ACC Vice President C. Michael Valentine, MD, sees teams of physicians and administrators as key to managing the changing healthcare industry. Partnerships help them tackle legislative, administrative and financial changes. And while some clinicians complain about MACRA, Valentine says, the legislation aligns government and physicians in switching from volume- to value-based care. ACC has created a MACRA task force and website to inform cardiologists and patients.

Cathie Biga, RN, MSN, discusses the importance of pre-planning for physician practices to avoid an audit. Having a full compliance plan for coding and documentation audits helps with appropriateness criteria, electronic medical record standards and making sure billing matches up with documentation. She also recommends that practices have at least one person who understands the MACRA legislation and shares the information with the entire group.

Cardiovascular providers discuss their biggest challenges, including payers refusing to cover tests, procedures or medications that could benefit patients and providing costly and beneficial therapies and procedures while dealing with cost constraints. There are plenty more, listen in.

Cardiologists J.P. Reilly, MD, and Larry S. Dean, MD, offer insight on the two-year results of the ABSORB III trial that evaluated Abbott’s Absorb bioresorbable vascular scaffold. They also talk about the March 18th FDA advisory letter alerting healthcare professionals of an increase in major adverse cardiac events with the Absorb compared with the Xience drug-eluting stent. As they note, physicians need to be careful about selecting the right patients who may benefit from bioresorbable stents, using them in right-sized vessels and making sure to properly deploy the devices.

Several medical societies recently released updated appropriate use criteria (AUC) for coronary revascularization in patients with acute coronary syndromes (ACS).

Three leading cardiology societies released a consensus statement on Dec. 10 regarding criteria institutions and operators should follow for left atrial appendage occlusion.

Major cardiovascular societies are increasing their public reporting of data to help patients obtain information on hospitals’ care delivery and improve the quality and cost of care, according to an advisory published online in the Journal of the American College of Cardiology on Nov. 18.