NEXT MONDAY: GOVCHAT LIVE ON PROPOSED 2024 PHYSICIAN FEE SCHEDULE

MGMA Government Affairs is hosting a GovChat Live next Monday, August 7, at 2 p.m. ET. During this member-exclusive discussion, the team will provide a high-level overview of policies included in the proposed 2024 Medicare Physician Fee Schedule (PFS), including changes to the conversion factor/reimbursement, telehealth, behavioral health, E/M visits, the Medicare Shared Savings Program, and the Quality Payment Program. MGMA will be seeking feedback from members to help inform our comments in response to the policy proposals and will answer questions during the interactive discussion. 

For registration information, please visit the MGMA Member Community, log in, and navigate to the GovChat Community page where you will find details in the pinned post! Haven't checked out the GovChat Community yet? You can find it by utilizing the search bar at the top of the Member Community home page! If you have questions, please email govaff@mgma.org.

MGMA ENDORSES POLICIES TO REFORM PRIOR AUTHORIZATION

Congress continues to examine potential solutions to the prior authorization burden facing medical groups. The GOLD CARD Act was recently reintroduced by Representatives Michael Burgess and Vicente Gonzalez of Texas.

If enacted, the legislation would exempt qualifying physicians from prior authorization requirements if they had at least 90% of prior authorization claims approved in the previous year. Medicare Advantage organizations would be required to notify each provider who qualifies no later than 30 days prior to the first day of the plan year, and reviews for a Gold Card would be limited to no more than one per year. MGMA issued a statement in support of the legislation.

VALUE-BASED CARE LEGISLATION REINTRODUCED IN HOUSE

The Value in Health Care Act was reintroduced last week. This bipartisan legislation would make changes to alternative payment models (APMs) and provide support for practices transitioning from fee-for-service to value-based care. If enacted, the bill would extend the APM incentive bonus at 5%, allow the Centers for Medicare & Medicaid Services to adjust qualifying participant thresholds through rulemaking, and make changes to the Medicare Shared Savings Program to encourage participation. MGMA joined 16 partner healthcare organizations in a letter of support to the bill’s cosponsors.