Making a World of Difference! We Listened to The Entire - - PowerPoint PPT Presentation

International Chiropractors Association

Medicare Legislative Goals Report

Presented by: Stephen P. Welsh, DC, FICA President, ICA August 2019

Making a World of Difference!

We Listened to The Entire Chiropractic Community

In Drafting Medicare Legislation, the ICA listened to the entire chiropractic community as well as our supporters on Capitol Hill.

We Listened to The Entire Chiropractic Community

In Drafting Medicare Legislation, the ICA listened to the entire chiropractic community as well as our supporters on Capitol Hill. Our Bill Addresses the Needs of Congress in Responding to HR 6 – The Support Act to remove barriers to non-drug options for acute and chronic pain care.

We Listened to The Entire Chiropractic Community

In Drafting Medicare Legislation, the ICA listened to the entire chiropractic community as well as our supporters on Capitol Hill. Our Bill Addresses the Needs of Congress in Responding to HR 6 – The Support Act to remove barriers to non-drug options for acute and chronic pain care. Our Bill Specifically Addresses the Most Pressing Needs of the Chiropractors Nationwide – Reimbursements for Exams and X- rays (Imaging).

We Listened to The Entire Chiropractic Community

In Drafting Medicare Legislation, the ICA listened to the entire chiropractic community as well as our supporters on Capitol Hill. Our Bill Addresses the Needs of Congress in Responding to HR 6 – The Support Act to remove barriers to non-drug options for acute and chronic pain care. Our Bill Specifically Addresses the Most Pressing Needs of the Chiropractors Nationwide – Reimbursements for Exams and X- rays (Imaging). Our Bill Includes the Opt-Out Provision.

We Listened to The Entire Chiropractic Community

In Drafting Medicare Legislation, the ICA listened to the entire chiropractic community as well as our supporters on Capitol Hill. Our Bill Addresses the Needs of Congress in Responding to HR 6 – The Support Act to remove barriers to non-drug options for acute and chronic pain care. Our Bill Specifically Addresses the Most Pressing Needs of the Chiropractors Nationwide – Reimbursements for Exams and X- rays (Imaging). Our Bill Includes the Opt-Out Provision. Our Bill Can Be Swiftly Implemented.

ICA Medicare Goals

ICA Medicare Goals

• 1. Maintain the current mandate for coverage of the

adjustment to correct a subluxation.

ICA Medicare Goals

• 1. Maintain the current mandate for coverage of the

adjustment to correct a subluxation.

• 2. Remove the restrictive language used to limit

reimbursements to the adjustment “only”.

ICA Medicare Goals

• 1. Maintain the current mandate for coverage of the

adjustment to correct a subluxation.

• 2. Remove the restrictive language used to limit

reimbursements to the adjustment “only”.

• 3. Introduce the concepts of Sec. 2706 of the Public Health

Service Act and eliminate discrimination based upon provider license type.

ICA Medicare Goals

• 1. Maintain the current mandate for coverage of the

adjustment to correct a subluxation.

• 2. Remove the restrictive language used to limit

reimbursements to the adjustment “only”.

• 3. Introduce the concepts of Sec. 2706 of the Public Health

Service Act and eliminate discrimination based upon provider license type.

• 4. Maintain economic neutrality by removing barriers to

reimbursements for existing covered services only.

ICA Medicare Goals

• 1. Maintain the current mandate for coverage of the

adjustment to correct a subluxation.

• 2. Remove the restrictive language used to limit

reimbursements to the adjustment “only”.

• 3. Introduce the concepts of Sec. 2706 of the Public Health

Service Act and eliminate discrimination based upon provider license type.

• 4. Maintain economic neutrality by removing barriers to

reimbursements for existing covered services only.

• 5. Establishes equitability in reimbursement rates to other

physician level providers.

ICA Medicare Goals

• 1. Maintain the current mandate for coverage of the

adjustment to correct a subluxation.

• 2. Remove the restrictive language used to limit

reimbursements to the adjustment “only”.

