Dr. Pilgrim’s lecture, titled “United We Stand: The Influence of Emergency Physicians on Key Health and Public Policy Issues,” paints health policy as having four main domains: the impact on patients, the impact on practices, the impact on payment. and the overall impact of the delivery system.
In the payment silo, ACEP’s policy team has worked to build an alterative payment model (APM) dubbed the acute unscheduled care model (AUCM). It is one of two proposals ACEP is working on, and it focuses on payments tied to transitions of care. ACEP has also fought to ensure that insurance companies are paying for what they should be, either via a lawsuit over non-transparent methods or through challenges to stricter interpretations of the prudent layperson standard.
“At the end of the day, if this doesn’t get fixed, either patients or providers or hospitals are going to bear the cost, when insurance companies are actually on the hook to do it already legislatively,” Dr. Pilgrim said.| ← Previous | | | Next → | Single Page