Leadership Forum: Advocacy
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Leadership Forum: Advocacy Jan 2013 James W. Fasules, MD FACC ACC Senior VP Advocacy
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Leadership Forum: Advocacy. Jan 2013 James W. Fasules, MD FACC ACC Senior VP Advocacy. The Bane of Leadership. Pleasing members in times of uncertainty. “You can fool all the people some of the time and some of the people all the time but you cannot fool all the people all the time”. - PowerPoint PPT Presentation
Transcript of Leadership Forum: Advocacy
Leadership Forum:Advocacy
Jan 2013
James W. Fasules, MD FACC
ACC Senior VP Advocacy
The Bane of Leadership
Pleasing members in times of uncertainty.
“You can fool all the people some of the time and some of the people all the time but you cannot fool all the people all the time”
Plenty of Issues
Advocacy Team
Four departments
1. Regulatory – interactions with federal and administration agencies: FDA, CMS, CPT, RUC
2. Legislative – interaction with Congress: lobbying, grassroots, PAC, Legislative Conf
3. State – chapter support, state regulation and legislation; public health issues, MAC/CAC
4. Payer – interaction with insurers; coverage, AUCs, putting quality measures into practice
IOASEIOASE
ImagingImaging
DeficitDeficit
FOCUSFOCUS
Whack-a-Mole Acute Issues
CERCER
GMEGME
SGRSGR
MarylandMarylandPCIPCI
RUCRUC
MUMUNIHNIH
E&ME&MFDAFDA
Advocacy Steering Committee Evaluates Issues for BOT (EC)
McKinsey Health Systems Institute 16
3. Health care is the primary driver of future federal spending
SOURCE: Congressional Budget Office, Long-Term Budget Outlook, Figure 1-1; June 2009
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Revenues
Social Security
Medicare and Medicaid
Other Federal Noninterest Spending
Actual Projected
“Fiscal Cliff” Risks to Cardiology
Drivers of change•Sequestration•Debt ceiling•Budget, CR•Medicare and SGR
“Offsets”•Imaging
• IOASE• RBMs
•GME•E&M facility fees•Medicaid bumps
Payment reform•VBP, VBM, QRUR, PQRS
“Fiscal Cliff” – SGR, Delayed by ATRA: Less Uncertainty in Payment (for a year)
ACC language on deeming registries for PQRS ppt added
ACC Reform Leadership• Improve quality and cost effectiveness of CV care
• Guidelines and AUCs
• Educate clinicians on their practice habits• ACC Tools: FOCUS, NCDR, LLLP• Measurement, transparency, self study, improvement
Knowledge changes care
• Emphasize clinical indications to drive testingBecause we should; not because we canABIMF Choosing Wisely Campaign
• Rational reimbursement and new models• SmartCare; Brookings initiative; NCHC; Congress; AMA
ACC Advocacy: Creating Change
“We in America do not have government by the majority. We have government by the majority who participate”
Thomas Jefferson, 1787
FACC Participation: Vital“We in America do not have government by
the majority. We have government by the majority who participate”
Thomas Jefferson, 1787
Can’t do it without you!Stay informed
ChapterEmails, calls, letters
ParticipatePACSurveysCongressional visits
