Stop Proposed Medicare Changes TMA Tells Lawmakers

Texas Insider Report: AUSTIN Texas Federal lawmakers must hold a hearing immediately to stop proposed changes to Medicare that would cause lasting and serious damage to the program and to health care in the United States Texas Medical Association (TMA) PresidentDouglas W. Curran MD told two key Texas congressmen today. On behalf of the more than 51000 physician and medical student members of TMA and the millions of Texans we serve I am writing to request your personal intervention to stop the Centers for Medicare & Medicaid Services (CMS) from enacting lasting and serious damage to the Medicare program Dr. Curran wroteto U.S. Reps. Kevin Brady (R-The Woodlands) chair of the House Ways and Means Committee; and Michael Burgess MD (R-Lewisville) chair of the House Health Subcommittee. CMS in July unveiled a massive package of proposed new rules including an update to the 2019 Physician Fee Schedule and revisions to the Quality Payment Program (QPP). CMS proposal also would collapse the five levels of evaluation and management office-visit payments to two levels with one payment rate for level 1 visits and another covering levels 2-5. CMS has said its proposed changes would reduce paperwork and allow physicians to spend more time with patients. However TMA believes the changes would have the opposite effect. Given the sweeping and overwhelmingly negative impact of the proposed rule and given the crushing existing administrative burden that it fails to relieve   we fear that physicians will abandon the Medicare program en masse or severely limit their Medicare patient loads Dr. Currans letter says. To prevent this train wreck in our states Medicare health care system please hold hearings as quickly as possible. The agency he said is off the rails and lawmakers must act quickly to reestablish what you had in mind when you wrote and passed legislation to strengthen and improve Medicare. CMS plans to publish the final rule on or about Nov. 1. Over the past six weeks TMA physicians and staff experts have analyzed the proposed rule identifying its weaknesses and formulating constructive recommendations for change. TMA submitted a letter with 75 substantive recommendations to CMS earlier this week. TMA also delivered Dr. Currans letter to the rest of the Texas Congressional Delegation: U.S. Republican Sens. John Cornyn and Ted Cruz U.S. Health and Human Services Secretary Alex Azar II and CMS Administrator Seema Verma. TMA is the largest state medical society in the nation representing more than 51000 physician and medical student members. It is located in Austin and has 110 component county medical societies around the state. TMAs key objective since 1853 is to improve the health of all Texans.