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    SCAI’s new Healthcare Reform Principles Outlined

    April 28, 2017

    SCAI President Kenneth Rosenfield sent a letter to every congressional office outlining SCAI’s new Healthcare Reform Principles, which SCAI believes should be reflected in any final healthcare reform package. Dr. Rosenfield urged legislators to work with SCAI and other stakeholders to develop a bipartisan approach toward strengthening our country's health care system so that Americans can have access to reliable, high quality and affordable healthcare. Following are SCAI’s Healthcare Reform Principles:

    Healthcare Reform Must:

    1. Ensure patient access to the full continuum of cardiology treatment modalities, including interventional cardiology.
    2. Ensure meaningful patient protections regarding pre-existing conditions, annual and life-time limits and discriminatory patient cost-sharing.
    3. Ensure that health plan prior authorization and utilization management programs are clinically valid, transparent and fair, and ensure continuity of care through timely access and administrative efficiency.
    4. Ensure that risk-sharing programs do not allow or encourage providers or health care systems to reduce the quality of care they provide.
    5. Ensure uniform robust federal and state enforcement of coverage policies surrounding preventive healthcare services.
    6. Ensure patient access to effective interventional cardiology treatment therapies, including both established and new therapies.
    7. Ensure that provider networks include an appropriate number of specialists and subspecialists per enrollee.
    8. Ensure coverage for routine services provided in conjunction with clinical trials.
    9. Enact meaningful medical liability reform to reduce health care costs and medically unnecessary testing, preserve patients' access to medical care, and end medical lawsuit abuse.
    10. Maintain access to Medicare services for seniors and prevent non-physician administrators from restricting access to Medicare services (e.g., by eliminating the Independent Payment Advisory Board or changing its composition to include a majority of physicians).
    11. Promote inter-operability of electronic health records among providers and systems to facilitate patient care.
    12. Not increase documentation and administrative requirements for providers, but instead reduce providers' administrative burdens.
    13. Promote strategies that increase convenience for patients and access to care such as payment for telemedicine evaluations and other non-face-to-face care.
    14. Promote insurance plans that provide a wide range of deductibility limits, rather than only high-deductible plans.
    15. The elimination of regulation which compromises the quality and efficiency of patient care.
    16. Develop systems to provide an evidence-based evaluation of health care regulation.