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* 1. Name:

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* 2. Email:

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* 3. Affiliation with the Society:

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* 4. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

Bundled Payment Program

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* 5. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

Accountable Care Organizations (ACOs) 

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* 6. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

Stark Law

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* 7. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

The federal regulatory rule-making process

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* 8. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

The process for creating and valuing new CPT codes  

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* 9. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

The role of the RBRVS Update Committee (RUC)

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* 10. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

Medicare Access and CHIP Reauthorization Act (MACRA)

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* 11. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

 Advanced Alternative Payment Models (AAPMs)

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* 12. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

Quality Payment Program (QPP)

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* 13. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

Merit-Based Incentive Payment System (MIPS)

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* 14. How familiar or knowledgeable are you with any of the following?
Rate each item on a scale of 1-5 with 1 being not at all familiar and 5 being very familiar:

SCAI Advocacy Committee

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* 15. SCAI Political Action Committee (SCAI-PAC)

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* 16. Rate each item on a scale of 1-5 with a score of 1 being strongly disagree and 5 being strongly agree. If you do not have an opinion, mark that box.

  1- Strongly Disagree 2- Disagree 3 -Neutral 4-Agree 5 - Strongly Agree No Opinion
SCAI should be actively engaged in the national discussion over healthcare reform.
The overall cost of medical care is too high and SCI should be a leader in initiatives to reduce the cost of healthcare.
As a general principal, government involvement in health care is counterproductive and SCAI should work to oppose measures that expand the influence of government on healthcare.
SCAI should actively seek collaboration with other professional societies when making decisions regarding healthcare reform.
SCAI should be a leader in healthcare reform as it relates to our specialty.
SCAI has an obligation to our patients to oppose quality measures that might limit access to care.
SCAI has an obligation to our membership to oppose measures that might negatively impact reimbursement.
As proposed by CMS, the AMI bundled payment program would have been a positive advance in healthcare reform.
If the AMI bundled payment program were to be reintroduced in the same form, SCAI should support such rule.
SCAI should support voluntary participation in the bundled payment programs rather than mandatory.
SCAI should oppose any bundled payment program.
SCAI should be actively engaged in lobbying for members' interests.
SCAI should retain and promote SCAI-PAC in support of SCAI's lobbying initiatives.

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