JAMES HAYNES

Medicare Payment - Submitted letter to congressional leadership urging them to stop the cut to the Medicare conversion factor and reform Medicare physician payment as part of our year-end priorities. Joined letter to Congress about fixing Medicare payment issues. Supported the introduction of the Medicare Patient Access and Practice Stabilization Act. Supported congressional offices signing on to a Dear Colleague letter about fixing Medicare payment. Value-Based Care - Sent letter to Congress reinforcing the need to stop the expiration of the APM incentive payment and maintain current QP thresholds for 2025 as part of our year-end priorities. Joined letter to Congress urging them to address value-based care priorities before the end of the year. Prior Authorization - Joined letter to Congress supporting the passage of the Improving Seniors Timely Access to Care Act. Included prior authorization reform as one of our year-end priorities in a letter to Congress. Joined letter to incoming Senate Majority Leader Thune about prioritizing prior authorization reform. Telehealth - Urged Congress to extend central telehealth flexibilities scheduled to expire in our year-end priorities letter. Supported the DEA extension of COVID-19 in-person telehealth prescribing flexibilities through the end of 2025. Health Information Technology - Submitted a comment letter and joined another letter to the Assistant Secretary for Technology Policy in HHS on the proposed Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability rule.

Medicare payment reform - Submitted comments in response to the Centers for Medicare & Medicaid Services (CMS) proposed 2025 Medicare Physician Fee Schedule (PFS); joined letter to congressional leadership on the need for Medicare physician payment reform before the end of the year; joined letter to congressional leadership on the need to reform the Medicare Access and CHIP Reauthorization Act. Value-based care - Joined letter to CMS on the Medicare Shared Savings Program provisions of its proposed 2025 PFS; joined letter to CMS about its proposed rule on mitigating the impact of significant, anomalous, and highly suspect billing activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023. Telehealth - Submitted testimony on telehealth in response to the House Committee on Energy and Commerces markup of 16 bills; joined letter to the Congress and the White House about extending current flexibilities regarding prescribing controlled substances via telehealth. Prior Authorization - Joined letter to Congress in support of the Electronic Prior Authorization for Prescription Drugs Act (S. 4349). Cybersecurity - Submitted comments in response to the Department of Homeland Securitys proposed rule on the Cyber Incident Reporting for Critical Infrastructure Acts reporting requirements. Medical debt - Submitted comments in response to the Consumer Financial Protection Bureaus proposed rule on medical debt.

Medicare Payment - Submitted response to the Senate Committee on Finances White Paper, Bolstering Chronic Care through Physician Payment: Current Challenges and Policy Options in Medicare Part B; submitted testimony for House Committee on Ways and Means Subcommittee on Healths hearing, The Collapse of Private Practice: Examining the Challenges Facing Independent Medicine; Submitted testimony for Senate Committee on Finances hearing, Rural Health Care: Supporting Lives and Improving Communities; Submitted testimony to Senate Committee on Finances hearing, Bolstering Chronic Care through Medicare Physician Payment. Value-Based Care - Submitted testimony for House Committee on Energy and Commerce Subcommittee on Healths hearing, Checking-In on CMMI: Assessing the Transition to Value-Based Care. Change Healthcare Cyberattack - Sent two letters requesting guidance from OCR about the Change Healthcare cyberattack and HIPAA breach notifications; Joined two letters to OCR on the Change Healthcare cyberattack and implications to medical groups; Submitted testimony for Senate Committee on Finances hearing, Hacking Americas Health Care: Assessing the Change Healthcare Cyber Attack and Whats Next; Submitted testimony for House Committee on Energy and Commerces hearing, Examining Health Sector Cybersecurity in the Wake of the Change Healthcare Attack. Prior Authorization - Supported the reintroduction of the Improving Seniors Timely Access to Care Act; Submitted letter to CMS on its proposed prior authorization demonstration project for certain ambulatory surgical center services. Medicare Advantage - Responded to CMS RFI on Medicare Advantage data. Administrative Burden in Healthcare - Submitted testimony to Senate Budget Committees hearing, Reducing Paperwork, Cutting Costs: Alleviating Administrative Burdens in Health Care. Patient Matching - Joined letter to Congress supporting the repeal of Section 510 of the Labor-HHS Appropriations bill that prohibits spending on adopting a national unique patient ID standard. Telehealth - Submitted testimony to House Committee on Energy and Commerces hearing, Legislative Proposals to Support Patient Access to Telehealth Services; Joined letter asking DEA to expedite release of telehealth rule for prescribing controlled medications. Graduate Medical Education - Joined letter to Senate Finance Committee with recommendations on graduate medical education.

Hill outreach on stopping the Medicare cuts and our advocacy agenda for 2024: protecting the financial viability of medical group practices, reducing prior authorization burden, advancing value-based care, improving quality reporting, maintaining access to care through telehealth, expanding the physician workforce, improving implementation of No Surprises Act requirements, and supporting the effective and ethical application of artificial intelligence technology. Telehealth: Submitted testimony to the House Committee on Ways and Means hearing, Enhancing Access to Care at Home in Rural and Underserved Communities. Laboratory developed tests: Submitted testimony to House Energy and Commerce Subcommittee on Health hearing on laboratory developed tests, Evaluating Approaches to Diagnostic Test Regulation and the Impact of FDAs Proposed Rule. Artificial intelligence: Submitted testimony to Senate Finance Committee hearing, Artificial Intelligence and Health Care: Promise and Pitfalls. Graduate medical education: Letter supporting the Substance Use Disorder Workforce Act (H.R. 7050). Information blocking: Submitted comments to CMS and ONC on the information blocking disincentives for providers proposed rule. Cybersecurity: Letter to HHS in response to the Change Healthcare cyberattack impact on medical groups. Medicare cuts rebilling clarification: Letter to CMS asking for rebilling clarification if Medicare cuts were retroactively addressed.

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