PAI weighs in on health care choice & competition 

The Physicians Advocacy Institute (PAI) recently sent a letter to the U.S. Department of Health and Human Services (HHS) to respond to its ‘Request for Information (RFI) – Promoting Healthcare Choice and Competition Across the United States.’

PAI stressed that, “It is important to have policies that do not limit choice or access, and that support fair practices, bargaining power, and market conditions, so physicians and practices already in the market can continue to provide care to their patients, as well as enabling new entrants and competition into the market.”

PAI also noted that it “supports site neutral payment policies to ensure against artificial incentives to drive health care services into the costlier hospital-owned setting…[and] given the need to ensure balance, PAI recommends that [HHS] focus on programs and policies that create opportunities for independent physician practices, including solo and small group practices, recognizing the significant contributions these practices make to the nation’s health care.”

One of PAI’s key recommendations is the need for “regulatory modernization,” as it pointed out that, “Many of the policies, laws, and regulations that are currently in place were enacted and implemented in response to historical concerns and rationale that were relevant and a priority at that time. Given changes in the health care economy and the growing need for innovation and improvements to quality and clinical outcomes, many of these policies and regulations need to be revisited and modernized.”

In its letter to HHS, PAI addressed four specific areas of concern, including restrictions on physician-owned hospitals, state certificate of need (CON) programs, APM participation requirements, and limited application of antitrust guidance.

PAI concluded the letter by stating that it “supports [HHS’] efforts to address the anticompetitive policies, laws, and regulations currently in place.”

Click for letter