PCPCC supports the Chronic Disease Management Act of 2019, legislation that would enable health plans to offer pre-deductible coverage of high-value services to patients that can improve outcomes and reduce complications. The legislation would create a preventive care safe harbor for treatment of chronic conditions.
PCPCC joined other health organizations in supporting legislation that would remove cost-sharing obligations from the Chronic Care Management (CCM) code to allow more chronically ill Medicare beneficiaries to receive care coordination and case management services. The current cost-sharing requirement creates an unnecessary barrier to care.
Included in the White House Executive Order on Healthcare Transparency was a provision directing HHS to issue guidance allowing high-deductible health plans to cover preventive care before the deductible – particularly for individuals with chronic conditions. PCPCC has advocated for greater flexibility in pre-deductible coverage, as it would improve access to high-value primary care for the many individuals covered by high-deductible health plans. The order also included a provision potentially allowing direct primary care arrangements to be funded by Health Savings Accounts.
As part of a broad group of organizations under the Friends of NQF, PCPCC applauds Congress for the introduction of HR 3031 to continue federal funding for the National Quality Forum. The group also encourages several key changes to the bill to enhance NQF's work, namely increasing public transparency and accountability, advancing reforms to reduce administrative burden and increase alignment, and encouraging innovation in measurement to advance national health priorities.
Maine passed "An Act To Establish Transparency in Primary Health Care Spending." The Law will require reporting to the Department of Health and Human Services and the Legislature on the percentage of total medical expenditures paid for primary care by commercial insurers, the MaineCare program, Medicare, the organization that administers health insurance for state employees and others. This bill also requires the Maine Quality Forum to conduct a study on best practices in health care spending reporting and submit its findings to the Department of Health and Human Services and the Joint Standing Committee on Health and Human Services.
A broad group of organizations, including PCPCC, called on Congress to include language that seeks to end patient safety issues related to patient matching in FY2020 Appropriations Bills. On July 11, many of the same organizations came together to support an amendment striking Section 510 of the Labor-HHS Appropriations bill which currently prohibits the US Department of Health and Human Services from spending any federal dollars to promulgate or adopt a national patient identifier.
PCPCC joined other stakeholders in writing the Office of the National Coordinator for Health Information Technology (ONC) about electronic health records (EHRs) used in the care of children, encouraging ONC to prioritize patient safety as part of its efforts to implement new criteria.
PCPCC joined others in writing to CMS in support of their proposal to require the sending of event notifications – also known as admission/discharge/transfer or ADT feeds – to community practitioners.
PCPCC and several other leading organizations responded to the Geographic Population-Based Payment proposal from CMS. The letter expressed support for the idea, but and encouraged CMS to consider the potential for impact on both provider competition and existing alternative payment models.
PCPCC endorsed the “Community Statement on Medicare Coverage for Medically Necessary Oral and Dental Health Therapies,” recognizing the importance of primary care and oral health integration and need for Medicare coverage of evidence-based oral health interventions.
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