• 3. Introduce the concepts of Sec. 2706 of the Public Health

Service Act and eliminate discrimination based upon provider license type.

• 4. Maintain economic neutrality by removing barriers to

reimbursements for existing covered services only.

• 5. Establishes equitability in reimbursement rates to other

physician level providers.

• 6. Eliminate discrimination that denies patients of chiropractic

physicians the ability to privately contract.

ICA Medicare Goals HR 3654 Comparison

Ø

Maintain the current mandate for coverage of the adjustment to correct a subluxation.

Ø

HR 3654 does not protect this mandate.

ICA Medicare Goals HR 3654 Comparison

Ø

Remove the restrictive language used to limit reimbursements to the adjustment “only”.

Ø

HR 3654 eliminates the restrictive language but also eliminates the adjustment to correct a subluxation mandate.

ICA Medicare Goals HR 3654 Comparison

Ø

Introduce the concepts of Sec. 2706 of the Public Health Service Act and eliminate discrimination based upon provider license type.

Ø

HR 3654 does not include this.

ICA Medicare Goals HR 3654 Comparison

Ø

Maintain economic neutrality by removing barriers to reimbursements for existing covered services only.

Ø

HR 3654 is not revenue neutral. It will introduce new services that will drive the cost of Medicare up.

ICA Medicare Goals HR 3654 Comparison

Ø

Establish equitability in reimbursement rates to other physician level providers.

Ø

HR 3654 does not include this.

ICA Medicare Goals HR 3654 Comparison

Ø

Eliminate discrimination that denies patients of chiropractic physicians the ability to privately contract.

Ø

HR 3654 does not include this.

Concerns About HR 3654

Elimination of the Term ‘Subluxation’ from Definition.

Concerns About HR 3654

Elimination of the Term ‘Subluxation’ from Definition. Promise of Reimbursement of Full Scope of Practice is Unrealistic.

Concerns About HR 3654

Elimination of the Term ‘Subluxation’ from Definition. Promise of Reimbursement of Full Scope of Practice is Unrealistic. Leaves All the Power on What Will Be Reimbursed in the Hands

• f CMS.

Concerns About HR 3654

Elimination of the Term ‘Subluxation’ from Definition. Promise of Reimbursement of Full Scope of Practice is Unrealistic. Leaves All the Power on What Will Be Reimbursed in the Hands

• f CMS.

Lengthy Rulemaking Process in Which Non-DC Powerbrokers (AMA, AAFP, Pharma) Will Weigh In. Could Take 3 to 5 Years – Or More.

Concerns About HR 3654

Elimination of the Term ‘Subluxation’ from Definition. Promise of Reimbursement of Full Scope of Practice is Unrealistic. Leaves All the Power on What Will Be Reimbursed in the Hands

• f CMS.

Lengthy Rulemaking Process in Which Non-DC Powerbrokers (AMA, AAFP, Pharma) Will Weigh In. Could Take 3 to 5 Years – Or More. Mandate an ‘As Yet to Be Created’ Government Certification Process for Reimbursement.

Concerns About HR 3654

Elimination of the Term ‘Subluxation’ from Definition. Promise of Reimbursement of Full Scope of Practice is Unrealistic. Leaves All the Power on What Will Be Reimbursed in the Hands

• f CMS.

Lengthy Rulemaking Process in Which Non-DC Powerbrokers (AMA, AAFP, Pharma) Will Weigh In. Could Take 3 to 5 Years – Or More. Mandate an ‘As Yet to Be Created’ Government Certification Process for Reimbursement. Creates a Two-Tier Reimbursement Process.

The Most Often Requested Ask: Medicare Opt-Out

Introduced by Rep. Jackie Walorski (R-IN). HR 2883 allows for Chiropractors to provide items and services through private contracts with Medicare Beneficiaries. ICA Has Endorsed

HR 2883 – Chiropractors Equity Act of 2019

ICA Commitments

The ICA is Firmly Committed To Ending Discrimination Against Doctors of Chiropractic in Medicare

Bringing Chiropractic to the World Thank You