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Advancing APMA’s Strategic Goals APMAs... · 2014-05-01 · Physician Payment Sunshine Act...
Transcript of Advancing APMA’s Strategic Goals APMAs... · 2014-05-01 · Physician Payment Sunshine Act...
Advancing APMA’s Strategic Goals through Health Policy
Scott Haag, JD, MSPH
Chad Appel, JD
What We Will Cover Today
•APMA’s Mission Statement & Committee Charge •2013-2014 Activities Update •Review of APMA Membership Data •Considerations for HPPC Members
Mission Statement
APMA advances and advocates for the profession of podiatric medicine and surgery for the benefit of its members and the public.
Strategic Directions
Committee Charge
Health Policy and Practice Committee
The Committee develops policies, programs and other activities to position the doctor of podiatric medicine as the recognized
foot and ankle care specialists within public and private healthcare delivery and financing systems. It advocates with federal administrative agencies, private insurance plans, and other health-care delivery systems to end barriers to services
provided by podiatrists to foster better access to medical necessary care by podiatrists, and for fair and equitable payment for podiatrists. It advices the APMA Board of Trustees on matters
affecting the profession, including those associated with Medicare, Medicaid, DME, and related federal health policy and
private insurance issues.
New HPPC Committee Structure
Subcommittees
Medicare and Public Payer Subcommittee
Private Insurance Subcommittee
Workgroup
DME Workgroup
Advisory Committees
Carrier Advisory Committee
Private Insurance Advisory Committee
2014-15 Activities
But first, some review….
What does APMA look like today?
…and….
A look back to our observations from 2013 HPC meeting
Podiatric Medicine Today
Podiatric Medicine Today
Podiatric Medicine Today
Podiatric Medicine Today Other facts from survey:
• Average Hours Worked Per Week • Owners (O): 41.2
• Employed (E): 43.5
• Average Patients Per Week • O: 100.8
• E: 91.9
• Average New Patients Per Week • O: 41.2
• E: 16.2
• Full ONC Meaningful Use Certified • O: 61%
• E: 82%
Podiatric Medicine Tomorrow
Number of new doctor of podiatric medicine graduates using five production scenarios, 2005 to 2030.
Projections of the total US population and the number of podiatric physicians per 100,000 population using five scenarios, 2005 to 2030.
Podiatric Medicine Tomorrow
Three Hypotheses:
• Likely shortage in podiatrists could lead to higher demand in services by podiatrists
• Solo/small podiatrist offices will no longer be economically feasible and podiatrists will move towards multi-specialty groups, hospitals, etc.
• Podiatrists will need to adapt to changing health-care reimbursement and payment models
2013-2014 Activities Advocacy & Stakeholder Education
Physician Payment Sunshine Act
Medicare Advantage Termination Letters
Comment Letters/Request for Information
Private Insurance Companies Outreach (e.g. United)
Medicare Physician Payment – SGR Reform and Appeal
Member Education
Reimbursement Webinar Series
Update Private Insurance Resource Guide
Effect of ACA (e.g. narrow networks)
Planning for the Future
US Wound Registry
ACO and Impact on Podiatric Medicine
Follow-up from 2013 Strategy Meeting
- Need for data to improve patient outcomes and maximize reimbursement
- Working with US Wound Registry
Today’s Strategic Meeting
• Changes to Medicare Reimbursement
• Changes to Private Insurance companies contracts and networking issues
• Development of Data Registry
• Other Issues Important to Members
• ICD-10 Transition
• DME Outlook
Considerations?
• How will changes in health care alter the practice of podiatric medicine?
• In context of reimbursement, how can HPPC advance the profession?
• What can HPPC today to prepare for tomorrow?
• Additional thoughts on how HPPC can help advance the profession?