clear from the intense and engaging conversation of the combined specialty and
large state society staffs assembled Friday at Heart House that there are
various policy opportunities that need to be pursued by the profession. These are
the issues that every society felt
were compelling and worthy of joint policy consideration before the onslaught
of amendment bills and regulations hits us:
Payment reform: We all believe we should be
collaborating on how this occurs, and in the kinds of pilots proposed. We
suggest a multi-society workgroup on payment reform, ACOs (accountable care
organizations), data standards and quality improvement be formed later this spring.
- Tort Reform: The ACC shared our ideas and our
evolving coalition to secure tort relief for practices and hospitals that
achieve “meaningful use” of health IT. There was great enthusiasm for this idea.
- Registry and Data Collaboration: All societies present felt that we
need to stand together on being the purveyors of clinical data and quality and
outcomes data. I see a lot of potential additional society collaborations on
registries that are possible.
- Regulatory Collaboration: The health care reform law (PPACA) will create a nightmare
of new regulatory challenges -- it already is. We should probably stay out of the
proposal to go further in regulating rate increases for insurers. But that is
coming. Everybody at this
meeting wants to join with the ACC in advocating that CMS should itself develop
the newly required alternative sites of care for patients of doctors with in-office
imaging. It’s absurd to think that
practices could organize prices charged and locations of alternative sites! If
they want this to happen (not a bad idea), they
should do it!