Symposia

8.6

Direct HHS to mandate health IT interoperability within five years and tie reimbursement to it (don't implement mandated standard - no payment).  Records are accessible to patients.

CMS should devote part of rewards to adapt and support health IT infrastructure that protects patient privacy .

7.5

CMS reimbursements should be aligned with outcomes and incentives should be created for preventive care.

7.5

Congress should pass universal access, either by individual mandate or Medicare expansion which would require mandated guaranteed issue, open enrollment, community rated, portable, health insurance for individuals. (preventive and chronic care)

7.4

Create a national center (public/private partnership) for evidence-based medicine and management of evidence-based medicine to:

• Define episode of care using evidence-based medicine standards
• Characterize a range of appropriate care for each high cost medical condition
• Define clinical excellence outcomes and tie to reimbursement
• Ensure nationwide use of evidence-based data
• Examine international best practices and promote incorporation in U.S.

7.2

CMS should change reimbursement structure to:

• promote demonstration projects such as reimbursement for illness episodes
• bundle payments
• pay for performance
• standardized claim processing
• require electronic prescribing
• avoid duplicative capital expenditures
• retain savings for coverage expansion

7.0

Reward care coordination (whether provided by primary care, specialist, or other caregiver)

6.9

Supply tuition incentives and other educational funding mechanisms for physicians and other practitioners (including nurses) choosing primary care

6.8

National health care identification system to facilitate sharing of information

6.5

Change laws (e.g. Stark, etc.) that preclude providers from collaborating on the continuum of care

6.1

CMS should implement measures that practitioners provide complete and accurate information so patients can make informed decisions about their care, including visibility for adverse events/outcomes. Congress and the Health Insurance Oversight Commission should also take actions to advance this goal.

6.1

Modify reimbursement system to be more equitable in recognizing the true cost of providing care.

5.8

Reimburse to meet cost: Congress should fully fund programs like S-CHIP so providers can provide high quality care and meet costs.

5.8

Nationalized tort reform

5.7

Congress should establish a Health Insurance Oversight Commission with power to approve/deny rate schedules. Health insurers would be required to pay back in benefits at least 88 cents of every premium dollar. The Commission could attach to its rate approvals conditions that must be met by insurers to improve health-care delivery systems.

5.7

Mandate all payer innovations to shared savings programs across all payers

5.6

Change the tax code so everyone has the same opportunity to purchase a health benefit

5.5

Provide more appropriate reimbursement for rural areas of the nation

5.3

Government must develop evidence based outcome measures for care where data exists and devote resources to the development of outcomes research where data does not currently exist.

5.3

Develop a portable birth to death health plan

5.2

Govt. should ban advertising by pharmaceutical companies

5.0

Congress should mandate and resource AHRQ to study effects of coverage with evidence-based development.

4.9

Mandate surgeon general with CDC to develop a national effort to educate patients about what quality is and how to measure.

4.8

Mandate coverage for clinical trials by all providers (not just CMS)  Reformed reimbursement system must account for promotion of science and innovation

4.6

Modify the tax code to encourage employers to offer preventative services and health promotion.

4.0

Congress should re-examine recommendations from the working group examining citizen input on health care reform from the Medicare Modernization Act.