Recently the ACC sent a letter to the House Ways and Means Subcommittee on Health in response to a recently released discussion draft titled "Promoting Integrity in Medicare Act of 2014." The bipartisan discussion draft builds on the subcommittee's earlier hearings on fraud, waste and abuse in the Medicare program. The scale and extent of the discussion draft is broad and covers all aspects of the health care delivery system. Legislation has not yet been introduced because the subcommittee first wanted to address feedback and concerns from stakeholders such as the ACC. In its comments, the College asked Congress to implement measures to eliminate duplicative post payment claims reviews, include national medical specialty society expertise in the development of educational programs designed to reduce improper Medicare payments, and provide greater oversight for Medicare Administrative Contractor contracts. The ACC also addressed alternative penalties for technical noncompliance of the Stark self-referral laws and the establishment of a permanent physician-hospital gainsharing program.

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