- MACRA proposed rule published by HHS, streamlining federal programs including meaningful use
- CMS modernizes Medicaid managed care regulations, putting focus on improved health data exchange
- U.S. Coast Guard pulls out of Epic EHR contract, forcing return to paper records
- ONC: 4 ways to make better EHR comparison shopping tools
- EPA chief Gina McCarthy: Public health is what we do
- Your Cloud in Healthcare - How to Use the Cloud to Achieve Greater Business Agility
- 5 Tips for Successful Patient Identity Management in Government Agencies
- A Reference Architecture for Healthcare Benefit Exchange
- Delivering Service at the Point of Partnership
- New World Order: Effectively Securing Healthcare Data Through Secure Information Exchanges
Seven U.S. senators have asked the Department of Health and Human Services to withdraw its proposed rule governing the Patient Protection and Affordable Care Act’s accountable care organizations because “it misses the target” of better care at lower costs.
The seven Republican lawmakers sent a letter on Tuesday to HHS Secretary Kathleen Sebelius and Donald Berwick, administrator of the Centers for Medicare and Medicaid Services, expressing concerns about HHS’ proposed regulations for ACOs.
The senators – Tom Coburn (Okla.), Jon Kyl (Ariz.), Mike Crapo (Idaho), Mike Enzi (Wyo.), John Cornyn (Texas), Pat Roberts (Kansas) and Richard Burr (N.C.) – said prominent healthcare providers such as the Cleveland Clinic, Mayo Clinic and Sutter Health and all 10 members of CMS’ Physician Group Practice demonstration project have reservations about the proposed rule.
They also noted a recent American Hospital Association report which found that ACO start-up costs are likely to be significantly higher than what CMS has estimated.
The senators said they believe ACOs show promise, but they think the model is doomed to failure under the proposed regulations. They said there's no alignment between incentives and accountability, the requirements are too complex and the return on investment is uncertain.
The senators suggested re-engaging with the healthcare community to “redesign a regulation that will truly help accomplish our shared goals for patients, providers and taxpayers alike: Better care at lower costs.”