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Sen. Roy Blunt
Honorary Co-Chairman

Sen. Ben Cardin
Honorary Co-Chairman

Dr. Bob Graham

In The Spotlight

Briefing for Reporters on MACRA & Medicare Payments

Briefing Thursday, June 30, 2016

This briefing reviews the requirements of MACRA, including MIPS, the APMs and the choices physicians will need to make. We also examined what this means for doctor practices and health systems who employ doctors, including what the burden of quality reporting will be for these groups, what the relative impact will be for large and small practices, and how this might accelerate or slow the trend toward provider consolidation. Read More

Upcoming Briefings

Monday, July 11, 2016: MACRA: Stakeholder Considerations and Next Steps

The implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) could have broad implications for physicians, health systems, health plans, consumers and others. This briefing will explore the key concerns and considerations raised during the comment period, along with possibilities and prospects for moving forward.   Info & Registration 

Recent Briefings

With biosimilar biological products moving from the lab to the marketplace, key policy and regulatory questions are being actively debated, with important implications for industry, patients, and the health care system. This discussion will provide background on current policy and regulatory issues surrounding biosimilars, and it will consider implications for the future, answering critical questions such as: What does the future of the biosimilars market hold for patients? What information do patients and their physicians need about these medicines? What role will payers play in educating health care professionals and patients?  Read More

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repealed the Sustainable Growth Rate formula (SGR) and set out a blueprint for reforming physician payment under Medicare with an eye towards better aligning Medicare payments with the cost and quality of patient care. On April 27, 2016, the Department of Health and Human Services (HHS) issued a proposed rule to implement the law. While the proposed rule provides more clarity on how to move the health care system from volume to value, questions about implementing the law remain among policymakers, providers, and patients. Read More

MACRA: New Directions for Medicare Physician Payment

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Health Care Consolidation: What You Need to Know

A recent whirlwind of mergers and acquisitions has thrown health care industry consolidation into the spotlight. In 2014 alone, there were 1,299 mergers and acquisitions in the health care sector at a value of $387 billion, a new record. In this roundtable for reporters, featuring a top FTC official and two experts, panelists discussed the drivers behind this recent trend; the scope and extent of consolidation among doctors, hospitals and insurers; implications for consumers and other stakeholders; and the roles of the Department of Justice (DOJ) and the Federal Trade Commission (FTC).

Click here for video
Click here for transcript

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New Toolkit on Health Care Consolidation

There were 1,299 mergers and acquisitions in the health care sector in 2014 at a value of $387 billion, both record highs. A new Alliance for Health Reform toolkit, “Health Care Consolidation,” looks at the drivers behind this trend, as well as implications for key players in the health care system and regulatory issues surrounding the issue.  Critics argue that consolidation could have a harmful impact on consumers, including higher costs, while others say some amount of activity is necessary to reshape the health care industry following changes implemented by the Affordable Care Act.

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