Oct 9, 2017

AMA's doctor panel still operates behind closed doors

The American Medical Association still requires RUC attendees to sign confidentiality agreements. Photo: Bob Herman / Axios

An influential committee of doctors who helps determine Medicare's payment rates met in Chicago last week. But Axios was not allowed to enter the formal Friday meeting without signing a confidentiality agreement that said no payment recommendations or direct quotes from attendees could be released.

Why it matters: The group, known as the RUC, has opened up more than it has in the past. But Medicare said this summer it will accept nearly every payment recommendation from the committee going forward — which means tens of billions of taxpayer dollars for physician services still hinge on meetings that can't be discussed publicly.

The details: The confidentiality agreement presented to Axios is what attendees have signed for years, and has been chronicled in stories by the Center for Public Integrity, the Wall Street Journal and The Washington Post. The point of the agreements is to prevent any market speculation from the new technologies and procedures that are being discussed and to protect "proprietary" medical codes, RUC chair and Duke University heart surgeon Peter Smith said in a statement to Axios.

The American Medical Association, which convenes the RUC, posts minutes and recommendations of the RUC meetings, which it started doing a few years ago. But those documents aren't available until well after the meetings occur. The details from these latest October meetings, which cover 2019 payment policies, won't be available online until next July, according to Smith's statement.

The challenge: The AMA said these committee meetings are open to the public and media. But requiring nearly all of the meeting material and discussion remain confidential is a major obstacle, especially because the information will be almost the sole basis for how Medicare pays physicians for their time and services.

  • "Given that (the Centers for Medicare and Medicaid Services) has said they are going to accept everything from the RUC, they really should not be tolerating a secret process," said Paul Ginsburg, a senior fellow at the Brookings Institution and expert in Medicare payment policies.

Go deeper: The uproar behind the AMA's panel of doctors, and the AMA's views on drug price controls.

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China reopens Wuhan after 10-week coronavirus lockdown

People wearing facemasks stand near Yangtze River in Wuhan. Photo: HECTOR RETAMAL/AFP via Getty Images

China has lifted its lockdown of Wuhan, the city in Hubei province where the coronavirus outbreak was first reported in December, according to the New York Times.

Why it matters: As cases surged in January, China took the draconian step of sealing off the city of 11 million and shutting down its economy — a response that was viewed at the time as only possible in an authoritarian system, but which has since been adopted by governments around the world.

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Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 1 p.m. ET: 1,381,014— Total deaths: 78,269 — Total recoveries: 292,973Map.
  2. U.S.: Total confirmed cases as of 1 p.m. ET: 378,289 — Total deaths: 11,830 — Total recoveries: 20,003Map.
  3. Trump administration latest: Trump removes watchdog overseeing rollout of $2 trillion coronavirus bill
  4. Federal government latest: Senate looks to increase coronavirus relief for small businesses this week — Testing capacity is still lagging far behind demand.
  5. States update: New York death toll surged to its highest one-day total as state predicts a plateau in hospitalizations.
  6. 🎧 Podcast: The race to reopen America
  7. What should I do? Pets, moving and personal health. Answers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk.
  8. Other resources: CDC on how to avoid the virus, what to do if you get it.

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Trump removes watchdog overseeing rollout of $2 trillion coronavirus bill

Glenn Fine, acting Pentagon watchdog

President Trump on Monday replaced the Pentagon's acting Inspector General Glenn Fine, who had been selected to chair the panel overseeing the rollout of the $2 trillion coronavirus relief bill passed last month, Politico first reported.

Why it matters: A group of independent federal watchdogs selected Fine to lead the Pandemic Response Accountability Committee, but Fine's removal from his Pentagon job prevents him from being able to serve in that position — since the law only allows sitting inspectors general to fill the role.

Go deeperArrowUpdated 36 mins ago - Politics & Policy