High-stakes tests on the role of MOC, Do states need to step in?

2017-10-04 | , AACU and Urology Times

Based on a partnership with Urology Times, articles from the American Association of Clinical Urologists (AACU) provide updates on legislative processes and issues affecting urologists. We welcome your comments and suggestions. Contact the AACU government affairs office at 847-517-1050 or info@aacuweb.org for more information.

For years, many state medical boards, hospitals, and private payers have used specialty certification as a requirement for licensing, privileging, and network participation. Yet, through the years, "Community urologists in smaller group practices have found it more difficult to meet the administrative burden and afford the costs attributed to the recertification process," according to AACU President Charles McWilliams, MD.

Lawmakers across the country began to respond to calls for an end to MOC in 2016. At the time, five states sought limits on the role of specialty certification in licensing, privileging, and reimbursement decisions. The American Board of Medical Specialties (ABMS) expressed "disappointment" with a law passed in Kentucky and affirmed its stance that "neither specialty nor subspecialty certification should be the sole determinant in granting and delineating the scope of a physician's clinical privileges."