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MGMA Advocacy: Leading insights on healthcare spending and value

Federal Policy Resource - May 25, 2022

Business Operations Technology

Practice Efficiency

Federal Compliance

Anders Gilberg, senior vice president of government affairs, recently represented MGMA and our nation’s medical groups in front of the Health Affairs Council on Health Care Spending and Value. 

Anders Gilberg and William Frist, MD, at a recent Health Affairs Council on Health Care Spending and Value.In 2018, Health Affairs launched the Council in an effort to gain a better understanding of healthcare spending in the United States, analyze the value which that spending brings, and subsequently be able to recommend actions that can be taken to moderate that spending while simultaneously maximizing the value. 

The nonpartisan working group is led by two co-chairs (former U.S. Senate Majority Leader William Frist, MD, and former Commissioner of the U.S. Food and Drug Administration Margaret Hamburg, MD) and composed of 20 additional healthcare leaders from across the country.

Gilberg was invited to share MGMA’s perspective on how the United States could “moderate healthcare spending growth while maximizing value.” During the meeting, he provided insights on the administrative costs that directly impact medical practices’ ability to direct resources to clinical care, sharing thoughts on a variety of topics ranging from provider directories to credentialing, claims processing to prior authorization, as well as overall regulatory burden. 

Additionally, Gilberg leveraged the opportunity to emphasize the critical importance of the promulgation and subsequent implementation of standards for overly burdensome administrative processes which would maximize efficiency and ultimately pay for themselves or even save money for our nation’s medical groups.  

MGMA supports policies to standardize healthcare transactions, documentation requirements, claims review processes, and audits to decrease the administrative burden and costs associated with inefficient and inconsistent standards. In an effort to promote patients’ timely access to care and reduce provider and patient burden, MGMA is actively working to eliminate or significantly reduce the volume of prior authorizations and other prerequisites for coverage, encouraging greater health plan transparency, uniform national standards, and increased automation. 

MGMA is grateful for the work of the Council and appreciates the opportunity to provide 
recommendations as to how we might slow healthcare spending while ensuring the sustainability of medical group practices and advancing their ability to provide high-quality patient care. 

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