Government Relations Committee

Health Policy and Socioeconomic Committee

The four Task Forces listed below receive oversight and direction from the Health Policy and Socioeconomic Committee which is comprised of the SGO Executive Committee and the Chairs of each Task Force. Task Force members will engage in several projects during the year, some of which require Task Forces to work together.

Members will be selected for their expertise or willingness to learn and their ability to dedicate sufficient time to work on projects both independently and within working groups. Task Force Members must be dedicated, attentive and able to conduct research and complete assignments in a timely manner. The Legislative and Regulatory Affairs Task Force and the Future of Physician Payment Reform Task Force recently published Current and future efforts of the Future of Physician Payment Reform Taskforce and the Legislative Affairs Taskforce (March 2017).

Coding and Reimbursement Task Force

Represents the interest of gynecologic oncologists regarding regulatory and other issues, such as CPT code applications and RUC surveys that impact coding, billing and reimbursement.

Task Force Responsibilities:

  • Makes recommendations on coding education content and programs
  • Assists in the development and presentation of coding webinars and lectures as requested by the chair
  • Participates in answering coding questions submitted through SGO website and reviews the archived online Q & A
  • Assists in the review and development of coding information and tools found on the SGO website
  • Makes recommendations with regards to development and/or revision of CPT and/or ICD codes; responsible for completing necessary documentation
  • Reviews variations for new or existing CPT codes through AMA/ Specialty Society Relative Value Scale Update Committee (RUC) and provide comment when necessary
  • Is or becomes well versed in the RUC surveying process
  • Monitors coding and reimbursement regulations pertinent to the SGO membership
  • Review annual Medicare Physician Fee Schedules and provide arguments for comment letter
  • Provide clinical responses and arguments to NCCI edits

This Task Force is recommended for Members who are:

  • Interested in CPT coding and Medicare reimbursement policy or have already developed specific expertise related to CPT coding and reimbursement
  • Willing to review federal regulations and provide comment with guidance from Staff Liaison
  • Able to dedicate time to complete short-term projects and research/answer incoming coding questions

Time Commitment:

  • Participation in bi-monthly conference calls throughout the year and one committee meeting per year at the Annual Meeting on Women’s Cancer.
  • Serve as resource on a rotating basis to SGO staff for coding questions submitted via email
  • Minimum 1-3 hours per month depending on projects being conducted
  • Attend at least one coding webinar or live coding presentation and develop a functioning expertise in CPT and ICD-10 coding and Medicare reimbursement policy and processes

Legislative and Regulatory Affairs Task Force

Monitors legislative and regulatory activity at the national level and proposes new policies and programs where appropriate and participates in grassroots activities.

Task Force Responsibilities:

  • Ensures that policies enacted and implemented by government are favorable to SGO members by monitoring and reviewing draft regulations and legislation and its applicability for gynecologic oncology practice
  • Assists with drafting SGO responses to federal regulations, e.g., Annual Medicare Physician Payment Rules, other Medicare and Public Health Service Regulations
  • Recruits SGO members for SGO Congressional Ambassadors program to conduct grassroots programs in contacting members of congress and policymakers
  • Educates members of congress and other national policy figures in support of programs that impact gynecologic oncology
  • Determines SGO’s involvement in issue specific coalitions
  • Actively supports continuation of the Ovarian Cancer Research Program at the Department of Defense

This Task Force is recommended for Members who are:

  • Interested in public policy and its impact on the practice of gynecologic oncology and the research funding for these cancers
  • Willing to contact their elected officials and also meet with them in their district offices
  • Have a relationship with their elected officials
  • Interested in issues related to NCI such as research funding and clinical trials
  • Interested in Medicare reimbursement issues
  • Willing to participate in workgroups and complete writing assignments

Time Commitment:

  • Participation in bi-monthly conference calls, intermittent work group calls as assigned, and one committee meeting per year at the Annual Meeting on Women’s Cancer.
  • Minimum 1-4 hours per month to complete specific projects
  • Complete calls and submit letters multiple times throughout the year to elected officials
  • Schedule a district office visit or practice tour with elected official(s)

Future of Physician Payment Reform Task Force

Monitors the ongoing transition from a fee-for-service system to a value-based system, leads the change to prepare SGO members’ practices for payment reform while ensuring the delivery high-quality and cost-effective gynecologic oncology care.

