Letters to the Editor is a periodic function. We welcome all feedback and can publish a range. We edit for size and readability and require full names.

Occupational Therapists Change Lives. CMS Should Higher Assist Them.

Occupational therapists are essential in serving to sufferers alter to new circumstances, empowering them with the instruments they should overcome limitations and regain management over their lives. Whether or not you’re transitioning from homelessness into a house (“In Los Angeles, Occupational Therapists Tapped to Assist Homeless Keep Housed,” Jan. 24) or relearning how one can do on a regular basis duties following a stroke, OTs are key to sufferers’ care plan.

However the essential care offered by OTs is being threatened by one other 12 months of fee cuts imposed by Medicare, our nation’s well being care program for individuals age 65 and up. Many older sufferers handled by OTs entry insurance coverage protection by means of Medicare, which generally reimburses suppliers at a decrease charge than personal insurers. And now, with fee cuts that went into impact on Jan. 1 — regardless of warnings and backlash from lawmakers, sufferers, and suppliers — OTs are struggling to ship care with decrease Medicare fee.

Investing in occupational remedy improves well being outcomes for sufferers, has the potential to cut back the burden on hospitals and different well being care clinicians, and retains people wholesome and unbiased. Medicare’s fee cuts solely compromise the power of suppliers to ship complete, compassionate care. Medicare should acknowledge the long-term affected person advantages occupational remedy has to supply.

Fortunately, Congress is contemplating a invoice that may reverse these dangerous fee cuts. The Preserving Seniors’ Entry to Physicians Act of 2023 (HR 6683), would reverse the cuts that went into impact on Jan. 1, assuaging monetary stress for occupational therapists and preserving affected person entry. I strongly urge lawmakers to prioritize and shield occupational remedy providers and instantly cross HR 6683 for America’s Medicare sufferers.

— Doug Fosco, an occupational therapist working towards at Two Bushes Bodily Remedy in Ventura, California

An assistant professor at Ontario’s Western College weighed in on X.

Nice to see the function of #occupationaltherapy with individuals who expertise #homelessness profiled in @latimes. Thanks #deborahpitts on your work in LA with @USC and #skidrowhousingtrust . Test it out @CAOT_ACE @OSOTvoice ! @CAEHomelessness https://t.co/S5s9jhgoxI

— Carrie Anne Marshall, PhD (@cannemarshall) January 24, 2024

— Carrie Anne Marshall, Sydenham, Ontario

Congress Should End the Job on Web site-Impartial Funds

There’s an apparent resolution to rein in authorities spending and affected person out-of-pocket prices: Pay similar costs for similar care (“In Struggle Over Medicare Funds, the Hospital Foyer Reveals Its Energy,” Feb. 13).

As a neighborhood oncologist, it’s clear to me how Medicare favors hospitals by paying extra for providers offered in hospital outpatient departments (HOPDs) than the identical care delivered in community-based services. For instance, final 12 months, Medicare paid over 2.5 instances as a lot in an HOPD as in a free-standing workplace for drug administration providers. It’s not simply Medicare paying an excessive amount of; sufferers additionally face greater out-of-pocket prices for care offered in HOPDs. If the Decrease Prices, Extra Transparency Act is signed into regulation, most cancers sufferers would instantly pay much less for remedies like chemotherapy.

One unintended consequence of present fee disparities is consolidation. To leverage greater reimbursements, well being methods scoop up unbiased practices — a rising downside that’s significantly pronounced in oncology. From 2008 to 2020, 435 neighborhood most cancers clinics closed, whereas 722 contracted with or have been acquired by hospitals. This consolidation is lowering affected person entry, significantly in rural areas, the place many unbiased clinics function small satellite tv for pc websites that are usually the primary to shut when hospitals purchase a community-based follow.

It’s time for Congress to complete the job by means of payments just like the Decrease Prices, Extra Transparency Act and the SITE Act, which might assist degree the enjoying subject as soon as and for all.

— Scott Speeding, Vancouver, Washington

The chief advertising officer of SKYGEN lower to the chase on X.

Within the battle to regulate healthcare prices, hospitals are deploying their political energy to guard their backside traces. https://t.co/97r502KrpM

— Donald H. Well mannered (@DonaldPolite) February 15, 2024

— Donald H. Well mannered, Milwaukee

The ‘Gold Card’ Shuffle

Prior authorization, by definition, creates delays in care and bureaucratic limitations for physicians — which is why it’s so troubling that many insurers now require prior authorization for giant classes of procedures with no proof of overuse or inappropriate use. With well being insurers more and more implementing questionable prior authorization insurance policies, state and federal lawmakers are racing to erect safeguards that guarantee sufferers’ entry to well timed care (“States Goal Well being Insurers’ ‘Prior Authorization’ Purple Tape,” Feb. 12).

