Key Issues of Health Care Policy

The Society of Hospital Medicine (SHM) has identified critical health care policy areas that impact hospital medicine. Learn how you can get involved in SHM’s advocacy efforts at the links below.


Observation Status

Policies for observation status and the inpatient admission decision put significant pressure on hospitalists and their patients. Learn more about SHM's efforts to improve observation policy.



Physician Value-Based Payment

The Physician Quality Reporting System (PQRS) and the Value-Based Payment Modifier are the key programs of Medicare’s quality and efficiency assessment for pay-for-performance.



Macra and Payment Reform

The Medicare Access and CHIP Reauthorization Act (MACRA) repealed the SGR and instituted significant reforms to the Medicare physician payment system. Learn more about the new reforms and how to be prepared.



Health Information Technology

Encompassing Meaningful Use, electronic health records and health information exchanges, health information technology (HIT) is already changing healthcare and will mean even more changes in the future.



Health Information Technology

Medicare’s pay-for-performance program designed to incent hospitals on meeting certain performance thresholds.