Page 7 - South Florida Hospital News Nov 2021
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Fundamental Reform Needed for                                                When It Comes To Patient Care,

            Medicare Physician Fee Schedule
                                                                                             How Worthy Is Your Brand?

          As the calendar turns                          Here is a breakdown of
         to Autumn, physicians                         how these proposed reduc-          When it comes to brand loyalty, there are a few
         are once again staring                        tions are being generated.        which clearly rise above the others. When it
         down the barrel of signif-                      • E/M Outpatient Codes          comes to cars, it’s Tesla. Cell phones and tablets,
         icant   decreases  in                         (-3.75%)                          Apple. Fast food, Chick-fil-A. Quick cup of cof-
         Medicare reimbursement                          • Sequester Payment Cuts        fee, Starbucks. No matter if you like, love or never
         due to take effect in                         (-2%)                             have used the examples above, one common trait
         January. The annual exer-                       • Pay-As-You-Go Pay ment        they all have in common is very strong brand and
         cise that was supposed to                     Cuts (PAYGO) (-4%)                customer loyalty.
         end with the elimination                        In addition to these cuts,       There is, however, one company which has
         of   the   Sustainable                        some organizations, like the      their customers taking it to an even higher level.
         Growth Rate, has ended                        American College of Radia -       Harley-Davidson. This company’s customers trav-
         in name only. The same   BY FRASER COBBE      tion Oncology (ACRO), are         el from all over the country to attend rallies, get
         flawed and unsustainable                      highlighting the implications     tattoos of the company logo on their bodies and   BY  JAY JUFFRE
         approach  to   setting                        of CMS moving forward with        would never think about owning or riding on a
         physician reimbursement in Medicare in   clinical labor data updates in the 2022   different product. Now that is brand loyalty. You
         a budget-neutral vice remains. Evidence   Physician Fee Schedule which could    can be sure when those two inventors in Wisconsin were messing with small
         continues to mount of the dramatic   cause additional cuts to certain specialties   motors and bicycles a hundred plus years ago, they had no idea the cult-like
         implications that this flawed approach   as much as 14%.                        following they would eventually create – a tattoo worthy brand. Before you
         has had on care delivery and provides   There are many physicians that          start thinking, ‘that could never happen with our organization’, think again.
         justification for fundamental reform in   believe Medicare reimbursement policy   What would it take to have a local, regional, or national brand so good that
         how our nation funds access to care for   has been a major contributing cause to   people simply could not live without it? Like Chick Fil A or Starbucks, people
         Medicare beneficiaries.             the continued elimination of the private    would be willing to drive a little farther and wait a little longer just to experi-
          Since the release of the draft Physician   practice of medicine as many physicians   ence the best.
         Fee Schedule (PFS) over the summer,   have shifted to employment with hospi-     How deep does your team’s loyalty run? How loyal are your customers /
         organized medicine has been unified in   tals, health systems, and the corporate   patients to your “brand” You may not have staff and visitors running out and
         seeking relief from the Centers for   practice of medicine. While there are     getting tattoos on their biceps right away, but what might it take to come close.
         Medicare & Medicaid Services (CMS)   many factors physicians consider when      Sit down with your leadership team and simply ask, ‘what would it take to be
         and from Congress on the devastating   deciding where to practice, there can be   the brand that people simply could not live without and what can we start
         impact these cuts will have. The pro-  no question that declining reimburse-    doing today to help get us there?’ After they figure out you are serious, it will
         posed cuts, ranging from 10% to 20%   ment and uncertainty continue to add      be worth a discussion or two.
         depending on the specialty, would be   pressure to private practice medicine.
         drastic in any year. They are even more   While  immediate  action  from               Jay Juffre is Executive Vice President, ImageFIRST. For more information on
         devasting this year given the multi-fac-  Congress to prevent the proposed cuts                ImageFIRST, call 1-800-932-7472 or visit www.imagefirst.com.
         torial impact of the COVID-19 pandem-  in 2022 is critically important and once
         ic on physician practice which includes:   again likely, it is time for CMS and
         increased practice expenses to protect   Congress to have a broader discussion
         patients and staff; the shutdown of elec-  on the fundamental flaws in the physi-
         tive procedures; inflationary impact on   cian fee schedule policy and make
         the cost of supplies; and workforce   reforms that will support access to care
         shortages that are driving up employ-  for Medicare beneficiaries in the com-
         ment costs. Simply put, the clock is tick-  munity setting.                                    E-mail Your Editorial Submissions to
         ing on Congress to act to save access to                                                     editorial@southfloridahospitalnews.com
         community-based care for Medicare      Fraser Cobbe, Executive Director, Dade
         beneficiaries.                            County Medical Association, can be
          Where are the cuts coming from?         reached at fcobbe@miamimed.com.














          A message from our President: A Month for Thanksgiving


                                                                                 own health and the health of others and continue to wear
          While the last couple of years have been challenging, November is the month to say,   masks in public situations and to attempt to remain social-
        “Thanks.”                                                                ly distanced and to use good hand hygiene.
          We have many things for which we can be thankful. That the vaccines to prevent   We also can be thankful for our statesman politicians
        or lessen the symptoms of COVID-19 were developed in record time using production   who continue to use their positions to advocate for what
        processes already developed in the creation of other previous vaccines.   is best for Americans; their continuing efforts to cut
          We can be thankful for not only the success in creating these COVID-19 vaccines,   through the political rhetoric and to talk about the science
        but their subsequent effectiveness and overall safety. Now, similar to flu vaccines, we   of vaccinations.
        know that COVID-19 vaccines effectiveness wanes with time and annual booster   I am thankful that I am allowed the opportunity to take
        injections might be in our future (as it has been for flu vaccines for many, many   advantage of science by getting my annual flu vaccine
        years).                                                                  (already done) and, as of one week ago, to take my booster
          We can be thankful to the scientists who have worked tirelessly to develop other   dose of the Moderna vaccine to help keep me safe. I have
        drugs now used to lessen the symptoms of COVID-19. Drug infusions and now pill   a granddaughter and a grandson on the way and I need to   BY JAIME CALDWELL
        regimens that have saved countless people who have contracted COVID-19.   be there for them!  It is my responsibility to stay healthy.
          We can be thankful for the men and women who went to work in hospitals, clinics,   While this is a month of thanksgiving, I am also aware that almost 740,000
        doctors’ offices, and pharmacies despite the risk to themselves and their families.    Americans have lost their lives to this pandemic and for them I feel sadness.  We can-
          We can be thankful for the healthcare professionals and average Americans who   not get them back and we also cannot fill the holes left in the hearts and minds of their
        used their positions to advocate for the use of COVID-19 vaccines despite the threats   children, grandchildren, wives, husbands, and parents.
        and vile comments they received.                                           Please, help me be thankful and let us try and end preventable deaths. Vaccines have
          We can be thankful for those medical professionals who put off retirement to meet   been with us for a long time, and they have dramatically reduced the numbers of
        the challenges of the last two years.                                    childhood deaths to formerly common and now not too common diseases.  Reach out
          We can be thankful for the Americans who continue to be thoughtful about their   and ask your doctor for advice…be thankful you did.


        South Florida Hospital News                                                              southfloridahospitalnews.com                                                       November 2021                            7
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