The National Association for Medical Direction of Respiratory Care

The Washington Watchline

MedPAC Criticizes the CMS Physician Compensation Rules

In addition to promoting innovative treatments for patients with pulmonary disease, sleep disorders and the critically ill, one of NAMDRC’s primary issues is fair physician compensation consistent with their training, expertise and contribution to patient care. The attempt by Congress to transition from the flawed policy of the Sustainable Growth Rate to a “value based system” under the Medicare Administration has resulted in a complex methodology for compensating physicians caring for Medicare beneficiaries.

The Big Data Revolution in Intensive Care

In many areas of science, government and business, analyzing very large amounts of information, “Big Data”, has become a major driver of innovation and success. A talk at the 2017 NAMDRC Annual Meeting has raised our awareness of impending changes in patient evaluation and intervention strategy in the intensive care unit. The talk, Big Data Approaches for Critical Care Medicine, was delivered by John R. Hotchkiss, MD, Associate Professor of Medicine at the University of Pittsburgh School of Medicine.

The 2018 Medicare Inpatient Prospective Payment System

On April 14, 2017 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update the 2018 Medicare Inpatient Prospective Payment System (IPPS) payment policies and rates. The proposed rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, would affect discharges occurring on or after October 1, 2017.

NAMDRC’S Annual Meeting and Advocacy Agenda

The Annual Meeting and Educational Conference of the National Association for Medical Direction of Respiratory Care was recently held at The Meritage Resort and Spa in Napa, California. This meeting, Precision Medicine in Pulmonary, Critical Care and Sleep Medicine continued the well-established tradition of combining evolving science with experienced clinical perspective. The program was developed around the NAMDRC core principles of improving the quality of patient care, reducing barriers to that care and anticipating changes in our practice environment.

Episode Based Cost Measures for Physicians

On December 23, 2016, The Centers for Medicare and Medicaid (CMS) published its updated proposal and request for comments on the methodology for Episode Based Cost Measures that will be used to profile each participating physician by the cost of their care for Medicare beneficiaries. This has been a work in progress since the Physician Resource Use Measurement & Reporting Program was established by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.

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