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ACRO ALERT
Medicare Payment Reform Leads AMA's Agenda
published 9/23/2010
Paul J. Schilling, MD, FACRO
Delegate to the American Medical Association


The American College of Radiation Oncology was represented at the 2010 AMA Annual Meeting, June 12-16, in Chicago, IL by Dr. Dennis Galinsky, Delegate and Dr. Mohammed Khan, Alternate Delegate.  Dr. Paul Schilling, Delegate, attended as a representative of the American College of Radiology. 
 

Medicare Payment Reform
 
Medicare Payment Reform issues dominated the discussion, as frustration about the lack of a permanent replacement for the Sustainable Growth Rate Formula intensified. In a recent AMA survey of 9,000 physicians, 20% of physicians restrict the number of Medicare patients that they see and 33% of primary care physicians restrict the number of Medicare patients that they see.  

Delegates passed a resolution calling for the AMA to "immediately formulate legislation" for an additional payment option and Medicare Fee for service that allows patients and physicians to freely contract, without penalty, for a fee that differs from the Medicare payment schedule. If adopted, this BIll would allow physicians to balance the difference between the Medicare fee schedule and their regular fee schedules with patients.  Furthermore,  there was substantial sentiment to have the AMA take control of authoring any proposed bill in an effort to focus on the care of patients.  This is the first time, to my knowledge, that writing a Bill has ever been a directive for the AMA to take.

Click here to review the highlights of the meeting.
 
 
E-Cigarette Regulation
 
Delegates voted in favor of report from the AMA Council on Science and Public Health, recommending that E-cigarettes be classified as a nicotine delivery device and subject to regulation by the FDA.
 
 
Smoke-Free Housing
 
Delegates passed a resolution that encouraged local housing authorities to adopt policies prohibiting smoking in multiple-unit housing.  There is substantial evidence pointing to the risks of second-hand smoke, as well as third-hand smoke (the residue the remains on walls, carpeting and other surfaces for extended periods).
 
 
Skin Cancer Awareness
 
Delegates voted for the AMA to work with public health agencies to promote skin cancer screening and education and sunscreen use among all people, but especially among patients of color.  It was noted that 5-year survival rates for melanoma is significantly lower in African-American patients than Caucasian patients (59% versus 85%), and melanoma incidents among Hispanics has increased dramatically. 

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