Key health committees in the 104th Congress.
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Biomedical subjects
Publications and source records attributed to K A Michels.
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The AANA shares President Clinton's view that health system reform must center on increased patient access to care, the need for care to be provided in a cost-effective manner, and that quality of care should not be diminished. The AANA believes that CRNAs can play a critical role in health system reform because for more than a century they have provided a model of how patients can have access to high quality, cost-effective health services, specifically anesthesia services.
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While OBRA93 will result in payment reductions for CRNAs and anesthesiologists involved in the anesthesia care team, the law also contained AANA victories. First, the anesthesia care team reductions will be phased in over several years rather than occurring immediately in 1994. Second, RAP DRGs were defeated. Third, the use of actual anesthesia time for purposes of Medicare billing was retained. Fourth, parity in payments for new physicians/new CRNAs was restored. Fifth, teaching anesthesiologists will receive the same payment for supervising two anesthesiologist residents as they do for working with two nurse anesthesia students beginning in 1994. The AANA concerns that were not addressed on OBRA93, such as the TEFRA conditions and access to clinical privileges, are not dead. They will be lobbied for again in future legislative vehicles, such as President Clinton's healthcare reform plan.
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