Nov. 11, 2016
2016 election: COMPAC-endorsed candidates overwhelmingly succeed at the polls
A presidential result that surprised even the most accurate pollsters sent a clear message that repudiates the Washington establishment and demonstrates that Americans were yearning for a "change" candidate this year. Both houses of the U.S. Congress are also now Republican-controlled, and all of the incumbents in the Colorado congressional delegation are headed back to the capitol.

On the state level, the political climate did not change much. The Senate Republicans held the majority by one seat (18-17), while the House Democrats also kept the majority, gaining three seats (37-28). Since the Governor wasn't up for election this cycle, state politics should remain fairly consistent with the last two sessions. Leadership for all four caucuses were elected yesterday, Nov. 10. See the leaders in the extended story here

Colorado voters approved the ballot initiative to allow for physician-assisted death and the amendment to make it more difficult to alter the state constitution, while defeating the proposed tax increase on tobacco products and the amendment to create a health care cooperative to replace most other health insurance.

COMPAC-endorsed candidates fared very well in the election. This is largely in part to a candidate briefing and interview process that is a model for professional and trade associations.

Local physicians, working with CMS and component society staff, brief candidates on medicine's priority issues. Candidates receive a "Candidate Briefing Document" well before the interview that lays out the background on each issue: Colorado's stable liability climate, health care reform, managed care, scope of practice, etc. The CMS lobby team is available to answer questions about the issues, and local physicians conduct the interview in the candidates' district.

This process provides for two-way dialogue. Physicians and lobbyists get to hear how a candidate thinks about issues. The candidate learns about the passion that physicians have for issues affecting patients and practice.

After the interview of both candidates is complete, physicians vote to recommend the endorsement of one of them to the COMPAC board. Occasionally, the local physicians recommend staying out of the race.

During the election cycle just completed, COMPAC endorsed 82 federal and state candidates; 77 were elected. COMPAC's goal is to help them all know or get to know better their local medical community leaders, and understand that physicians in the community care and are engaged.

COMPAC needs your support to continue its work. Donate to COMPAC or the Small Donor Committee online at www.cms.org/contribute.
Reminder: Nov. 30 deadline for seeking review of potential payment penalties
Practices that have concerns about whether they will be subject to 2017 payment penalties associated with the Physician Quality Reporting Program have until Nov. 30 to file for an informal review of their data.

Find instructions on requesting an informal review here in the PQRS "Informal Review Made Simple" document; the steps are outlined on pages 4-5.

The penalties stem from policies in effect prior to the enactment of the Medicare Access and CHIP Reauthorization Act. Failure to successfully complete required PQRS reporting will result in a 2 percent penalty. Value Modifier penalties can range from 1 percent to 4 percent depending on the size of the practice and its performance on cost and quality measures. PQRS penalties will be communicated to physicians by mail as well as in the PQRS feedback reports posted on the CMS website. Value Modifier penalties and bonuses can be found in Quality and Resource Use Reports (QRURs) posted on the website only.

Additional information on accessing the reports and filing for an informal review can be found here and here. Those who have questions, even if they are uncertain about penalty status, are urged to submit a request for informal review. Although in most cases a successful PQRS review will trigger an automatic review of related VM penalties, program officials say the safest course is to file requests for review of both PQRS and VM data.
Final policy, payment, and quality provisions in the Medicare physician fee schedule for 2017
Last week the Centers for Medicare and Medicaid Services issued the final Medicare Physician Fee Schedule for 2017. The agency finalized a number of new policies that will improve Medicare payment for those services provided by primary care physicians for patients with multiple chronic conditions, mental and behavioral health issues, and cognitive impairment conditions.

The final rule addresses other topics related to the Medicare program such as release of certain Medicare Advantage bid data and Part C and Part D medical loss ratio data, enrollment requirements for providers and suppliers in Medicare Advantage, and the Medicare Diabetes Prevention Program expanded model.

Read more here. The final rule can be found at the Federal Register website here.

Through comment letters and conversations with the agency, the American Medical Association recommended many changes to create a more flexible transition to the updated Medicare program, and they report that the federal CMS has adopted a majority of those recommendations in the final rule.

"There is still work to be done to improve the QPP, but it appears that we are off to a strong start," said AMA President Andrew W. Gurman, MD, in an email. "CMS' revisions will allow for a reasonably paced progression into the program so that physician practices can learn and adjust over time."
Health First Colorado printed communication materials now available
The Department of Health Care Policy and Financing has printed materials available to help health care providers and others spread the word about Health First Colorado, the new name for Colorado's Medicaid program.

Supported by the Colorado Health Foundation, posters in English and Spanish, and quick fact cards are available and may be picked up from the Department's main office at 1570 Grant St., Denver, 80203 during regular business hours, Monday-Friday, 8 a.m.-5 p.m. They are unable to mail materials.

Electronic versions of these printed materials, as well as web banners in multiple sizes, audio messages and sample social media and blog posts, are available online.

Questions about the materials? Contact Debbie Fimple, Health First Colorado grant manager, at debbie.fimple@state.co.us or (303) 866-6346. Visit the Health First Colorado stakeholder webpage for more information about the name change.
Workers' compensation: Provider teleconference on Nov. 30 

Only one event remains in the Division of Workers' Compensation series of annual fall Listening and Rule Update seminars, the Nov. 30 provider teleconference. It will be held from 1-5 p.m. Click here to sign up for the teleconference. Each person attending must register online individually. As always, these seminars are free. 

Call for nominations: 2017 President-elect, AMA Delegates and Alternate Delegates

The nomination period for the 2017 CMS all-member election is open through Jan. 31, 2017. We urge all members to consider nominating a colleague or self-nominating for one of the open leadership positions: President-elect (1 position open), AMA Delegates (3 positions open) and Alternate Delegates (3 positions open).

Access the election guide by clicking here. It provides important information on the duties, eligibility, terms of office and honorarium for each open position, as well as candidate requirements, campaign guidelines, election process, and more.

Potential nominees can review the position descriptions and qualifications for office starting on page three of the election guide and the candidate requirements on page five of the election guide. Please email CMS CEO Alfred Gilchrist at alfred_gilchrist@cms.org if you have additional questions.

Sponsors
Get covered with COPIC

COPIC Insurance Company is Colorado's leading medical liability insurance provider. Three out of four physicians choose COPIC for this critically important coverage. CMS members receive a 10 percent premium discount from COPIC.

For more information, call (720) 858-6000 or visit www.callcopic.com.


Carr Healthcare Realty exclusively represents healthcare tenants and buyers. We assist medical practices in all types of lease and purchase negotiations: New Offices, Expansions, Relocations, Practice Acquisitions, and Lease Renewals. Visit: www.carrhr.com

GreenLight is the national leader in web-enabled behavioral health testing with over half a million assessments in 35 states. GreenLight is designed to help physicians enhance patient care, improve population health and add incremental revenue to the practice. Visit www.Greenlight.md or call 866-602-1778.

The average physician can save $38,000 by refinancing their student loans with LendKey! CMS members get a $400 cash bonus when refinancing through this partnership.

Rates as low as 2.14% variable and 3.25% fixed. Visit www.LKrefi.com/co-med. Phone: 888-549-9050 Email: customer.care@lendkey.com

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