AAOS February 19, 2019
Advocacy Now
 
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AAOS Urges Congress to End Narrow Networks

Advocacy In Action


AAOS Requests HIPAA Clarity for Improving Coordinated Care

Upcoming Surveys on Physician Resources for Office Visits

State Corner: Democrats Pushing for Medicaid Expansion

OrthoPAC in 2018 Midterms:
By the Numbers


Thank You to Our Current Orthopaedic PAC Advisor’s Circle Members!

Announcements

AAOS Orthopaedic PAC Online and Mobile Donations
 
 
 
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Narrow Networks, HIPAA Clarity
 
For questions or concerns on these or other advocacy issues, contact us at dc@aaos.org.

AAOS Urges Congress to End Narrow Networks

On February 7, AAOS joined with dozens of medical specialty and state societies in asking Congress to push back against health insurance plans with narrow networks (read the letter here). These plans have sought to control costs by relying on inadequate networks of contracted physicians, leading patients to sometimes receive surprise bills for unanticipated out-of-network care.

A bipartisan working group in the Senate has produced draft legislation called the Protecting Patients from Surprise Medical Bills Act. The proposal bans “balance billing,” or the practice of billing a patient for the balance of the bill not covered by insurance, for emergency services and out-of-network care provided at in-network facilities. The legislation’s payment methodology for determining out-of-network reimbursement gives insurers the ability to determine usual and customary rates for emergency care and could create an incentive for insurers to systematically drive down physician payments.

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Advocacy in Action
 
Advocacy in ActionHow the AAOS Office
of Government Relations
is working for you…
  • In a letter to the House Energy and Commerce Committee, AAOS and other specialty groups supported reauthorization of the Pediatric Subspecialty Loan Repayment program as part pf the effort to reauthorize the Title VII health professions workforce programs.
  • Urged Congress to push back against health insurance plans with narrow networks, which seek to control costs by relying on inadequate networks of contracted physicians—leading patients to sometimes receive surprise bills for unanticipated out-of-network care.
  • Hosted the second annual Orthopaedic PAC Executive Committee Retreat, which consisted of extensive review of the 2017-2018 election cycle, goal setting for the upcoming cycle, and strategy for cultivating relationships with new members of the 116th Congress.
For more information on all AAOS advocacy efforts, visit: http://www.aaos.org/dc.
Follow the AAOS Office of Government Relations on Twitter: www.twitter.com/AAOSAdvocacy.
 
 
 
AAOS Requests HIPAA Clarity for Improving Coordinated Care

On December 14, 2018, the Department of Health and Human Services (HHS) published a Request for Information (RFI) on Modifying HIPAA Rules to Improve Coordinated Care. This RFI was published to assist the Office for Civil Rights (OCR) within HHS to identify provisions of the Health Insurance Portability and Accountability Act’s (HIPAA) privacy and security regulations that may impede the transformation to value-based health care. It is also looking for aspects that limit or discourage coordinated care among individuals and covered entities (i.e. physicians, hospitals, insurers) without meaningfully contributing to the privacy or security of an individual’s protected health information (PHI).

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Upcoming Surveys on Physician Resources for Office Visits

In the next few weeks, AAOS and other major medical societies will be participating in an AMA/Specialty Society RVS Update Committee (RUC) survey for physician office visits (99202-99215, 99XXX). As you may know, the components of the Medicare Physician Payment Schedule are physician work, practice expense, and professional liability insurance. This survey will help AAOS, in concert with the RUC, recommend accurate relative values for physician work and direct practice expense to the Centers for Medicare and Medicaid Services.

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State Corner: Democrats Pushing for Medicaid Expansion

AAOS recently wrote about the consequences of the 2018 election, including the hundreds of newly elected Democratic state lawmakers and the growth of state governments fully controlled by Democrats—now 112 million Americans live in a state where Democrats have full control of the state legislative process. In January 2019, these newly elected lawmakers released several universal and/or single-payer health care proposals and executive orders.

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OrthoPAC in 2018 Midterms: By the Numbers

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Thank You to Our Current Orthopaedic PAC Advisor’s Circle Members!

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  Announcements
  • The AAOS Registry Program’s new Surgeon Dashboards give you the ability to gain data-based insights on your performance and the opportunity to earn valuable American Board of Orthopaedic Surgery (ABOS) Maintenance of Certification Credit. Get started here.
  • The Centers for Medicare & Medicaid Services (CMS) released a new resource for learning about changes to the Promoting Interoperability Programs for 2019. Read the Inpatient Prospective Payment Systems Final Rule fact sheet here.
  • Several specialty societies, including the AAOS, have informed CMS that physicians are receiving incorrect 2019 MIPS payment adjustments, including those for Medicare Part B drugs. CMS is working with its contractors to resolve the issue and shared this FAQ as an update.
 
     
 
 
 
  AAOS Orthopaedic PAC Online and Mobile Donations

image Did you know? Supporting our Orthopaedic PAC by phone is easy: simply text AAOS to the number 41444, and follow the link, no log-in required. We encourage our supporters to share this technology with your colleagues who have yet to renew or join and to encourage signing up on a recurring basis. For just $84 a month, or $250 a quarter you can become part of our Capitol Club Program. And don’t forget! The Orthopaedic PAC website features an online contribution center, which can accept contributions via credit card by visiting the site and using your AAOS login credentials. Credit card contributions can also be conveniently scheduled for a monthly, quarterly or yearly recurring donation. Visit www.aaos.org/pac and select Donate to the Orthopaedic PAC for more information or to contribute today.

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