Home Health & Hospice Week

Industry Note:

Controversy Dogs New Medicare Board

The tide of provider sentiment may be against the new "Super-MedPAC," but the Obama administration continues to support the Medicare rate-setting board created in the Affordable Care Act. In an op-ed for Politico, HHS Secretary Kathleen Sebelius comes to the defense of the Independent Payment Advisory Board, which is scheduled to take effect in 2014. "Critics say it will ration care and put bureaucrats in charge of the health care system," Sebelius said. "Nothing could be further from the truth." "There are restrictions on what the board can recommend," Sebelius notes in the editorial. "It  is expressly prohibited from making recommendations that ration care, raise premiums, reduce benefits or change eligibility for Medicare." And Congress has the final say on any recommendations. But hundreds of health care groups, including the American Medical Association, have come out against IPAB. The board will have rate-setting authority if Medicare spending exceeds certain levels [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All