MMS President: Physicians Must be Part of the Conversation of Payment Reform

Contact: Richard P. Gulla
Tel: 781-434-7101
E-mail: rgulla@mms.org 

Waltham, Mass. -- December 2, 2011 -- Saying that "consolidation and integration is happening everywhere in health care in the state," Massachusetts Medical Society President Lynda Young, M.D. told Society members today that the Society will continue to have an active and robust voice in state health care reform, as public officials, business and health industry leaders, and providers move into the critical arena of health care payment reform. 

Dr. Young's delivered her remarks as part of her President's Report to the House of Delegates, made at the Society's 2011 Interim Meeting of the House of Delegates.

"By any measure," said Dr. Young, "the health care reform law is a tremendous success.  More than 400,000 people have insurance today who didn't have it five years ago. But we left one important issue unaddressed - the cost of care." And that, she said, continues to be the great debate.

Noting that the conversation on health care cost control has been heavily influenced by the state's Chapter 305, which recommend a system of global payments, the Attorney General's report that discovered widely disparate payments to hospital systems, and the state's Chapter 288, designed to help small businesses cope with soaring costs, Dr. Young was adamant about physician participation in the process.

"Costs are coming out of health care, one way or another," Dr. Young said, "the only question is how, and by how much.  And that's a conversation that we must be part of."

She told the delegates that the MMS voice on health reform remains strong, as evidenced by the fact that the  Society's four major points on payment reform - proceed slowly, one size doesn't fit all, include malpractice reform, and simplify administration - were included in the Governor's payment reform bill. She also expressed the probability that they will also be included in the Legislature's version of the bill, likely to be released in 2012. 

With respect to rate control, Dr. Young also delivered a clear message to the delegates.  While the government has a role to play in health reform, it should not be rate setting. "The better role for government," she said, "is to set the goal and hold everyone accountable for reaching that goal. Let the people on the front lines decide how to reach that goal."

"We must stay at the table in all of these discussions," Dr. Young told the delegates. "Everyone wants us there, and we're making a difference."

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