TMA Recommendations
• Put ICD-10 on permanent hold until ICD-11 or another appropriate replacement for ICD- 9 is ready for widespread implementation.
• Require government agencies to consider the disruption that new regulations introduce into medical practices and refrain from introducing new hurdles. The delay of ICD-10 is a step in the right direction.
• Protect physicians who care for chronically ill or noncompliant patients from quality- of-care measures that do not account for such variances in patient populations. Stop implementation of Medicare’s “value-based purchasing” program, unless physicians who treat these populations are treated fairly.
• Protect tax law provisions that acknowledge physicians’ unique roles in caring for all patients — this includes physicians who provide charity care.
• Exclude the cost of vaccines from the state business tax.
• Repeal legislation that limits physician ownership of hospitals.
• Promote responsible ownership of all health care facilities, whether owned by a physician, hospital, or other provider.
October 2012 TEXAS MEDICINE 63
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