Committee Responsibilities:

  • Becomes familiar with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its implications to physician payment
  • Develops forward-thinking practice models for physician payment
  • Considers policies to support SGO members and address multidisciplinary practice and management issues
  • Monitors Medicare local coverage policies and private insurance coverage policies for new technology and for limitation on existing procedures. Coordinate SGO’s response
  • Provides expertise to the Centers for Medicare and Medicaid Innovation (CMMI) in defining alternative payment models for gynecologic oncology
  • Develops relationships with private payors and educate them on gynecologic oncology
  • Interfaces with insurance companies to test bundled payment models
  • Networks and represent the interests of SGO within other medical societies and collaborate when appropriate
  • Develops and provide education and communications to SGO members regarding the future of physician payment

This Committee is recommended for Members who are:

  • Committed to leading change and preparing SGO members for the upcoming changes to Medicare payments starting in 2019
  • Experienced/interested in developing care pathways and payment models for testing and implementation
  • Interested in collaborating with fellow organizations in the oncology community to learn/share knowledge developing alternative payment models
  • Able and willing to commit significant time and energy completing research and workgroup projects such as developing optimal care pathways and payment models for gynecologic cancers

Time Commitment:

  • Participation in bi-monthly conference calls, intermittent work group calls as assigned, and one committee meeting per year at the Annual Meeting on Women’s Cancer.
  • Possible meetings with payers and other medical societies regarding APM development and acceptance.
  • Spend a minimum of 15-25 hours per year on various project development, research, etc.

Policy, Quality and Outcomes Task Force

Monitors opportunities for SGO members to participate in quality reporting programs, assumes a leadership role in defining indicators of quality care and fosters the development of tools and expertise to advance the delivery of high quality gynecologic oncology care.

Committee Responsibilities:

  • Keeps informed of all emerging quality and outcomes issues in Gynecologic Oncology
  • Becomes familiar with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its implications to physician payment
  • Develops and tests quality measures to submit to National Quality Forum (NQF) and Physician Quality Reporting System (PQRS)
  • Monitors incentive and penalty payment programs such as PQRS for Medicare
  • Monitors development of measurement systems, addressing challenges of quality measurement and evaluation, providing input to the future design of effective quality reporting systems
  • Identifies potential areas for improvement in efficiencies of care in gynecology oncology
  • Develops quality measures for the subspecialty of gynecology oncology in concert with the registry workgroup
  • Works closely with the SGO Clinical Outcomes Registry (COR) leadership to implement developed measures into the COR and monitor the collection and analysis of the data to ensure accurate validation
  • Collaborates with fellow organizations to learn more/exchange ideas about improving the quality of women’s health care
  • Participates in various appropriate roundtable discussions concerning issues in the quality of care for women with gynecologic malignancies
  • Provides educational materials to SGO members regarding quality reporting programs and policies

This Committee is recommended for Members who are:

  • Driven to improve the practice of gynecologic oncology care by increasing awareness of outcomes data and applying this knowledge into practice
  • Experienced/interested in developing outcomes and other quality measures
  • Experienced/Interested in Comparative Effective Research
  • Interested in collaborating with fellow organizations in the oncology community to learn/share knowledge of emerging issues in quality of care
  • Able and willing to commit time and energy completing workgroup projects

Time Commitment:

  • Participation in bi-monthly conference calls, intermittent work group calls as assigned, and one committee meeting per year at the Annual Meeting on Women’s Cancer.
  • Completion of various documents related to quality measures submissions to CMS, NQF, etc.
  • Possible attendance at meetings to advocate for SGO developed measures
  • Spend a minimum of 10-20 hours per year on various project development, research, etc.