Emergency Medicine Action Fund®
MESSAGE FROM THE CHAIR
Orlee Panitch, MD, FACEP
Welcome to the new and improved website of the Emergency
Medicine Action Fund (EMAF)! I am so excited that we will have a centralized
location to make information and resources regarding EMAF activities easily
accessible for EMAF members and interested stakeholders. We endeavor to provide
you with the most accurate, up-to-date information and share our knowledge and
expertise as we navigate the regulatory landscape.
As you know, following passage of the Patient Protection and Affordable Care
Act (PPACA), leaders in emergency medicine quickly convened to explore new and
enhanced opportunities to influence ongoing health care reform efforts. While
working with legislators will remain a top priority, this coalition of
organizations and individuals is dedicated to improving the state of emergency medicine agreed that
many of today's issues would need to be addressed by working directly with the
federal regulatory agencies responsible for implementing the health care reform
Through the development of regulations, generally referred to as the
"rulemaking" process, federal agencies issue requirements that can
apply to individuals, businesses, or others. Stakeholder input, such as that
from emergency physicians, is critical to ensure federal regulations will not
have an adverse impact on health, welfare, and safety.
With an improved understanding of how Congress enables federal agencies to
issue regulations, how regulations are developed and made available for review
and comment, and how emergency medicine can influence the rulemaking process at
every stage, EMAF continues to invest heavily in regulatory advocacy.
Experts in health care regulation from Health Policy Alternatives and Hart
Health Strategies, Inc., along with a dedicated team of staff from the American
College of Emergency Physicians (ACEP), are working with EMAF leadership to address
a host of challenges facing emergency medicine physicians in the current health
care environment. Key areas of focus include:
§ Medicaid Claims and Managed Care Contractors
§ Care Management provide by EM Physicians
§ Out-of-Network Payments (Greatest of Three)
§ Performance and “Value-Driven” Health Care Payment and Delivery Models
§ Graduate Medical Education (GME)
This spring, the Centers for Medicare and Medicaid Services (CMS) will release
a proposed rule that will outline new physician payment programs established
under the Medicare Access and CHIP; the Merit-Based Incentive Payment System
(MIPS) and physician-focused alternative payment models (APMs). The
proposal is also expected to address ongoing challenges with the “meaningful
use” of electronic health records (EHR) systems with an emphasis on
interoperability. To inform the implementation of these programs, CMS has
sought feedback through multiple pre-rulemaking processes on the several
aspects of its existing and pending quality improvement initiatives. Through a
collaborative effort between EMAF leaders, consultants and ACEP staff,
emergency medicine weighed in with thoughtful and substantive comments.
Working out of the ACEP DC offices, Orit Sager, EMAF Executive Coordinator,
continues to support our efforts, to include handling the day-to-day
administrative aspects of EMAF, organizing the monthly EMAF conference calls
and face-to-face meetings with our consultants, as well as planning for our
bi-annual EMAF Board of Governors (BoG) meetings. Orit can be reached at
As always, please contact me if you have ideas to improve the work we are doing
on your behalf!
Contribute to the EM Action Fund™ and help us impact regulatory change.
Designed to allow our specialty to speak with one voice and one message, delivered by one team of physician leaders, consultants, lobbyists, attorneys, and staffers, the Emergency Medicine Action Fund® represents unsurpassed value no individual group or organization could obtain on its own.
To effect a meaningful change, emergency medicine needs more than a single champion. It needs a collective body like the EM Action Fund that can pool limited resources and become a compelling force that can impact the emergency medicine practice environment.