Medicare: A Broken Reimbursement System Means More Unacceptable Cuts

From ACG Legislative and Public Policy Council Chair, Louis J. Wilson, MD, FACG

Medicare reimbursement is yet again under threat of destructive and unreasonable cuts. Once again, these cuts are due to an antiquated and broken Medicare reimbursement system and budgeting rules.

The ACG Public Policy Council has been sounding the alarm over these issues to Congress during the 2022 ACG Advocacy Day, and during my briefings with the U.S. House of Representatives’ “Doctors Caucus.” Make no mistake, these cuts are dangerous to patients, are anti-physician practice, and must be changed. It’s time for ACG members to act. Read the rest of my message here.

ACG Prior Authorization Task Force: Practical Guidance for ACG Members

From ACG Governor Vice Chair and ACG Prior Authorization Task Force Chair, Dayna S. Early, MD, FACG, and Stephen T. Amann, MD, FACG

The ACG Governors and Practice Management Committee recently formed a collaborative taskforce on prior authorization. Led by Chair, Dr. Early, the group has focused on practical guidance for reducing the burdens of prior authorization, while ACG advocates for comprehensive reform at the state and federal level.

New ACG Member Guidance: The Task Force interviewed ACG colleagues and representatives from commercial insurers to develop recommendations on reducing the burdens of prior authorization. Read the latest addition to the ACG Practice Management Toolbox, "Tools to Help Manage Prior Authorization: Concepts to Help Decrease the Hurdles."

Thank you ACG Prior Authorization Task Force Members!

Baharak Moshiree, MD, MSc, FACG
David Hass, MD, FACG
Joseph Cappa, MD, FACG
Shabana Pasha, MD, FACG
Shireen Pais, MD, FACG
Whitfield Knapple, MD, FACG

Speaking of advocating for comprehensive prior authorization reform: ACG was asked help create awareness for a new prior authorization bill introduced in the U.S. House of Representatives. The bill is modeled after the "Gold Card" state law passed in Texas. We need your help!

Another prior authorization bill gaining traction on Capitol Hill: ACG leaders met with Congress during the 2022 ACG Advocacy Day to discuss improving prior authorization requirements in Medicare Advantage. The bill has gained significant bipartisian and bicameral support thanks to ACG advocates and a coalition of organizations. Let's continue the momentum!

July 19th social media campaign on step therapy: On Tuesday, ACG joined a broad coalition of advocates for a day of action in support of step therapy reform. Help spread the message!