The world in which we currently practice is not the same one we knew five to 10 years ago. Insurers second-guess our decisions and create numerous hurdles for us to overcome before our patients can be treated. Government agencies are seeking ways to reduce healthcare expenditures and improve what they perceive as a lack of quality and consistency in healthcare delivery. These groups, as well as Congress and employers (who purchase benefits for their employees), have begun a concerted effort to grade rheumatologists on the basis of what they perceive to be quality and efficiency and then pay us according to those criteria.
Legislative Priorities in 2007
In 2007, the ACR Government Affairs Committee will focus on correcting the Medicare reimbursement formula, countering increased cuts to diagnostic imaging, and the enactment of the Arthritis Prevention, Control, and Cure Act. Increasing advocacy among ACR members will also be a top priority.
Payments Cut to the Bone
CMS reduces reimbursement for DXA and vertebral fracture assessment
Medicare D-lemmas
Rheumatologists and patients report mixed experiences with the new prescription drug benefit
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