Ep 170: The History of TEFRA and How It Changed Anesthesia
Beyond The Mask: Innovation & Opportunities For CRNAs · Jeremy Stanley
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Show Notes
Forty years have passed since the Tax, Equity and Fiscal Responsibility Act (TEFRA) became law and this piece of federal legislation changed the way payment and reimbursement was tracked. Today we’ll look back on the history of TEFRA with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, to learn more about the reasons behind it, how the AANA responded, and what revisions have been made through the years.
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What we discuss in this episode:
3:00 – What we’re talking about today
5:05 – Why was TEFRA implemented?
8:04 – Quality of care standard
9:33 – What the practice used to look like?
14:27 – Preparing practitioners
15:36 – What the original rules said
20:32 – Medical supervision and direction
26:56 – 7 conditions of payment
28:49 – AANA’s reaction to TEFRA
31:23 – Concerns between 1993 to 1998
34:32 – Proposed revisions
37:45 – What is immediately available
40:44 – Current TEFRA rules
44:20 – Any updated revisions?
47:15 – Physicians starting schools
51:15 – A book recommendation
52:02 – Final thoughts