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"We strongly support health care reform that will expand access to quality surgical and medical care to as many Americans as possible, but we cannot support legislation that puts at risk both quality of care and patient access," said A. Brent Eastman, MD, FACS, chair of the American College of Surgeons' (ACS) Board of Regents and chief medical officer, Scripps Health. "Our system is badly in need of reform but if the legislation does not address these concerns, it will do little to fix its underlying problems and may make it worse."
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The surgical groups said they plan to oppose the Senate health care reform bill if a number of provisions that were included in the Senate Finance bill are retained. In addition to failing to permanently fix Medicare's broken physician payment system and to include any meaningful proven medical liability reforms, the surgical community opposes a number of the bill's provisions including:
"The result of these serious deficiencies will make it more difficult for the American people to receive the surgical care they will need in the future. We will work with the Senate to improve the legislation, but if these shortcomings remain in the final Senate bill, we will have no choice but to urge Senators to vote no," Dr. Eastman added.
The American College of Surgeons met with policymakers over the past year to educate them about programs that would improve quality, reduce costs and increase patient access. One such program, the ACS National Surgical Quality Improvement Program (ACS NSQIP), is helping to prevent thousands of surgical complications each year. Each hospital in the program, on average, is seeing 250 to 500 fewer complications and thus an annual reduction of $3 million in costs. Nine of the top 10 private hospitals in the nation, along with more than 240 additional hospitals, use ACS NSQIP. The ACS believes that these types of quality programs, if supported by Congress, could save the health care system a minimum of tens of billions of dollars over the next decade.
"There are ways to improve quality, cut costs and increase patient access - but the Senate isn't hearing those of us who are closest to the patient and work in the system every day," Dr. Eastman said.
About the American College of Surgeons
The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 74,000 members and is the largest organization of surgeons in the world. For more information, visit www.facs.org.
-- The legislation establishes a Medicare Commission that would shift the responsibility for making difficult Medicare payment and coverage decisions to an unelected Executive branch agency without appropriate checks and balances. -- The legislation includes mandatory participation in the seriously flawed Physician Quality Reporting Initiative (PQRI) - a program through which CMS is still attempting to address systemic problems dating back to 2007. -- The legislation attempts to improve patient access to certain physician services through reimbursement changes, but funds these changes through payment cuts to all other physicians - thereby exacerbating workforce shortages, including general surgeons.
SOURCE American College of Surgeons
