 to 9:30 a.m. in room 158 of the Walter Washington Convention Center.

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