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MGMA's Healthcare Reform Principles

As Congress and the Administration consider reforms to our nation’s healthcare system, the Medical Group Management Association outlines its principles:
  1. Ensure continuity of patient care and meaningful coverage.
    Affordable health insurance that allows for continuity of patient care and coverage should be at the core of any healthcare reform. Our healthcare system must enhance the ability of medical group practices to provide high-quality, cost-effective care to the millions of patients they serve.

  2. Patient choice, transparency, and appropriate provider reimbursement.
    The proliferation of narrow, often opaque provider networks coupled with reduced payments for participating providers is counter to an open and effective healthcare system. Health plans should be subject to the highest levels of state and federal accountability for fair business practices and required to provide standardized language to explain insurance coverage to patients. Any reform should ensure patients have access to the physicians and medical group practices of their choice and promote appropriate reimbursement for care provided.

  3. Reduce costly administrative and regulatory burdens that detract from patient care.
    To ensure the viability of our healthcare system, we must make a national commitment to administrative simplification, reducing regulatory burden, and promoting efficient automated processes.

  4. Leverage the group practice model to advance physician led reforms.
    Medical group practices represent a unique and effective care delivery approach that promotes care coordination and efficient, high-quality patient care. Excessive costs associated with care delivered in high-cost facilities drive up healthcare expenses for all. To achieve true system savings, patients should be incentivized to use the most appropriate, cost-effective clinical setting, such as medical group practices. Any reform should leverage the proven group practice model in developing new payment and care delivery systems.

  5. Enact medical liability reform.
    Liability reform is critical to the healthcare system. Defensive medicine and liability insurance premiums are significant drivers of healthcare costs. Legislation that seeks to improve healthcare must include meaningful liability reform.

  6. Minimize disruption when implementing reform.
    It is imperative that implementation of any health system reforms allow ample time for the healthcare industry to implement necessary changes to business and care delivery processes to minimize costly disruptions to patients and medical group practices.

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