A lot of the laws to deal with this rising downside facilities round the usage of “Gold Playing cards” that exempt suppliers whose earlier requests for prior authorization have been permitted for a sure interval. Typically, these legal guidelines are essential for sufferers who can’t afford to attend for care — particularly within the subject of gastroenterology the place extreme stomach ache or blood within the stool may point out a severe situation like most cancers.

Nevertheless, some insurance coverage firms are co-opting the “Gold Card” time period to justify new prior authorization necessities as an alternative of streamlining current ones. Contemplate the case of UnitedHealthcare, which introduced it could roll out a “Gold Card” prior authorization program this 12 months for many colonoscopies and endoscopies. No different insurer has levied such a coverage, nor does the analysis recommend there’s an overutilization of those important providers. Regardless of almost a 12 months of excellent religion efforts to hunt transparency and steerage from UHC, the corporate has did not launch any knowledge or justification that these providers are improperly utilized.

If something, diagnostic and surveillance colonoscopies and endoscopies could also be underutilized. New analysis from the American Most cancers Society reveals an alarming spike within the variety of youthful People being recognized with and dying from colorectal most cancers. Since signs of colorectal most cancers don’t usually seem till the illness is at a extra superior stage, early detection is essential. Any disruption to surveillance colonoscopies (which comply with removing of a precancerous polyp and are a part of the screening continuum) brought on by UHC’s forthcoming prior authorization coverage could be harmful for the corporate’s 27 million business beneficiaries.

The American Gastroenterological Affiliation strongly urges UHC to rescind its “Gold Card” prior authorization coverage. Policymakers should monitor how insurers are co-opting ideas meant to guard sufferers, specifically UHC’s fake “Gold Card,” which threatens affected person entry to a process confirmed to save lots of lives.

— Barbara Jung, president of the American Gastroenterological Affiliation, Seattle

In an X submit, a senior fellow on the Manhattan Institute identified the worth in requiring prior authorization.

Case-by-case prior authorization is rarely enjoyable, however absolutely preferable to most different strategies of eliminating useless spending (ex submit denials of reimbursement, greater cost-sharing, capped international budgets, and so on…) https://t.co/nYijeiAUtP

— Chris Pope (@CPopeHC) February 12, 2024

— Chris Pope, a senior fellow on the Manhattan Institute, New York Metropolis

Hospice in Jail: A Transformative View

I used to be so impressed with Markian Hawryluk’s exceptionally well-written article “Demise and Redemption in an American Jail” (Feb. 21). I used to be privileged to function an inaugural member of the American Hospital Affiliation’s Circle of Life Award committee, from 1999 to 2004. The awards have been established to acknowledge essentially the most excellent hospice and palliative care packages within the U.S. The very first 12 months, we obtained an software from the nation’s largest maximum-security jail in Angola, Louisiana, the topic of Mr. Hawryluk’s great article. The jail was one of many 5 finalists chosen for a website go to in 2000. I volunteered to be on staff to go to and consider the jail’s hospice providers.

Twenty-four years later, I nonetheless keep in mind my dialog with one of many inmate volunteers who had simply returned from bathing and feeding a dying prisoner. He informed me the inmate stated, “I like you.” Then the inmate volunteer acknowledged, “I by no means heard these phrases earlier than — not from my father, who I by no means met, nor from my mom.” In 2000, if one have been sentenced to life on the Louisiana State Penitentiary, there was no likelihood for parole. Once we met with the warden, he talked about there was a ready checklist of prisoners who needed to be hospice volunteers.

Please convey my deep appreciation to Mr. Hawryluk for his excellent article.

— Paul Hofmann, president of the Hofmann Healthcare Group, Moraga, California

A digital storyteller shared the article on X.

Your one, lengthy learn for at this time – it is fantastically and thoughtfully written and reported”Typically if you’re in a darkish place, you discover out who you actually are and what you would like you would be,” Steven Garner stated. “Even in darkness, I may very well be a light-weight.”https://t.co/57asjh11ZV

— Ameera B. ا ميرة بت 🪬 (@meerabee) February 19, 2024

— Ameera Butt, Los Angeles

Feeling Insecure Due to Social Safety Ways

When will you proceed your collection on the overpayments to the Social Safety Administration (“Overpayment Outrage”)? Individuals are nonetheless struggling with out advantages as a result of the company says individuals have been overpaid and needs the cash again. Why is no person else asking extra questions?

Individuals on this nation labored arduous and paid taxes. And when it’s time to retire, the Social Safety Administration refuses to pay if, hastily, it discovers you have got been overpaid. They’ve informed me I owe them $30,000 from over 20 years in the past, and I have no idea what they’re speaking about, however they need to take my retirement cash till it’s paid off. Or they need you to say it’s OK to take a share out. Doing that may say you’re responsible and also you owe the cash — to me, that’s blackmail.

