HFMA Comments on U.S. House SGR Reform Proposal
April 12—HFMA provided feedback regarding a draft proposal to replace the sustainable growth rate (SGR), the physician payment formula for Medicare, in a letter to the chairs of the House Ways and Means and Energy and Commerce committees and their subcommittees on health.
HFMA urged that the SGR repeal and reform proposal be revised to support:
- Enabling the U.S. Department of Health and Human Services to work with payers to develop a common set of metrics for each type of provider
- Aligning metrics between physicians and hospitals, where possible, based on clinical pathways and existing measures
- Engaging Medicare beneficiaries in their care with specific initiatives outlined in the letter
- Updating Stark, anti-kickback, civil monetary penalty, anti-trust, and tax-exempt statutes to better reflect a value-based operational environment
- Providing caregivers access to timely beneficiary claims data to understand utilization patterns and identify opportunities to improve quality and reduce cost
“HFMA has long supported the development of an alternative to the SGR that is better aligned with our payment reform principles,” HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, said in the letter. “We believe [this current] proposal has the potential to meet these principles.”
Read HFMA's comments to the two House committees.
Publication Date: Friday, April 12, 2013