APG's Weekly Report from Our Nation's Capital
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WEEK OF JANUARY 28, 2019

 

Welcome to America's Physician Groups' "Healthcare and the Hill," where you can get the latest on healthcare happenings in our nation's capital--and with a special focus on the value-based care movement.  Here's what you will find in this week's edition:
 

  • APG Meets with Azar and Boehler
  • CMS Releases Part II of the MA Advance Notice and Draft Call Letter
  • MedPAC January Meeting
  • Congressional Corner:  Off and Running!
  • Did You Know?

You can always visit our website for more news and resources.  And don't forget to register for our Annual Conference 2019 Quality and Efficiency:  How to Succeed in Risk-Based Models, April 11-13 in San Diego!

Valinda Rutledge
Vice President of Federal Affairs
America's Physician Groups
 

APG Meets with Azar and Boehler
This week, APG met with leaders at HHS and CMS to discuss new models that would continue to support the move to value.  Earlier in the week, APG President and CEO Don Crane shared insights from APG to CMMI on new models during a healthcare leadership forum with Deputy Administrator Adam Boehler.  In addition, Don and I met with HHS Secretary Alex Azar to discuss how the value movement is reshaping primary care and the role that care models newly developed by APG can play in improving healthcare for all Americans.

CMS Releases Part II of the Medicare Advantage Advance Notice and Draft Call Letter
On January 30, CMS issued Part II of the 2020 Advance Notice and Draft Call Letter for Medicare Advantage (MA) and Part D plans.  The agency is proposing a change in revenue of 1.59 percent, down from last year's 3.40 percent.  The final rate notice and call letter are expected on April 1.

The APG team is currently reviewing the proposal and will provide our readers with additional details on any potential impact the proposal may have on APG members and other providers engaged in value-based care.

MedPAC January Meeting
Of major interest at the January meeting of the Medicare Payment Advisory Commission (MedPAC) was a disccussion about an analysis of the Medicare Shared Savings Program (MSSP) and its performance relative to CMS benchmarks.  MedPAC commissioners also voted on draft recommendations on payment adequacy for hospitals, physicians, and ambulatory surgical centers.  Final recommendations will be included in their March 2019 report to Congress.   

Congressional Corner:  Value-Based Reforms
The 116th Congress is off to a great start, and held hearings this week on drug pricing, pre-existing conditions under the ACA, and on healthcare access in underserved communities.   

Meanwhile, the APG DC team continues to push its advocacy priorities on the Hill and this week met with Sen. Thom Tillis (R-NC) and lead healthcare staff on the House Committee on Energy and Commerce.  More meetings are currently in the works.

Did You Know?
APG's Annual Conference 2019 Quality and Efficiency:  How to Succeed in Risk-Based Models, April 11-13 in San Diego is right around the corner.  With great programming, unique networking opportunities, and lots of fun, this is one confernce you don't want to miss.  Make sure you register today!  Early-bird registration rates are still available for APG members.  


We always want to hear from you on how we can get you the best, most useful information in a way that's convenient to you!  Please don't hesitate to contact David Allen, APG Director of Communications, with any suggestions, thoughts, likes, or dislikes.