This week, ASCRS•AOSA submitted recommendations for regulatory relief to the Health Subcommittee of the House Ways and Means Committee in conjunction with the recently announced “Medicare Red Tape Relief Project.” The new initiative, spearheaded by subcommittee Chairman Pat Tiberi (R-OH), is seeking feedback from physicians and other healthcare stakeholders on how Congress can help alleviate burden either through legislation or by working with CMS to modify regulations. This week, Tiberi announced the subcommittee would hold a series of roundtables with physicians and the healthcare industry when Congress returns in September and hopes to develop legislation after reviewing submitted comments and the roundtables.
As we have reported, ASCRS•ASOA has developed a robust list of recommendations to reduce regulatory burdens on physicians and practices, including the following:
- Extending the transition period for MACRA to allow for three additional years before the MIPS threshold is based on the previous year’s mean or median scores, and to maintain the 0% weighting for the Cost category.
- Modifying the requirements of the previous quality reporting programs (PQRS, VBPM and Meaningful Use) to align with the requirements under MIPS and ensure physicians can easily avoid the associated penalties in 2018.
- Modifying the Drug Quality and Security Act (DSQA) to allow physicians to obtain compounded medications for office use from traditional 503A compounders.
- Curbing the use of chart audits by Medicare Advantage (MA) plans to ensure the plans are only conducting audits within CMS’ requirements.
- Ensuring MA plan networks are robust and include enough specialists, and prohibiting plans from removing physicians from the network in the middle of the benefit year without cause.
- Streamlining and limiting the use of prior authorization by MA and Part D plans to ensure the requests are uniform and electronic.
ASCRS•ASOA is working with the Alliance of Specialty Medicine to submit comments to the Ways and Means Committee as well. We will keep you updated.