AMA Letter to CMS on NPRM for Provider Burden and Prior Authorization with Table of Proposals

1/5/2021

high rates of inappropriate denials, according to a 2018 Office of Inspector General Report.1 … or delay coverage, increase rates, or implement step therapy; (b) display information to that effect … to remove PA requirements for services that meet certain thresholds of approval rates. o CMS should use …

/Advocacy/Federal-Advocacy/Federal-Regulatory-Comments/AMA-Letter-to-CMS-on-NPRM-for-Provider-Burden-and-Prior-Authorization-with-Table-of-Proposals/

Letter to the Governor regarding S.2984, An Act promoting a resilient health care system that puts patients first - PDF

1/4/2021

of telehealth is appropriate. The bill also permanently extends payment rate parity for behavioral health … services delivered via telehealth; extends payment rate parity for primary care and chronic disease …

/Advocacy/State-Advocacy/State-Advocacy-Letters/Letter-to-the-Governor-regarding-S-2984,-An-Act-promoting-a-resilient-health-care-system-that-puts-patients-first---PDF/

Letter to Governor Baker regarding S.2984, An Act Promoting a Resilient Health Care System That Puts Patients First

12/29/2020

is appropriate. The bill also permanently extends payment rate parity for behavioral health services delivered … via telehealth; extends payment rate parity for primary care and chronic disease management services …

/Advocacy/State-Advocacy/State-Advocacy-Letters/Letter-to-Governor-Baker-regarding-S-2984,-An-Act-Promoting-a-Resilient-Health-Care-System-That-Puts-Patients-First/

Congress to Pass COVID-19 Relief, Assistance for Providers and Ban on Surprise Billing

12/21/2020

provisions that prohibit the arbiter from factoring in Medicare and Medicaid rates when deciding …

/Advocacy/Key-Issues/COVID-19-Response/Congress-to-Pass-COVID-19-Relief,-Assistance-for-Providers-and-Ban-on-Surprise-Billing/

MMS Model Medical Staff Bylaws (pdf)

12/20/2020

/Practice-Support/Legal-and-Regulatory/MMS-Model-Medical-Staff-Bylaws-(pdf)/

Letter to Key Congressional Committee Leadership on No Surprises Act (PDF)

12/18/2020

to the physicians. • Removes a provision which set the median in-network payment rate benchmark … as the initial payment rate, which would have led to de facto rate-setting. • Removes a monetary threshold … that this bill does not prohibit Medicare and Medicaid rates from being included in the IDR process, as those …

/Advocacy/Federal-Advocacy/Federal-Advocacy-Letters/Letter-to-Key-Congressional-Committee-Leadership-on-No-Surprises-Act-(PDF)/

Letter to Key Congressional Committee Leadership on No Surprises Act

12/18/2020

a provision which set the median in-network payment rate benchmark as the initial payment rate, which would … and Medicaid rates from being included in the IDR process, as those rates are set to meet the budget … than private market rates. We worry that this will have the effect of government rate-setting …

/Advocacy/Federal-Advocacy/Federal-Advocacy-Letters/Letter-to-Key-Congressional-Committee-Leadership-on-No-Surprises-Act/

December 14 MMS Member Forum on COVID Vaccine

12/16/2020

, early summer we can start getting close to that kind of vaccination rate. A concerted effort … to be a diminished reactive immunogenicity. In the studies, at least those over 55 had a lower rate of adverse … efficacy rate was originally reported as 90% and then 95% later, and wondering why that was …

/Patient-Care/COVID-19/December-14-MMS-Member-Forum-on-COVID-Vaccine/

What's Working for Women in Medicine - and What's Not So Much (pdf)

12/13/2020

and readmission rates than those treated by men. The difference would translate into 32,000 fewer deaths a year … rates, she says. And because those physicians are more likely than others to work with underserved …

/Publications/Vital-Signs---Member-Publication/What-s-Working-for-Women-in-Medicine---and-What-s-Not-So-Much-(pdf)/

Bias in the Medical Workplace: They Think It's Normal Because Everyone Does It (pdf)

12/13/2020

: Medical students with disabilities also have higher attrition rates than nondisabled students.” Most …

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