Washington Update - 2015 Initiatives
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Washington Update - 2015 Initiatives

Insurance Regulators Adopt New Network Adequacy Model Act - November 22, 2015: the National Association of Insurance Commissioners (NAIC) adopted revisions to the Managed Care Plan Network Adequacy Model Act. Adoption of the revised Model Act comes after nearly a year of public engagement and feedback from stakeholder entities, including UCAOA.

Congress Passes Urgent Care Pilot Program for TRICARE - November 17, 2015: Congress sent to President Obama legislation establishing a three-year pilot program that would waive pre-authorization for TRICARE beneficiaries seeking urgent care. UCAOA advocated in support of waiving pre-authorization for urgent care visits for TRICARE beneficiaries and hopes to work with the Department of Defense to implement the pilot program.

UCAOA Leaders Travel to Washington, DC - November 3-4, 2015: UCAOA members met with congressional lawmakers, federal agencies, and national organizations with the goal of expanding its health policy and advocacy footprint. UCAOA leaders met with 30 congressional offices, as well as the Department of Transportation to discuss the Federal Motor Carrier Safety Administration’s medical examination reports. Meetings were also held with other national organizations to explore opportunities for collaboration.

Lawmakers Reach Agreement on Defense Bill: Urgent Care Pilot Included - October 1, 2015: This week, U.S. Senate and House lawmakers reached agreement on a fiscal 2016 defense authorization bill (H.R. 1735), which is expected to pass the House today. Included in the bill is a three-year pilot program that allows TRICARE beneficiaries to access urgent care without  preauthorization. 

Congress Considers Easing Barriers to Urgent Care for TRICARE - Take Action - July 16, 2015: The U.S. Senate passed legislation authorizing funding for the Department of Defense for 2016. Included in that bill is a provision that would allow TRICARE beneficiaries to access up to four urgent care visits without first needing to obtain pre-authorization for those visits. The House version of the Defense authorization bill does not include this language. 

CMS Releases Proposed Rule for 2016 Medicare Physician Fee Schedule - July 8, 2015: The Centers for Medicare and Medicaid Services (CMS) issued the proposed rule to update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS).  This is the first PFS proposed rule since the repeal of the Sustainable Growth Rate (SGR) formula. 

UCAOA Details Urgent Care Landscape to Congressional Agency - June 17, 2015: How urgent care centers fit into coordinated care networks seemed to be foremost on the minds of Medicare Payment Advisory Commission (MedPAC) staff when representatives of the Urgent Care Association of America (UCAOA) sat down for a meeting with them on June 17 in Washington, D.C.  

UCAOA Letter to CMS on Medicare Advantage Organizations - March 6, 2015: UCAOA commented on the proposed policy updates outlined by the Centers for Medicare and Medicaid Services (CMS) in its draft CY 2016 Call Letter for Medicare Advantage (MA) organizations, specifically pertaining to draft guidance for Part C Emergency/Urgently Needed Services Deductible

UCAOA Representatives Travel to Ohio Statehouse for Meetings - January 27, 2015: UCAOA Representatives traveled to Columbus, OH this week to meet with key state lawmakers to clear up any misunderstandings after a television news story about an Ohio urgent care center caught their attention. The news story, which stemmed from a consumer complaint, aired Sept. 22, 2014 on a Dayton television station and referred erroneously to urgent care centers as "unregulated." Two state senators, Sen. Shannon Jones and Sen. Bill Beagle, vowed to look into the matter. The UCAOA Health & Public Policy (HP&P) Committee swiftly responded to the story by issuing a “call to action” for Ohio urgent care centers and arranging meetings at the Ohio Statehouse to set the record straight on urgent care centers and to avert undue legislative or regulatory actions aimed at urgent care centers in Ohio.

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