American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Reauthorization of the HPSA Surgical Incentive Payment Program

The Affordable Care Act (ACA) created a Medicare incentive payment program for major surgical procedures provided in health professional shortage areas (HPSAs) to increase and improve access to high-quality surgical care in rural and underserved areas. This initiative, called the HPSA Surgical Incentive Payment Program (HSIP), provided a payment incentive to surgeons who performed major operations—defined as those with a 10-day or 90-day global period under the Medicare Physician Fee Schedule—in a geographic HPSA. HPSAs are geographic areas that lack sufficient numbers of physicians to meet the health care needs of an area or population. HPSAs are designated by the Health Resources and Services Administration (HRSA). The HSIP program expired in 2015.

The American College of Surgeons urges Congress to reauthorize the HPSA Surgical Incentive Payment Program for a period of five years. A five-year reauthorization of the HSIP will provide general surgeons, who are a key element of rural, frontline care, with the additional support they need to recover after the crisis and continue serving rural communities.