AMGA Calls on Congress to Advance Value-Based Care, Support Providers

February 21, 2023acoAdvanced APM, AMGA, APM, APMs, COVID, COVID-19, remote patient monitoring, RPM, Telehealth

Congress should focus on advancing value-based care by investing in proper infrastructure, incentivizing patient engagement, and supporting continuous telehealth coverage, according to the American Medical Group Association (AMGA). The organization sent a letter to congressional leaders expressing appreciation for their efforts to support healthcare providers throughout the COVID-19 pandemic. However, the letter urged leaders to improve the Medicare program…

Healthcare Associations Call on Congress to Spur APM Adoption

February 4, 2022acoAMA, AMGA, APG, APM, congress, NAACOS

A group of eight national healthcare associations this week called on the U.S. Congress to help move the movement around alternative payment models (APMs) forward, noting the sluggish uptake in participation among providers. The eight groups are the American Medical Association (AMA), AMGA (the American Medical Group Association), America’s Physician Groups (APG), the Association of…

Physician groups warn nearly 10% in Medicare cuts could stall shift to value-based care, force staff cuts

October 13, 2021Garrett SchmittNo CommentsAmerican Medical Group Association, AMGA, healthcare reform, Medicare, MSSP, physicians, value-based care, vbc

Several medical groups say a new round of cuts to Medicare payments set to go into effect in 2022 will derail their move to value-based care and impact hiring of new staff. Medical groups spoke about the need for Congress to avert a series of cuts during a briefing on Tuesday sponsored by the American…

AMGA to CMS: Rethink ACO Financial Risk Advancement in MSSP

July 6, 2021Garrett SchmittNo CommentsACOs, AMGA, APMs, CMS, COVID-19, MSSP, risk management, Value Based Reimbursement

The American Medical Group Association (AMGA) recommended several steps regarding accountable care organization (ACO) financial risk advancement in the Medicare Shared Savings Program (MSSP) in a letter to CMS. CMS’ decision to defer the automatic advancement of ACOs in the MSSP and allow ACOs to remain in their current risk level of the BASIC Track’s…

14 organizations urge HHS to extend Next Generation ACO model

April 14, 2021Garrett SchmittNo CommentsAHA, AMGA, HHS, NAACOS

Fourteen healthcare organizations wrote a letter to HHS urging it to extend the Next Generation Accountable Care Organization model through 2022 instead of letting it expire at the end of 2021. The groups also urged HHS to establish a permanent full-risk ACO option based on the Next Generation Accountable Care Organization model. Full Article

AMGA Calls for Medicare Shared Savings Program Changes Amid COVID-19

July 14, 2020Garrett SchmittNo CommentsAMGA, NAACOS, Seema Verma

CMS should keep the 2021 application cycle for the Medicare Shared Savings Program (MSSP) open and implement other changes to the program to protect providers from excessive costs incurred during the pandemic, the American Medical Group Association (AMGA) recently urged. “CMS has instituted a number of changes to support providers and their patients during the…

AMGA: Advancing Value-Based Care Hinges on Claims Data Access

February 4, 2020Garrett SchmittNo CommentsAMGA, MACRA

AMGA (American Medical Group Association) recently sent a letter to Congress outlining what it views as 2020’s top priorities for medical groups and health systems. Chief among the group’s recommendations was better claims data access for providers and patients in a value-based care world. Congress and the administration have made it clear that how healthcare is financed…

Medical Groups Call for Value-Based Care Reforms to Reduce Burden

August 13, 2019Garrett SchmittNo CommentsAMGA, MGMA, Stark Law

Operating with one foot in fee-for-service and the other in value-based care has created significant administrative burdens for providers, so medical groups are now offering CMS value-based care reforms to simplify the model and move more providers away from volume. In response to a request for information on how to reduce administrative burdens, AMGA (American…

Doctors worry CMS proposals will slow the move to value-based pay

July 14, 2018Garrett Schmitt1 CommentAHA, AMGA, CMS, MACRA, MIPS, Physician comp, Physician Compensation

An avalanche of new pay proposals from the CMS seeks to reduce provider burden, so much so that it could undermine efforts to shift Medicare to a value-based system, doctors warned. The agency released a 1,400-page proposed rule July 12 that for the first time combined the annual physician fee schedule and the Medicare Quality…

AMGA: Align Quality, Performance across Medicare Advantage, ACOs

January 18, 2018acoNo CommentsAMGA, CMS, Medicare, Medicare Advantage

CMS should work to align quality and performance standards across all Medicare programs, including Medicare Advantage (MA) and the Medicare accountable care organization (ACO) initiatives, says AMGA. In a letter issued in response to proposed changes to MA and Medicare Part D, AMGA President and CEO Jerry Penso, MD, MBA, argued that more standardization across…

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