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ACNM Policy Update - 12/11/2015

1. ACNM President Ginger Breedlove Testifies on Capitol Hill

2. Are You Aware of an Innovative Payment Model for Maternity Services?

3. ACNM to Host Webinar on Medicare Physician Fee Schedule – The Basis of How You get Paid

4. ACNM to Host Webinar on Midwifery’s Place in the Maternity Care Workforce

5. Institute for Patient Access Releases a Policy Brief on "The Value of Human Milk Diets for Premature Infants”

6. Participate in ACNM’s Member Get a Member Drive – Win a Free Membership Renewal


1. ACNM President Ginger Breedlove Testifies on Capitol Hill

On Thursday, Wednesday, December 9, ACNM President Ginger Breedlove, PhD, CNM, FACNM testified before the Health Subcommittee of the House Committee on Energy and Commerce regarding H.R. 1209, the Improving Access to Maternity Care Act of 2015. As ACNM members are aware, this legislation would establish a health professional shortage area designation for maternity care services, similar to shortage designations that exist for primary care, dental and mental health services. This designation would help to identify areas in the US that experience significant shortage of full scope maternity care professionals, including certified nurse-midwives (CNMs) and certified midwives (CMs). ACNM’s press release on the event is available here, and materials related to the hearing can be accessed here.

The informational hearing is an important step in the legislative process for this bill. ACNM expects that in the new year the Committee will take up the legislation for a markup and vote before then reporting it to the full House for consideration.

2. Are You Aware of an Innovative Payment Model for Maternity Services?

To help achieve better care, smarter spending, and healthier people, the Department of Health and Human Services (HHS) is working in concert with partners in the private, public, and non-profit sectors to transform the nation’s health system to emphasize value over volume. This partnership, known as the Health Care Payment Learning and Action Network (HCPLAN) has established a small taskforce whose job it is to come up with alternative payment models that emphasize value for specific episodes of care. One of the episodes on which they will be working is maternity care.

Carol Sakala, who works with Childbirth Connections, has been selected to participate on that taskforce and has requested that any ACNM members who are aware of innovative, value-based reimbursement models for maternity care forward details on those models to her so that she can be aware of them while working with the HCPLAN taskforce. If you have such information, please forward it to me at [email protected] and I will ensure that Carol receives it.

If you’re interested in the work of the HCPLAN, they will be holding a listening session for providers on Wednesday, December 16, from 12 – 1:15 pm ET. During that session they will be soliciting provider perspectives on a draft white paper on alternative payment models (APMs). ACNM has previously joined other provider organizations to comment on draft versions of this document.

3. ACNM to Host Webinar on Medicare Physician Fee Schedule – The Basis of How You get Paid

On Thursday, December 17 from 1:00 – 2:00 pm ET, ACNM will host a webinar to go over the basics of the Medicare physician fee schedule. This fee schedule is the basis for the reimbursement methodology used by most payers, so even if you see no Medicare beneficiaries, it behooves you to understand how those payments are calculated. If you don’t know how you’re reimbursed, you can’t know how to prove your worth. The goal is to go over the basics of how payments are calculated as well as a few policies related to payment to CNMs (note that CMs are not currently approved Medicare providers). To register for the webinar, visit ACNM’s website.

4. ACNM to Host Webinar on Midwifery’s Place in the Maternity Care Workforce

ACNM has recently completed a significant analysis of the place of midwives in the US maternity care workforce. The goal of this analysis was to discuss the roots of the existing and worsening shortage of maternity care professionals in the US, describe how midwives could be used to address that shortage, and then put forth specific policy goals to facilitate the education of larger numbers of midwives. ACNM members may find this presentation useful for various purposes and are encouraged to review it, as well as a long and short set of talking points associated with this work.

ACNM will host a webinar on Tuesday, February 9, from 1:00 – 2:00 pm ET during which I will go over these materials and entertain questions. For now, just put a hold on your calendar if you are interested. Details related to registration will be forthcoming.

5. Institute for Patient Access Releases a Policy Brief on "The Value of Human Milk Diets for Premature Infants”

The Institute for Patient Access has released a policy brief on The Value of Human Milk Diets for Premature Infants. Authored by Mitchell Goldstein, MD, medical director the National Coalition for Infant Health, the brief explores the value of human milk diets, the importance of safety measure for donor milk and the access barriers that some mothers and premature infants face.

6. Participate in ACNM’s Member Get a Member Drive – Win a Free Membership Renewal

Don't forget to take advantage of the opportunity offered through ACNM’s new “Member get a Member” campaign to get some free CEUs. This is a fantastic way to win a great prize and strengthen ACNM. In doing so, you strengthen our association AND make our advocacy efforts more powerful. So grab your midwifery colleagues and friends andsign ‘em up! Then tell them to useACNM’s Action Centerto write their legislators about issues important to midwives.


Should you have questions about state issues, please contact Cara Kinzelman, ACNM's Associate Director of State Government Affairs at[email protected]or 240-485-1841.

If you have questions regarding federal issues, please contact Jesse Bushman, ACNM’s Director of Advocacy and Government Affairs at[email protected]or 240-485-1843.


Not an ACNM member? You can access all of the member benefits, including receipt of every ACNM Policy Update, byjoining today.

Want to take action or get involved? Contact ACNM'sGovernment Affairs Committee.

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