
Curbs on physician self-referrals in Medicare may have made sense in a fee-for-service environment, but they present significant barriers to payment reform as the nation moves to value-based models.
The Digestive Health Physicians Association (DHPA) is a national trade association of independent gastroenterology (GI) physician practices with the aim of promoting and preserving accessible, high quality and cost-efficient care in the independent GI medical practice setting. DHPA focuses on collecting, benchmarking and analyzing data relevant to independent GI medical practices. The association capitalizes on its member practices' data resources to augment DHPA's public policy, education and advocacy efforts to serve independent practices and their patients. Members strive to improve patient care and outcomes by supporting policies that promote accessible, high quality and cost-efficient medicine in independent practice settings.
Curbs on physician self-referrals in Medicare may have made sense in a fee-for-service environment, but they present significant barriers to payment reform as the nation moves to value-based models.
The authors, both members of the Digestive Health Physicians Association, write about efforts in their home state and at the federal level to reform payer restrictions.
In the first of a series from the Digestive Health Physicians Association, Dr Lawrence R. Kosinski writes about Project Sonar, an innovative proposed Advanced APM that has cleared the first regulatory step. Project Sonar has saved thousands in hospitalization costs in pilot studies.
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