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Medicare Physician Payment Reform Bills Released by Congressional Committees
The Senate Finance Committee and House Ways and Means Committee jointly released their draft legislation to reform physician payment under Medicare on October 30.
The Senate Finance Committee and House Ways and Means Committee jointly released their draft legislation to reform physician payment under Medicare on October 30. The Committees provided an eight page summary of the proposed bill and have asked ASH and other specialty societies to provide comments by November 12.
Briefly, the proposed legislation does the following:
- Repeals the Sustainable Growth Rate (SGR) formula preventing a 24 percent cut in physician payment in 2014 and annual cuts thereafter.
- Freezes the conversion factor (monetary index used to determine physician payment under the Medicare Physician Fee Schedule) for 10 years.
- Starting in 2017, physician payments would be adjusted based on the physician's performance in a Value-Based Performance Payment Program (VBP).
Read the full story here: http://bit.ly/17IDlQa
Source: ASH
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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