The Advanced Medical Technology Association, the trade group that represents the medical device industry, is concerned that proposed rules for accountable care organizations put too much emphasis on reducing costs rather than providing quality care.
AdvaMed presses for oversight on ACOs
In its public comment letter (PDF), AdvaMed recommends that the CMS provide stronger oversight of ACOs, require beneficiaries to give annual consent to ACO providers in order to receive care, and allow for ongoing adoption of new medical technologies.
“That whole of process of innovation and medical progress is very dependent on people’s willingness to become early adopters of medical care and the ACO can interrupt that process,” said David Nexon, senior executive vice president at AdvaMed, during a Wednesday call with reporters.
In addition, the association said that the CMS should develop an independent monitoring program and exclude some Medicare payments for new medical technology from ACO calculations, so as not to penalize providers who are considered “early adopters” of new medical technology.
“You don’t want the ACO to be submitting less-expensive care for more-expensive care, if the more-expensive care is really what the patient needs,” Nexon said.
AdvaMed’s recommendations also said that ACOs should distribute shared savings among a team of physicians and healthcare professionals, rather than a single physician. The letter notes that it “would discourage physicians from generating disproportionate cost savings by stinting on care in an effort to increase their personal level of shared savings.”
“We don’t believe it should be distributed based on the savings achieved by an individual physician,” Nexon said.
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