Jan. 24, 2005

   
REIMBURSEMENT
Medicare Expands Coverage of ICDs
MEDICAL LIABILITY REFORM
Share Your Story, Help Shape the Liability Reform Debate
Illinois Launches Liability Wristband Campaign
LEGISLATIVE/REGULATORY
ACC PAC Sets 2005 Fundraising Goal
CMS Starts Shift to Prescription Drug Benefit
FDA Rejects Sale of OTC Statins
Meeting Notice: Cox-2 Inhibitors
HHS Nominee Leavitt Calls for Bold Reform

REIMBURSEMENT

Medicare Expands Coverage of ICDs
More than 500,000 Medicare beneficiaries will be eligible for implantable cardioverter-defibrillators (ICDs) as a result of an expanded coverage decision announced Jan. 19. The announcement coincided with a study published in the New England Journal of Medicine demonstrating that ICDs are beneficial for congestive heart failure patients who are at risk of developing a life-threatening arrhythmia. The coverage decision requires development of an ICD patient registry to evaluate the benefits of the device for certain patient groups. To view a letter co-authored by the ACC and the Heart Rhythm Society on the extension of ICD coverage, click here.

MEDICAL LIABILITY REFORM

Share Your Story, Help Shape the Liability Reform Debate
As the debate over medical liability reform heats up again this year, the ACC is looking for stories that show the tangible effects of skyrocketing insurance rates on cardiologists. Sharing your experience helps the ACC present a more powerful argument to members of Congress who determine the fate of meaningful reform. Submit your stories to Camille Bonta at cbonta@acc.org.

Illinois Launches Liability Wristband Campaign
Illinois physicians are taking a cue from other advocacy groups to raise public awareness of medical liability reform by distributing “Keep Doctors in Illinois” arm bracelets. Today, ACC member Jay Alexander, M.D., F.A.C.C., will join Rep. Mark Kirk in kicking-off the statewide wristband campaign. As part of the event, Kirk will announce the re-introduction of the Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act, which aims to lower medical liability premiums and ensure patients’ timely access to care.
LEGISLATIVE/REGULATORY
ACC PAC Sets 2005 Fundraising Goal
Imaging, medical liability reform and Medicare physician payments are issues that loom large on the legislative horizon. The ACC PAC is critical to demonstrating the political might of cardiologists on Capitol Hill. With a $300,000 fundraising goal in 2005, the ACC PAC wants to send a clear signal to legislators that cardiologists are a key constituency and a primary player in health care policy. Every contribution helps the ACC move its legislative agenda – find out more at www.epacweb.com/acc.
CMS Starts Shift to Prescription Drug Benefit
Seniors enrolled in Medicare will soon be turning in their Medicare-approved prescription drug discount cards in favor of a broad-based drug coverage benefit. On Friday, the Centers for Medicare and Medicaid Services (CMS) issued its final regulations establishing the Medicare prescription drug benefit and creating incentives for employers to maintain drug coverage for retirees. The new coverage will be available to all Medicare beneficiaries, regardless of their income, current Medicare plan or current prescription drug plan. More information can be found at http://www.hhs.gov/news/press/2005pres/20050121.html.
FDA Panel Rejects OTC Statins
In a 20-3 vote, a joint Food and Drug Administration (FDA) advisory committee rejected Merck & Co.’s request to sell its statin drug Mevacor without a prescription. Reviewers of the proposal expressed concerns about patient safety, stating that not enough was done to ensure that only the right patients took the drug and that these patients were closely monitored. The FDA will make the final decision on over-the-counter statins, strongly taking into account the committee’s recommendation.
Meeting Notice: Cox-2 Inhibitors
The FDA will hold a meeting to review the risks and benefits of Cox-2 selective non-steroidal anti-inflammatory drugs. The February meeting is open to the public and more information can be found at http://www.fda.gov/bbs/topics/news/2005/NEW01151.html.
HHS Nominee Leavitt Calls for Bold Reform
The Senate gathered last week to hold confirmation hearings for several presidential cabinet nominees, including Mike Leavitt who is President Bush’s choice to head the Department of Health and Human Services (HHS). Appearing before the Senate Finance Committee, Leavitt called on the government to be “bold” in addressing inefficiencies in the health care system. He called particular attention to the Medicaid program, saying that governors should have more flexibility in helping uninsured patients in their states. The committee will vote next week on Leavitt’s confirmation, and a full Senate vote is expected shortly thereafter.
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