Guided by the Health Policy Committee, AAHKS provides physicians and their patients comprehensive and timely analysis of health policy issues pertaining to hip and knee surgery. Each year, there are changes in regulations affecting patient care reimbursement for hip and knee surgery. AAHKS develops strategies to keep up with changes and to influence the law-making process. Advocacy is necessary to maintain adequate compensation and reimbursement for services performed by hip and knee surgeons, as well as to ensure the quality of patient care.
Advocacy is Time Well Spent
A 2020 Orthopedics Today issue features the cover story, “Advocacy gives physicians a voice, benefits patients” including interviews with leaders in orthopaedics who are making a difference in Washington, D.C. AAHKS Advocacy Committee Chair, James I. “Hutch” Huddleston, MD and 2020 AAHKS Presidential Award recipient, advises orthopaedic surgeons to get involved in their subspecialty advocacy groups. A strong presence on Capitol Hill that AAHKS has established amplifies the impact that volunteers can have on health policy. Full story.
CMS Releases CJR Model Three Year Extension and Changes Proposed Rule
On February 20, 2020 the Centers for Medicare & Medicaid Services (CMS) released Proposed Rule Comprehensive Care for Joint Replacement (CJR) Model Three Year Extension and Changes to Episode Definition and Pricing (CMS 5529 P). The Proposed Rule would extend the CJR to December 31, 2023 for Performance Years 6-8. It would also expand the model to include outpatient THA and TKA beginning in 2021, as well as adjusting target pricing and include some risk adjustment at reconciliation. The Rule proposes to eliminate the 50% cap on gainsharing payments, distribution payments, and downstream distribution payments when the recipient of these payments is a physician, non-physician practitioner, physician group practice, or non-physician practitioner group practice. Read our summary for more information. AAHKS will be submitting comments to CMS and will share those as well.
CMS Releases CY2020 OPPS and ASC Payment Systems Final Rule
The Centers for Medicare & Medicaid Services (CMS) published the 2020 Medicare Hospital Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center Payment Systems Final Rule on November 12, 2019. In the Rule CMS removed total hip arthroplasty (THA) from the CMS inpatient only list (IPO) and added total knee arthroplasty (TKA) to the Ambulatory Surgical Centers (ASC) Covered Surgical Procedures List (CPL) in CY 2020. Full story.
AAHKS is a member of the American Association of Orthopaedic Surgeons Orthopaedic PAC (OrthoPAC) Advisor’s Circle, which allows us to work together to maximize our opportunities to make an impact in Washington, DC for the benefit of our members.
You can help strengthen AAHKS’s advocacy voice by contributing to OrthoPAC from your smartphone. Text the word AAHKS to the number 41444, and follow the link that will be sent in the reply. For just $84 a month or $250 a quarter, you can become part of the Capitol Club Program. OrthoPAC encourages supporters to share this with colleagues. Or click the button below to log in and donate online.