In a release, the group said that its Board of Directors (BOD) approved the Standards for the ABMS Program for Maintenance of Certification (Program for MOC) at its January 15 meeting. Voluntary Board Certification, and maintaining that certification through educational programs, improves health care decision-making by physicians and helps Board Certified physicians remain current in an increasingly complex practice environment. “ABMS and its Member Boards have evolved certification into an ongoing program of continuing learning and assessment,” said Lois Margaret Nora, MD, JD, MBA, ABMS President and Chief Executive Officer. “The new ABMS Standards for the Program for MOC encourage innovative approaches to continuing development and assessment that physician specialists will find meaningful and helpful. These standards ultimately help ensure that patients continue to receive the high quality medical care that they have grown to expect from Board Certified physicians.” The ABMS Program for MOC focuses on key physician skills and knowledge critical for improving health care. The new standards provide a framework for Member Boards to use in developing their own Programs for MOC. Each Member Board will be expected to meet the standards that speak to the common elements across the Member Boards while permitting appropriate distinctions among the specialties. The standards adopt a patient-centric perspective with a greater emphasis on professionalism, patient safety, and performance improvement. “The new standards also encourage the Member Boards to work with their diplomates and to be aware of their complex and diverse practice environments, regulatory requirements, and learning needs as they design and implement their Programs for MOC,” said Thomas E. Norris, MD, ABMS BOD Chair. “Each Member Board is asked to take into consideration the physician diplomates’ cost, time, and administrative burden associated with participation.” The standards were developed during a two-year process with input from groups ranging from medical professionals to the public. Subsequently, ABMS solicited additional feedback about the standards during a two-month comment period on its website and received more than 625 comments from organizations and individuals. The standards, which will be implemented during 2014, will take effect in 2015.
Physician’s days as fugitive are over
Such subsidies would help physicians pay for the up-front costs of necessary practice changes for example, adding staff to help coordinate care, implementing effective information systems, and working out care coordination arrangements with other providers. The Congressional Budget Office estimated the five-year cost of these bonuses at about $5 billion in the earlier Senate Finance Committee bill. This may not be enough to support significant investments in reforming: annual Medicare physician spending totals about $75 billion now, or over $400 billion over five years.A As the legislation is finalized, Congress should consider providing opportunities for larger bonuses in return for higher expectations about practice reforms that can improve care and reduce costs. The legislation also includes $200 million to assist smaller physician practices implement reforms. In addition, the legislation includes needed funding for developing better measures of the quality and cost of care.A It should include provisions for theACenters for Medicare & Medicaid Services (CMS) to improve its systems to share data with health care providers in compliance with appropriate beneficiary privacy protections to help them improve care under the alternative payment arrangements. While critically important, these costs would total less than $1 billion. The legislation takes further steps to enable organizations to obtain Medicare data to assist providers with improving care and to enhance the availability of performance measures. Included in previous physician payment reform proposals but not yet in this one are provisions that address other problems in Medicare payments e.g, relaxing limits on outpatient therapy services. These provisions are likely to be added later, as they will help balance objections of other provider groups that will be affected by the pay-fors for the physician legislation. In the previous Senate Finance Committee draft, the additional provisions cost around $40 billion.A As these provisions are added, it could also be an opportunity to reinforce steps to improve care, such as creating complementary incentives for hospitals and post-acute providers to work with physician practices to improve care. Paying for the SGR Fix Through Medicare Reforms That Reinforce the Goals of Physician Payment Reform The Congressional committees have floated a list of potential sources of savings to pay for these reforms, reproduced below.
Paying For A Permanent, Or Semi-Permanent, Medicare Physician Payment Fix
In Times articles chronicling the allegations and investigation in 2003, it was reported that on May 3, 2003, a 23-year-old woman allegedly seeking an abortion in her third trimester met Rossmann at his office. He reportedly supplied her with medicine to induce an abortion, but at some point, for reasons that were not explained, the woman was left alone in the building. When she could not reach Rossmann, and in the process of giving birth, she called 911 and paramedics reportedly had to break into the office to get to her and the child. The infant survived for 12 days. When reports of the incident became public, several other women contacted authorities with similar stories, prompting an investigation. Authorities obtained a warrant for Rossmanns arrest on a charge of criminal abortion on May 21, 2003, but were unable to locate the doctor. Earlier that week, The Times photographed a moving van at his office, which was empty by the time the warrants were issued. Authorities soon located the moving van, but not the physician. Rossmann had reportedly cleaned out a safe in his office which may have contained cash and passports. Authorities immediately suspected he had fled the country, potentially to the Czech Republic, where he had lived previously and received medical training. Following the charges, the Georgia Medical Board immediately suspended his medical license. Rossmann began practicing obstetrics and gynecology in Valdosta in 1994. He had also practiced in Alabama, Florida, Indiana, South Dakota and Canada, and received medical training in Canada, South Africa and the Czech Republic. Authorities located Rossmann in 2013 in Germany, and Childress said, a number of agencies collaborated to have him extradited to Valdosta. This is a case that has been going on for 11 years now, and I am extremely proud of the work of Capt. Bobbie McGraw, Assistant District Attorney Bennett Threlkeld and the agencies involved, especially the German police.