AACU News & Notes

Physician Selected to Run HHS, Medicaid Reform Consultant Headed to CMS

posted: November 29, 2016

In an announcement released early Tuesday, President-elect Donald Trump nominated an orthopedic surgeon and health policy consultant to lead the Department of Health and Human Services and Centers for Medicare and Medicaid Services, respectively.

Representative Tom Price, MD (R-GA), currently chairs the House Budget Committee and is a past AACU Carson Lecture honoree. He has authored proposals to replace the Affordable Care Act with comprehensive reforms that include health savings accounts and medical liability reform. Dr. Price will replace Sylvia Mathews Burwell, a global non-profit executive who has served as Secretary of Health and Human Services since 2014.

According to a statement issued by the President-elect’s transition team, Dr. Price said there was much work to be done “to ensure we have a healthcare system that works for patients, families, and doctors” based on “sensible rules to protect the well-being of the country while embracing its innovative spirit.”

Seema Verma is a health care consultant who oversaw the development of Indiana’s “private option” for Medicaid expansion. Ms. Verma will replace Acting Administrator Andy Slavitt, who has served as CMS Administrator for more than 18 months without being confirmed. Most recently, he has overseen the development of a new Medicare physician payment system.

President-elect Trump praised both nominees, “Together, Chairman Price and Seema Verma are the dream team that will transform our healthcare system for the benefit of all Americans.”

Legislative Priorities
  • Proper Implementation of MACRA

    Urologists support the goals of Medicare payment reform, but Congress must monitor its implementation to ensure that the intent of MACRA is fully realized and preserved.BackgroundIn April 2015, Congress passed, and the president signed into law, the Medicare Access and CHIP Reauthorization Act (P...

  • Repeal the Independent Payment Advisory Board

    Urologists urge Congress to repeal the Independent Payment Advisory Board (IPAB). We urge Representatives to cosponsor H.R. 849. We urge Senators to cosponsor S. 251 and S. 260. Each of these measures would permanently repeal the IPAB.Take ActionSend an email to Congress, requesting support for H...

  • Support Transparency and Accountability for USPSTF

    Urologists urge Congress to support legislation that promotes greater transparency and accountability from the U.S. Preventative Services Task Force (USPSTF).  We urge representatives to cosponsor H.R. 539, the “USPSTF Transparency and Accountability Act of 2017”.Take ActionSend...

State Advocacy
  • Fair Contracting and Medical Practice Freedom

    Where We Stand Ensure openness and fairness in health care provider contacts. Prevent third-party payors from changing the terms of their provider contract without notice to the provider and without the consent of the provider. Ensure that physician licensure is based upon a physician's...

  • Medical Liability Reform — Expert Witness Qualifications

    Strengthen expert witness standards Ensure that expert witness is from the same specialty as the defendant physician Prevent frivolous lawsuits Improve the practice environment for physicians in your stateWhenever a physician’s conduct is being called into question, it is only fair...

  • Prostate Cancer Awareness & Assessment

    Where We Stand Continue the progress that has been made in the reduction of prostate cancer morbidity and mortality with the appropriate use of prostate cancer testing. Ensure that third-party payors provide for the reimbursement of prostate cancer testing when the patient and his physician...

  • Uniform Prior Authorization for Prescriptions and Health Services

    Where We Stand Prior authorizations cost the health system $728 million in 2012. Prior authorization requests must use a single form, no more than two pages in length. Forms must available for both access and submission electronically. Requests are deemed approved if no response is...

  • Work Force — Scope of Practice

    Where We Stand Allow the maximum patient-to-physician ratio to increase based on the number of physician assistants in a practice. Expand the ability of nurse practitioners and physician assistants to supervise medical assistants when doctors aren’t on the premises.Proactive Physician...

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