(2017-12-07), Internists offer recommendations to improve CMS’s approach to testing new payment models, Politics & Government Week, 281, ISSN: 1944-270X, BUTTER® ID: 014806512

By a News Reporter-Staff News Editor at Politics & Government Week -- Washington ()--While the American College of Physicians (ACP) is supportive of the role that the Center for Medicare and Medicaid Innovation (CMMI) plays in the move toward value-based payment models, it has significant concerns about several elements of its plans to test new payment models. In a letter sent in response to the Centers for Medicare and Medicaid Services’ (CMS) Innovation Center New Direction Request for Information (RFI), ACP expressed concern about the impact on disadvantaged patients of the agency’s shift toward testing “consumer-directed and market-based” innovation models.

“There are a number of components of these principles that ACP supports; however, we also have significant concerns about some of the language used in terms of what it will mean for the implementation of the key concepts,” wrote Jacqueline Fincher, MD, MACP, chair, ACP’s Medical Practice and Quality Committee. “For instance, promoting patient choice and competition is a laudable goal but the current measurement systems and means of sharing the information with consumers are simply not ready to support a rapid implementation of that approach--and therefore we recommend that the Agency proceed with great care to ensure that patients and their families do not experience unintended negative consequences by relying on potentially flawed or unclear data to choose a clinician or type of payment structure.”

The letter responded to each of the six guiding principles that CMS said they will use …

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