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Scott Hines, M.D., Chief Quality Officer & Medical Director for Crystal Run Participates in Group Panel
Middletown, N.Y. – June 6, 2016 – The American Medical Group Association (AMGA) hosted a congressional briefing in April on the new payment models included in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). During the session, AMGA outlined steps and tools that Congress should take to ensure the law’s implementation represents lawmakers’ vision and goals for value-based reimbursement. Crystal Run Healthcare’s Chief Quality Officer & Medical Director, and AMGA Member, Scott Hines, M.D., participated in the panel and spoke on the legislative impact of MACRA and risk readiness.
In May 2015, AMGA conducted a survey of its membership to better recognize the readiness of multispecialty medical groups and integrated delivery systems to transition to risk, the barriers to taking financial risk, and the tools that Congress needs to equip healthcare professionals with, in order for them to succeed. At the April 2016 briefing, a panel of AMGA members discussed the survey and provided their respective visions to congressional staff on how their organizations are preparing for the law’s new reimbursement mechanisms.
The panel also highlighted what specific tools providers need in order to benefit from the new payment models. Data submission, reporting, and feedback must be standardized so that providers have actionable and insightful information to make informed choices about patient care. The panelists also indicated the need for full access to claims data and improved attribution and risk-adjustment methodologies.
AMGA represents medical groups and organized systems of care, including some of the nation’s largest, and most prestigious integrated healthcare delivery systems. The Institute for Quality Leadership (IQL) is devoted to improving the quality of care delivered in the U.S. healthcare system through the advancement of knowledge and the education of healthcare professionals.