News | Cardiovascular Business | July 26, 2016

Societies Comment on New CMS Bundled Payments for Cardiology

STS, ACC urge collaboration needed to produce meaningful Medicare payment reform

CMS, bundled payment models, coronary artery bypass surgery, ACC, STS

July 26, 2016 — The Centers for Medicare & Medicaid Services (CMS) has proposed the creation of new bundled payment models for patients who have a heart attack or undergo coronary artery bypass surgery. Several medical societies released statements on the proposed models, including the Society of Thoracic Surgeons (STS) and the American College of Cardiology (ACC).  

According to the statement from Joseph E. Bavaria, M.D., STS president, the society has been a longtime advocate of the heart team, which facilitates better, more coordinated, patient-centered care. He urged CMS to work with STS and implement truly meaningful Medicare payment reform that emphasizes care quality and puts the Medicare beneficiary first.

 

Watch the VIDEO “How to Build An Integrated Heart Team.” Brijeshwar Maini, M.D., and Brian Bethea, M.D., from Tenet Florida’s structural heart program, explain the importance of building a good heart team and how that team should interact. 

 

By passing the landmark Medicare Access and CHIP Reauthorization Act (MACRA), Bavaria said Congress is moving away from fee-for-service medicine and toward a payment structure based on quality. He believes the STS National Database will be an important tool in helping to accomplish the goal of linking payment to quality, rather than volume.

The Adult Cardiac Surgery Database, a component of the STS National Database launched in 1989, houses more than 5.9 million surgical records and gathers information from more than 90 percent of the groups that perform cardiac surgery in the United States. Data from the database facilitate nationwide quality improvement initiatives, robust public reporting via Consumer Reports, participant credit in U.S. News and World Report’s ranking of best hospitals, and help guide patients and their families as they make life-altering decisions.

Bavaria believes that the STS National Database could facilitate physician-led, quality-based payment reform in the way that Congress intended.

 “It is our hope that yesterday’s announcement will set the stage for collaborations between STS and CMS that will produce meaningful reform resulting in better care for our patients,” he concluded.

In a statement from ACC President Richard A. Chazal, M.D., FACC, the American College of Cardiology supports the movement toward value-based care. Improving quality care and value are central to the ACC’s strategic plan. The CMS proposed regulation on bundled care models for heart attack and bypass surgery, along with a payment incentive model intended to increase utilization of cardiac rehabilitation, represent efforts in this direction. In addition, CMS is moving the right direction by proposing tracks under these new models that may qualify as Advanced Alternative Payment Models under MACRA — providing new ways for specialists to be rewarded for delivering quality care.

Chazal noted that while ACC supports the concept, it is important that bundled care models be carried out in such a way that clinicians are given the time and tools to truly impact patient care in the best ways possible. Changes in payment structures in healthcare can pose significant challenges to clinicians and must be driven by clinical practices that improve patient outcomes.

“We are optimistic that CMS will listen to comments, incorporate feedback from clinicians, and provide ample time for implementation of these new payment models. Our ultimate goal is to improve patient care and to improve heart health,” Chazal concluded.

For more information: www.sts.org, www.acc.org

Related Content

The Current Direction of Healthcare Reform Explained by CMS Administrator Seema Verma
News | Cardiovascular Business | June 11, 2019
Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma addressed the American Medical Association (...
DAIC Earns Azbee National Bronze Award for Social Media Presence
News | Cardiovascular Business | May 10, 2019
May 10, 2019 — Diagnostic and Interventional Cardiology (DAIC) earned a Bronze Award at the 2019 Na
Cath lab staff working as a team to prepare for a procedure at Presbyterian Medical Center Cardiac Cath Lab, Charlotte N.C. Pictured are Barry Horsey RCIS, Emily Luna RN, RCIS, Adam Martin RCIS, Caleadia Jessup RN.

Cath lab staff working as a team to prepare for a procedure at Presbyterian Medical Center Cardiac Cath Lab, Charlotte N.C. Pictured are Barry Horsey RCIS, Emily Luna, RN, RCIS, Adam Martin, RCIS, Caleadia Jessup, RN.

Feature | Cardiovascular Business | May 03, 2019 | Ruben Filimonczuk, RCES, AS-PMD
One of the most promising areas for innovation in healthcare is to be found in the workforce – both in hiring and ret
Fail-safe Program for New Medical Technology Focuses on Patient Safety
News | Cardiovascular Business | April 29, 2019
New medical technology offers the promise of improving patient care, as well as the potential for harm if caregivers...
Medicare Trustees Report Hospital Insurance Trust Fund Will Deplete in Seven Years
News | Cardiovascular Business | April 22, 2019
The Medicare Hospital Insurance (HI) Trust Fund, which funds Medicare Part A, will only be able to pay full benefits...
Videos | Cardiovascular Business | April 16, 2019
A discussion with Ruth Fisher, MBA, vice president of the...
Foreign-trained doctors now make up one-third of cardiologists in the United States and help make up for the U.S. overall shortage of physicians. Pictured here is co-author of this article Mandeep R. Mehra, MBBS, MSc, FRCP, who is an example of the contribution international physicians have made in the U.S. He is medical director of the Brigham and Women’s Hospital Heart and Vascular Center.

Foreign-trained doctors now make up one-third of cardiologists in the United States and help make up for the overall shortage of physicians. Pictured here is co-author of this article Mandeep R. Mehra, MBBS, MSc, FRCP, who is an example of the contribution international physicians have made in the U.S. He is medical director of the Brigham and Women’s Hospital Heart and Vascular Center, The William Harvey Distinguished Chair in Advanced Cardiovascular Medicine, and a professor of medicine at Harvard Medical School. He is past-president of both the Heart Failure Society of America and the International Society of Heart and Lung Transplantation. 

Feature | Cardiovascular Business | April 15, 2019 | William W. Pinsky, M.D., FAAP, FACC, and Mandeep R. Mehra, MBBS, MSc , FRCP
As we strive to process today’s successive news cycles involving negative reports about immigration, it is easy for m
ACC Combines NCDR, Accreditation Into New Quality Summit
News | Cardiovascular Business | March 15, 2019
The American College of Cardiology’s first annual ACC Quality Summit, held March 13-15 in New Orleans, merges the NCDR...
Diagnostic and Interventional Cardiology Named 2019 Azbee Awards Finalist for Social Media
News | Cardiovascular Business | March 08, 2019 | Jeff Zagoudis, Associate Editor
Diagnostic and Interventional Cardiology (DAIC) was named a finalist in the Social Media Presence category for the 2019...
Overlay Init