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By Ginger - Site Admin on Monday, January 18, 2016 12:16 PM
Last week, the Medicare Payment Advisory Commission (MedPAC) approved a multi-layered recommendation that would grant hospitals a full payment update for 2017, as well as cutting payments for 340B drugs and redirecting some of the savings into uncompensted care funds that the Commission stated would benefit more hospitals under a new Medicare-based calculation than the current one based on Medicaid days. Three Commissioners opposed the recommendation.

Commission Chairman Francis Crosson noted hospitals would gain $3 billion in payments, while Medicare beneficiaries would gain some out-of-pocket savings on drug costs directly and others could benefit later if Medigap insurers pass savings along by lowering premiums. Opponents stated the policy recommendation could hurt some providers and strayed beyond MedPAC's competency in addressing the 340B program.

What You Need to Know

MedPAC voted to give hospitals a full 2017 Medicare payment update currently projected at 1.75 percentage points....
By Ginger - Site Admin on Monday, January 18, 2016 12:08 PM
The Medicare Payment Advisory Commission (MedPAC) unanimously approved seven recommendations on payment systems last week. The recommendations approved were:

Recommendation 1: Physicians and other health professionals The Congress should increase payment rates for physician and other health professional services by the amount specified in current law for calendar year 2017.

Recommendation 2: Ambulatory Surgical Centers The Congress should eliminate the update to the payment rates for ambulatory surgical centers for 2017. The Congress should also require ambulatory surgical centers to submit cost data.

Recommendation 3: Dialysis Facilities The Congress should increase the outpatient dialysis payment rate by the update specified in current law for calendar year 2017.

Recommendation 4: Skilled Nursing Facilities The Congress should eliminate the market basket for 2017 and 2018 and direct the Secretary to revise the prospective payment system (PPS) for skilled...
By Ginger - Site Admin on Friday, January 16, 2015 3:28 PM
The Medicare Payment Advisory Commission (MedPAC) held a second session on January 15 – on post-acute care and site-neutral payments between skilled nursing facilities (SNFs) and inpatient rehabilitation facilities (IRFs).

What You Need to Know: Commissioners voted unanimously for a recommendation that would make payment site-neutral between IRFs and SNFs for a set of conditions yet to be determined by the Secretary over a three year period. MedPAC believes this recommendation would decrease Medicare payment by between $1 billion and $5 billion without negative impact on beneficiaries.   The Commissioners voted unanimously to support a recommendation that would eliminate the difference in payment between inpatient rehabilitation facilities (IRFs) and skilled nursing facilities (SNFs) for selected conditions.  Reductions in payment to IRFs would be phased in over three years.  Note that the Secretary of the U.S. Department of Health & Human Services (HHS) would decide which conditions would...
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