March 31, 2016 -- Health professional societies and consumer groups have asked Medicare to tread carefully while overhauling its system for paying doctors, raising concerns about an agency suggestion to include guidelines from a campaign that seeks to curb the use of often unneeded procedures and treatments.Practicing physicians and patients should understand how the ABIM and its corrupt Foundation planned to federalize Maintenance of Certification (MOC), an unproven quality metric, as a pay-to-play money stream using the soon-to-be-deployed CMS "Merit-Based Incentive Payment System." By stealing over $70 million of physician testing fees, they created the ABIM Foundation and secretly lobbied Congress to assure that participation in MOC would become tied to physician pay, incentivizing physicians to participate in MOC. It increasingly appears Richard Baron, MD was instrumental at forwarding this model when he served the "Seamless Care Models Group" at CMS.
Medicare officials are awaiting White House clearance of a draft rule designed to tie payments for doctors to judgments about the quality of care they provide. The Office of Management and Budget has been reviewing this proposal since March 25. The Centers for Medicare and Medicaid Services (CMS) rule would carry out the changes mandated in last year's congressional overhaul of Medicare physician payments (PL 114-10).
CMS last year sought public comments on how to design a new payment. In a request for information, the agency raised myriad questions about how the so-called Merit-Based Incentive Payment System program for doctors could be designed.
CMS asked if there might be some benefit to weaving in new system measures from a 2012 initiative known as the Choosing Wisely program, which asked doctors to identify commonly used medical tests, treatments and procedures that may be unnecessary for many patients. (Emphasis mine) More than 70 medical specialty societies have since released recommendations as part of the campaign.
Senior citizens should be very concerned that top-down measures created from the ABIM Foundation's Choosing Wisely® campaign are really in their best interest.
After all, Choosing Wisely®, the ABIM, ABMS, and the ABIM Foundation are all about the money for these unaccountable non-profit organizations.
Image reference: The Heartland Blog