Deem: What is success to the AMA?

• Expand affordable coverage
• Permanent repeal of SGR
• Quality imprvoement not physician profiling
• Adequate physician payment
• Administrative simplification
• Medical liability reforms
• Empower physician practicies with antitrust relief and breaking down silos

Deem: AMA Position on Public Plan - what does that really mean?

• Single payer is an absolute non-starter
• Strongly oppose Medicare rate linkages and compelling physicians to participate
• Opposed to Medicare expansion. Current program is headed toward insolvency.
• Comination of private insurance reforms with an exchange or gateway will achieve affordability and choice goals
• Consider co-op or level playing field option. Haven't seen the details.

Deem: Medciare physician payment reform

• Now is the time to permanently repeal the SGR
• AMA and 59 specialties have framework for payment reform
• Positive updates during transition
• Additional increases for primary care services
• Pilot noew payment models that reward physicians for system-wide savings