Know the Issues

Legislative & Regulatory Letters

 

Legislative Letters

As we work to shape legislation, we encourage members of Congress to introduce and pass laws that benefit consumers, and we urge them to confirm nominees that have your best interests in mind. Read some of our letters below.

    Appropriations Request (July 20, 2010)

    The Affordable Care Act (ACA) included a number of provisions designed to give older adults and individuals with multiple chronic conditions the comprehensive, coordinated health care they need. But the government can’t implement many of these provisions unless Congress appropriates money to fund them. So the Campaign for Better Care wrote to Congress urging members to appropriate funding for four priority programs that are critical to improving the quality of our health care delivery system. More »

    (Note: The costs of these provisions were included in estimates of the total cost of the ACA and are not new costs to the government.)

    Letter in Support of the Nomination of Donald Berwick, M.D. (June 29, 2010)

    The Campaign for Better Care rallied broad, multi-stakeholder support behind the nomination of Donald Berwick, M.D., to the position of Administrator of the Centers for Medicare & Medicaid Services (CMS). Dr. Berwick is one of the nation's leading authorities on health care quality and improvement, and his proven experience in leading health care delivery system transformations makes him uniquely suited for the CMS Administrator’s role in implementing the Affordable Care Act (ACA). More »

Regulatory Letters

Once laws are passed, it’s up to the relevant federal agency to determine how they are implemented. As the agency defines rules for each law, we comment and urge them to keep your best interests in mind. Read some of our regulatory letters below.

    Comment Letter on ACOs (June 6, 2011)

    More than 40 health, consumer, disease-focused, aging and other state and national organizations signed onto a letter that commends the CMS for its proposed rule on the Medicare Shared Savings Program — Accountable Care Organizations (ACOs). Read more »

    Read the summary »

    Response to CMS Request for Information on ACOs (December 3, 2010)

    The Centers for Medicare & Medicaid Services solicited public input on some key design issues to inform its development of regulations for Accountable Care Organizations (ACOs) in Medicare. ACOs are new models of care that take responsibility for the health care needs of an assigned patient population and are held responsible for delivery high quality care while lowering costs. The Campaign for Better Care believes that ACOs must be held to a high standard to ensure they both improve care for patients and lower costs and offered its recommendations accordingly. Read more »

    Comments on the NCQA Draft ACO Standards (November 19, 2010)

    The National Committee for Quality Assurance (NCQA) recently released draft standards to assess whether a practice should be recognized as an Accountable Care Organization (ACO). ACOs are new models of care that take responsibility for the health care needs of an assigned patient population and are held responsible for delivery high quality care while lowering costs. The Campaign for Better Care provided recommendations for how these standards can ensure that ACOs are held to a high standard deliver the best coordinated, patient- and family-centered care that individuals want and need. Read more »

    Comments to Health and Human Services (HHS) regarding the National Health Care Quality Strategy and Plan (October 15, 2010)

    Improving health care quality requires significant coordination and collaboration among the Federal government, States, and the private sector. Recognizing this, the Affordable Care Act (ACA) calls on Secretary of the Department of Health and Human Services (HHS) to establish and update annually a National Health Care Quality Strategy and Plan that includes a comprehensive strategic plan and identifies priorities to improve the delivery of health care services, patient health outcomes, and population health. In October, the Campaign for Better Care wrote to the Secretary to share our views on its development. We hope to see our recommendations incorporated in the final version, which is due to Congress by January 1, 2011. Read more »

    Comments to Dr. Donald Berwick in Regards to Proposed Physician Fee Schedule Rule (August 24, 2010)

    Every year, the Centers for Medicare & Medicaid Services (CMS) solicits comments on a proposed "Physician Fee Schedule" — in other words, the structure for paying doctors for services provided to Medicare beneficiaries. In August, the Campaign for Better Care submitted recommendations on how the 2011 Physician Fee Schedule could better value primary care, improve care coordination, strengthen quality measurement and accountability, and promote prevention and wellness. More »

    Comments on the NCQA Draft PCMH Standards (July 2, 2010)

    The National Committee for Quality Assurance (NCQA) assesses physician practices to determine whether or not they are functioning as Patient-Centered Medical Homes (PCMH). Physician practices that pass the assessment are given formal recognition. This summer, NCQA asked for public comments on proposed updates to its assessment standards. Campaign for Better Care leaders were pleased to see that the proposed standards incorporated much more robust, patient-centered criteria that will help push our health care system forward, and offered recommendations on how the standards could be further strengthened. More »