Vital Times 2021 - 13

Dr. Mueller addressed how the ASA is dividing the major
economic issues, which include the 33% Medicare
problem, possible Medicare for All legislation, surprise
medical bills, and value-based payment models, across
the ASA committees.
Dr. Pregler presented the progress on the 33% problem
with a review of the three publications that the
workgroup has produced over the last year (available
at ASAHQ.org/payment). He also presented the current
strategy of the ASA to develop additional arguments that
support increasing the Medicare anesthesia conversion
factor. The ASA is also evaluating possible modifications
to the ASA RVG payment system that would support
improved valuation or at least containment of the
problem. The ASA is currently in the RFP process to
obtain outside technical consultant support to perform
the analytic work for both strategies.
Dr. Cohen presented an in-depth look at the ASA's
initiatives to prepare for any possible Medicare for All
legislation and an analysis of all the current legislative
proposals. Dr. Champeau concluded the program
with an excellent review of the federal No Surprises
Act. He reviewed how the current rulemaking process
bypassed the intent of the congressional legislation and
put increased importance in the Qualifying Payment
Amount. This unfairly favors the commercial payors in
the arbitration process, which could ultimately affect
commercial contracting.
With all the challenges we face, there has never been
a more critical time for all anesthesiologists to come
together and speak as one voice!
Annual Publication 2021 | 13
http://ASAHQ.org/payment

Vital Times 2021

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