Submit Your Feedback to CMS - Medicare Executive Order on Scope of Practice

CALAAEM News Service calaaem.news.service at gmail.com
Sat Jan 11 15:56:48 PST 2020



 

Jan. 11, 2020

 

Submit Your Feedback to CMS - Medicare Executive Order on Scope of Practice

 


Provider Scope of Practice Feedback to CMS by Jan. 17


As you all have likely heard, the most recent
<http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw~~&pe=v3t8ITNvepYov6Z
mSq9GbMVt_WT7VY4B1FIaRwXofUeBQ8WifGF6SWneVc3BsiFwOlco-2nlzKo2bKpSAZ7KNg~~&t=
wi5CBv1upgwncK37jqkcJw~~> Executive Order includes recommendations for CMS
to relax certain restrictions on the scope of practice of non-physician
practitioners (NPPs) so as to eliminate restrictions that keep NPPs from
practicing "at the top of their profession."

 

The AAEM EM Workforce Committee has been following these developments
closely and believes this language is concerning. This Executive Order
promotes the independent practice of medicine by non-physician practitioners
and therefore is strongly opposed by AAEM.

 

We need our members to contact  <mailto:patientsoverpaperwork at cms.hhs.gov>
patientsoverpaperwork at cms.hhs.gov to express our concerns for this expansion
of NPPs. Emails should be addressed to
<mailto:patientsoverpaperwork at cms.hhs.gov> patientsoverpaperwork at cms.hhs.gov
to the attention of Secretary Alex Azar and Ms. Seema Verma, Administrator
CMS. Please include "Scope of Practice" as your subject line.

 

  _____  

 

One example of language that can be used includes:


I am a physician in _______. I am asking you to OPPOSE the changes that
would remove supervision requirements for non-physician practitioners caring
for Medicare patients. The minimum non-physician practitioner (NPP) training
and education is very different and a fraction of the minimum training that
physicians require to become board certified in their area of expertise, and
differs in many aspects. The risk of harm increases when patients are not
cared for by physician-led teams.


Increasing the scope of practice by NPPs and implementing unsupervised
practice will not fix the physician shortage and will not improve access to
quality medical care. Furthermore, the proposed regulation changes that
would allow parity of Medicare reimbursement between physicians and NPPs is
devaluing of physicians, and financially irresponsible of CMS.


I ask you to keep the most highly trained professional as the leader of the
healthcare team and safeguard the quality of care for Medicare patients.


Sincerely,

Your Name

 

  _____  

 

If you prefer, we have provided a template to send your information to CMS.
You may provide your scope of practice feedback at the link below.

 

Sincerely,

AAEM EM Workforce Committee



 
<http://send.aaem.org/link.cfm?r=JNKVjha_Lg3HjCCRLQiEmw~~&pe=s6_Gg1T1nGCVAFl
Y5Epi6k5x7coOJbs9PhkEixT6ndj0IWzO7qcWXYvt_AC-Orv0d189c0cU0ituyRNjZhqcFw~~&t=
wi5CBv1upgwncK37jqkcJw~~> Comment Form

 

 

 

 

Brian Potts MD, MBA
Managing Editor, CAL/AAEM News Service

 

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