Psychology comments on Medicare

APA CEO Norman Anderson, PhD, and APA Executive Director for Professional Practice Katherine C. Nordal, PhD, urge replacement of the flawed SGR formula and changes to the existing Medicare payment formula

By Government Relations staff

June 7, 2012—The APA Practice Organization (APAPO) continues to make psychologist reimbursement for services a top priority by seeking better Medicare payment rates and a permanent fix to the Sustainable Growth Rate (SGR) formula.

APAPO government relations staff recently requested a meeting with House of Representatives Committee on Ways and Means Chair Dave Camp (R-Mich.) and sat down with him to discuss the issues. In late April, APA was one of the only non-physician organizations approached by the committee as part of its effort to review value-based measures and practice arrangements to look for ways of changing payments to improve health outcomes and efficiencies in the Medicare program. The committee asked for comments and data on a series of questions dealing with rewarding quality and efficiency, alternative payment methods and patient involvement and regulatory relief.

On behalf of both APA and APAPO, APA CEO Norman Anderson, PhD, and APA Executive Director for Professional Practice Katherine C. Nordal, PhD, wrote a May 25 letter urging the Ways and Means Committee and the Centers for Medicare and Medicaid Services to replace the flawed Medicare Sustainable Growth Rate (SGR) formula and alter the existing payment formula that reimburses expensive technology-based specialty services at a higher rate than lower-cost mental health and primary care.

Read the letter (PDF, 362KB)