Ep 170: The History of TEFRA and How It Changed Anesthesia

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