New immigrants get free telephones, medical care, debit playing cards, meals help, education … that involves greater than my little quantity of retirement cash. It appears the federal government can afford to deal with them, however not their very own. Everybody who has had their Social Safety taken away needs to be entitled to the free providers they get, as we’re in the identical place — now now we have nothing both.

— Thomas Troy, New York Metropolis

Lifelong Minnesotan and epidemiologist Eric Weinhandl chimed in on X.

Comparatively extreme incompetency. Social Safety Chief Apologizes to Congress for Deceptive Testimony on Overpaymentshttps://t.co/HYPcTU5tVW

— Eric Weinhandl (@eric_weinhandl) December 27, 2023

— Eric Weinhandl, Victoria, Minnesota

A Balanced View of the Regulation Curbing Shock Payments

KFF Well being Information’ Elisabeth Rosenthal has lengthy advocated for high quality, patient-centric medical care. Nevertheless, her latest article, “The No Surprises Act Comes with Some Surprises” (Feb. 14), falls brief in its evaluation of shock medical billing and the federal No Surprises Act (NSA). Whereas she locations blame on physicians, the fact is extra difficult.

Sufferers with medical health insurance shouldn’t be burdened with paying greater than their regular in-network cost-sharing quantity for sudden out-of-network care. This isn’t controversial. The legislative debate was by no means about whether or not to behave on shock billing, however slightly how one can act. Whereas insurers favored insurance policies that may enable them to calculate the fee charge medical suppliers obtain, with the NSA, Congress as an alternative selected an method meant to guard sustainable fee charges that may protect sufferers’ entry to care. The NSA removes sufferers from fee disputes between insurers and suppliers and is meant to encourage negotiations between insurers and suppliers, with an choice for impartial arbitration.

Rosenthal’s article implies a “grasping physician” narrative, omitting dialogue of insurers as contributing to the issues with the NSA’s implementation. Whereas the article notes that many requests for arbitration got here from personal equity-associated supplier organizations, it uncared for to notice {that a} single insurance coverage firm (UnitedHealthcare) was concerned in nearly 40% of arbitration disputes. That’s greater than the remainder of the highest 5 insurance coverage organizations mixed. The article additionally quotes and references papers by Zack Cooper, whose undisclosed connections with UnitedHealthcare got here to gentle by means of litigation. As reported, UnitedHealthcare not solely offered knowledge to Cooper, however helped body the narrative of the work.

NSA rulemaking has financially incentivized insurers to leverage the NSA to unilaterally cut back current contracted charges and push physicians out-of-network. As for the projected variety of requests for arbitration in 2022 (which underestimated “suppliers’ ire by an order of magnitude”), that projection ignored current knowledge. In simply the primary six months of 2021, Texas alone had greater than twice as many arbitration submissions for its state regulation because the federal authorities projected for the nation for a full 12 months. Extra importantly, the article ignores the problem of why docs request arbitration. Since arbitration is baseball-style and “loser pays,” there’s a robust disincentive to request it with no strong cause. Within the second quarter of 2023, suppliers gained almost 80% of disputes, reflecting the truth that docs are going to arbitration when insurers’ actions are unreasonable.

Additional, whereas it’s true that earlier than the NSA too many sufferers have been receiving payments for sudden out-of-network care, a report from the Division of Well being and Human Companies famous that out-of-network billing was truly declining previous to the NSA. Doctor survey knowledge means that post-NSA out-of-network care is now growing because of some insurers’ actions.

The bipartisan NSA is a balanced resolution to an advanced downside. Difficulties with the regulation’s implementation, together with the amount of dispute submissions and backlog of circumstances, are because of unintended penalties from rulemaking. Addressing these challenges requires an trustworthy dialog about their trigger. Going ahead, rulemaking is required to advertise truthful community contracting, restrict the necessity for arbitration, and, most significantly, shield sufferers’ entry to care.

— Wealthy Heller, a pediatric radiologist and the affiliate chief medical officer for well being coverage, Radiology Companions, Chicago

Anesthetist-emergency physician-family physician David Moniz, in an X submit, warned of the “unseen penalties” of the No Surprises Act.

Take a look at the stunning outcomes of the No Surprises Act, designed to guard sufferers from sudden medical payments. Whereas it is efficiently shielded many sufferers, there are unseen penalties. Learn the total article right here: https://t.co/YFa0xweRe7#well being, #healthpolicy, #he…

— David Moniz (@DavidMoniz15) February 14, 2024

— David Moniz, Chilliwack, British Columbia