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MedPAC Offers Provider Rate Recommendations for FY 2018

The Medicare Payment Advisory Commission has submitted its annual Medicare payment rate recommendations to Congress. The recommendations, required by law, include: rate increases as required by current law for hospital inpatient payments, hospital outpatient payments, physicians, other health professional services, and outpatient dialysis payments; no updates for ambulatory surgical centers, skilled nursing facilities, long-term-care hospitals, and hospices; and five percent rate reductions for home health agencies and inpatient rehabilitation facilities. MedPAC continued its past practice of recommending reform of the manner in which Medicare pays for post-acute-care services, maintaining that the unified payment system it has proposed would save $30 [&hellip

MedPAC Meets, Discusses Issues

Members of the Medicare Payment Advisory Commission met for two days last week in Washington, D.C. to discuss a number of policy issues important to health care providers.  Among those issues were: a unified payment system for post-acute care hospital and skilled nursing facility use by Medicare beneficiaries who reside in nursing homes refining merit-based incentive payment systems (MIPS) and Advanced Alternative Payment Systems (A-APMs) to encourage primary care Go here to see the issue briefs and presentations used to guide MedPAC commissioners’ deliberations

MedPAC Meets

Last week the independent agency that advises Congress on Medicare payment issues met for two days in Washington, D.C. Among the issues on the agenda of the Medicare Payment Advisory Commission were: payments for hospital inpatient and outpatient services, ambulatory surgery centers, dialysis facilities, and hospice care payments for post-acute-care providers a unified payment system for post-acute-care services Medicare Advantage Medicare Part B and Part D payments Medicare-covered primary care services implementation of the Medicare Access and CHIP Reauthorization Act of 2015 Go here for links to the issue briefs and presentations used at the MedPAC meeting and for a [&hellip

MedPAC Talks Payments

At public meetings in Washington, D.C. last week, members of the Medicare Payment Advisory Commission discussed the adequacy of current Medicare payments and whether they need updating in the next fiscal year. Among the payment areas MedPAC reviewed were inpatient services, outpatient services, physician and health professional services, ambulatory surgical center services, skilled nursing facilities, home health services, inpatient rehabilitation hospitals, long-term-care facilitiies, outpatient dialysis services, and hospices. Find the issue briefs and presentations used to guide these discussions here, on MedPAC’s web site

MedPAC Still Unhappy With Doc Pay

Despite the recent regulation implemented by the Centers for Medicare & Medicaid Services to prevent hospitals from continuing to acquire physician practices so they can receive higher outpatient payments than those physicians receive in private practice, members of the Medicare Payment Advisory Commission appear to think that more needs to be done to equalize physician payments regardless of where they provide outpatient services. Or so MedPAC commissioners discussed during their public meeting in Washington, D.C. last week. One commissioner observed that physicians appear to become less productive when their practice is acquired by a hospital. Others noted the added costs [&hellip

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