Understanding the American Health Care Act

Tuesday, June 13, 2017

The Trump administration hit the ground running with efforts to repeal the Affordable Care Act (ACA). The proposed bill, titled the American Health Care Act (AHCA) did not make it out of the House of Congress due to strong bipartisan opposition to many facets of the proposed bill, specifically the harsh cuts to Medicaid and jeopardizing pre-existing condition coverage. 

Who is Tom Price MD?

Wednesday, January 11, 2017

Congressman Tom Price, previously practicing orthopedic surgeon in Georgia, and now our incoming Health Secretary.  Price is most known for being a fierce critic of the Affordable Care Act (ACA). Unlike many others who have denounced the current healthcare system known as Obamacare, Dr. Price presented a replacement plan delineating exactly how he would do so called the Empowering Patients First Act.

Seema Verma MPH announced as the new head of the Center for Medicaid/ Medicare Services (CMS)

Monday, January 9, 2017
A born entrepreneur, Seema Verma is the president of a national healthcare consulting company and is best known for her work in Indiana collaborating with Vice President-elect Mike Pence.  Although her association with private companies questioned her intentions, she did help reshape Medicaid by requiring recipients to pay premiums and tracking compliance of healthy behaviors.

Radiology Provisions in the 2017 MPFS Final Rule

Friday, January 6, 2017
A positive for breast imaging, is that the Centers for Medicare and Medicaid Services (CMS) has recognized the value provided by radiologists in providing mammography services through an increase in the physician work relative value units (RVUs) for diagnostic mammography and maintaining the current value for screening mammography. Essentially, as we continue towards value-based care and the implementation of MIPS, the reimbursements for diagnostic mammography will have more weight via RVUs because the time and expertise are being acknowledged which is not present in our current fee for service system. This is a WIN for the breast imaging service.


Tuesday, December 20, 2016
The U.S Centers for Medicare and Medicaid Services will likely (and hopefully) delay the mandatory adherence to MACRA/ MIPS.  If you don’t know what MACRA and/or MIPS is don’t worry, you are not alone. In fact, 90% of surveyed Radiologists aren’t familiar with it and further more, of the 10% that know what it is, only 10% of them have actually began the necessary steps to implement the system.  Essentially, the services we provide starting in January 2017 will become part of the composite performance score that will determine our payments in 2019.

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The purpose of this page is to inform SBI members about legislative updates that impact breast imaging and breast imagers. Dr. Nicole Saphier will be contributing and providing the posts on a quarterly basis. 

About Nicole B. Saphier, MD: 

I am a board certified radiologist with fellowship training in Oncologic Imaging and am the Director of Breast Imaging at Memorial Sloan Kettering Monmouth facility. I see patients at MSK in New York City as well as at MSK Monmouth New Jersey with my primary clinical focus of breast imaging and intervention, including mammography, breast ultrasound, and breast MRI.

In addition to breast imaging, I am active in healthcare leadership, policy, and advocacy at local and national levels as well as holding a seat on the RADPAC board. Although I see many patients every year, being involved in advocacy and legislation allows me to reach infinitely more. I am also the creator of the Twitter hashtag #RadsHaveAFace which I developed in an effort to bring radiologists out of the dark and into the light in our rapidly changing healthcare paradigm.