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CMA joins 97 specialty and state medical societies in letter to VA about plan to allow advanced practice registered nurses to practice independently

The California Medical Association (CMA) joined 97 specialty and medical societies to send a letter to the Department of Veteran Affairs (VA) expressing concerns with a proposed rule that would allow advanced practice registered nurses (APRN) to practice independently in the VA health system. CMA also submitted an additional letter opposing the proposed regulations. The agency announced at the end of May that it wants to expand the scope of practice for APRNs to allow them to order and read diagnostic tests, administer anesthesia, prescribe medications and manage acute and ...

CMS releases draft MACRA regulations

The Centers for Medicare and Medicaid Services (CMS) on Wednesday released a 962-page proposed rule that lays out the agency's plan for implementing last year's groundbreaking Medicare reform law, the Medicare Access and CHIP Reauthorization Act (MACRA). Ahead of CMS’ release of the rule, physician leaders testified before the U.S. House of Energy and Commerce Committee’s Subcommittee on Health during a special MACRA hearing last week. The physicians expressed cautious optimism and said the law represents a critical opportunity to enhance flexibility and innovation in health care that can lead ...

CMA opposes proposed changes to duals demonstration

The Department of Health Care Services (DHCS) recently released a series of proposals that would change the Coordinated Care Initiative (CCI) enrollment process to 1) passively enroll beneficiaries into Cal MediConnect; and to 2) streamline enrollment by allowing plans to eliminate or dramatically reduce the role of the enrollment broker. The California Medical Association (CMA), in partnership with Justice in Aging and other patient advocacy groups, signed a joint letter strongly opposing the proposals. The Coordinated Care Initiative was authorized by the state in July 2012 in an effort to save ...

CMA and AMA urge DOI to oppose Anthem and Cigna merger

Last week, the California Medical Association (CMA) testified before the California Department of Insurance (DOI), urging it to oppose the proposed merger of Anthem and Cigna. “We are concerned with the impact of this merger on physicians and patients,” said Francisco Silva, CMA general counsel and senior vice president. “We are concerned that this merger would compromise access to health care, health care quality and patient affordability.” The American Medical Association (AMA) also sent representatives to the hearing to testify against the merger. “We oppose Anthem’s goal of dominating the California ...

CMA urges CDC to revise its proposed guidelines on prescribing opioids for chronic pain

The California Medical Association (CMA) has submitted written comments on the Centers for Disease Control and Prevention (CDC) draft guidelines that provide clinical practice recommendations on the prescribing of opioids for treatment of chronic pain. CMA previously submitted comments on the CDC guidelines that raised concerns regarding the lack of transparency and public input involved in developing the guidelines. While the CDC guidelines claim to be advisory recommendations for use by primary care providers who are treating patients with chronic pain in outpatient settings, CMA is concerned that the CDC ...

Members of Congress urge HHS to pause meaningful use stage 3

The California Medical Association (CMA) and the American Medical Association (AMA) are urging the U.S. Department of Health and Human Services (HHS) to delay implementing stage 3 of the electronic health record (EHR) meaningful use program, as it is fraught with problems that need to be fixed before the next stage is implemented. CMA and AMA are also pushing for an automatic hardship exemption for physicians who were unable to successfully report in 2015. To that end, at AMA and CMA’s urging, Congress sent a bipartisan letter to HHS ...

CMA asks Congress and CMS for two-year grace period for ICD-10 conversion

With the implementation of ICD-10 only 90 days away (October 1, 2015), the window for the transition from ICD-9 is rapidly closing for many physician practices. The California Medical Association (CMA), in collaboration with the American Medical Association and other medical associations, sent a letter to the Centers for Medicare and Medicaid Services (CMS) and Congressional leadership  urging them to help mitigate the impact of the transition by supporting a two-year grace period whereby physicians would use ICD-10 but not have claims delayed, denied or subject to audits because ...

CMA submits letter to CMS requesting assessment of Medi-Cal rates

Last week, the California Medical Association (CMA), along with 17 stakeholder organizations, submitted comments to the Center for Medicare and Medicaid Services (CMS), requesting that an independent assessment of Medi-Cal rates be required as part of the state’s next Section 1115 Medicaid Waiver. The California Department of Health Care Services (DHCS) is in the last year of its current Section 1115 waiver, which was approved by the federal government so it could expand Medi-Cal coverage in accordance with the Affordable Care Act in 2010. The waiver allowed the state to ...

Physicians can review Sunshine Act data starting today

The Centers for Medicare and Medicaid Services (CMS) announced that starting today physicians can complete part 2 of the registration process to review and dispute disclosures under the Physician Payments Sunshine Act. Physicians have 45 days to review and dispute their data (plus an additional 15 days to resolve disputes). The review and dispute process ends August 27, 2014. The information will be published publicly on September 30, 2014. Under the Sunshine Act, drug and medical device manufacturers are required to report their financial interactions with licensed physicians – including ...