Since the inception of Maintenance of Certification (MOC®) by the American Board of Internal Medicine (ABIM) tied to our initial board certification credential in 1990, the costs of “maintaining” initial certification through “continuous certification” have steadily climbed by way of the threat of invalidating our initial certification credential.
Nothing is different with the new “Continuous Maintenance Pathway” proposed 15 Mar 2019 by the American College of Cardiology (ACC). In fact, the monetary demands are an order of magnitude greater for working heart specialists and cloaked in smooth propaganda published in the Journal of the American College of Cardiology.
To compare apples to apples, it is important to compare 10-year out-of-pocket costs required from physicians participating in MOC®. By way of background, the cost for “Maintenance of Certification” from the ABIM in 2000 was $795 every 10 years.
Here is a breakdown of the costs cardiologists and cardiac electrophysiologists will incur by participating in the “Continuous Maintenance Pathway” proposed by the ACC and the ABIM:
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If you are an ACC member, you get to pay even more to the ACC, despite what their website says.
Here’s the breakdown for ACC members:
$795 initial ACC membership fee + $150 admin fee x 10 years LESS $400 credit on CMP program every 5 years x 2 = $1495 PLUS $1500 every 5 years to ACC for CMP x 2 = $3000 PLUS $160 per year to ABIM x 10 years = $1600 GRAND TOTAL = $6095 every 10 years of MOC/CMP (or $609.50 / year)And let’s not forget this VERY important adhesion condition for these fees:
(Click to enlarge)
In summary, the ACC’s new Continuous Maintenance Pathway is one of the most shameful money grabs from US cardiologists and cardiac electrophysiologists imaginable and represents a remarkable 654% increase in fee payments for MOC® since 2000 for non-ACC members and an incredible $766% increase in fees for ACC members for MOC® since 2000. More importantly, the ACC leverages (ties) CMP to the threat to a physician’s ABIM board certification status (and therefore their right to work) and I believe represents a restriction of trade and is in violation of US anti-trust and racketeering laws.
It is truly unbelievable that the ACC and the Heart Rhythm Society would do this to their own membership, but then again, given their prolific financial balance sheets, maybe it’s not so unbelievable after all.
-Wes
PS: Please help support the federal antitrust class action lawsuit against the American Board of Internal Medicine by contributing here.
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