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Original publisher: Washington : U.S. G.P.O. : For sale by the Supt. of Docs., U.S. G.P.O., 2004. LC Number: KF27 .W344 2003 OCLC Number: (OCoLC)56203843 Subject: Medicare. Excerpt: ... 11 patient payment increase for all hospitals taken together. All hospital groups we evaluated show an increase, although the magnitude differs. For example, rural hos-pitals and hospitals in smaller urban areas would receive increases greater than the market basket ( 4.2 % and 3.6 %, respectively ). Hospitals in large urban areas, on the other hand, would receive an increase less than the market basket ( 2.7 % ). In short, the groups with lower margins before our recommendations would receive higher in-creases. A final important issue is the current indirect medical education adjustment to inpatient payments. That adjustment of an additional 5.5 percent for each 10 per-cent increase in the resident-to-bed ratio, provides payments about twice the level justified by the empirical evidence of the relation between teaching activity and hos-pitals ' Medicare costs. The Commission is not satisfied with the current policy be-cause there is no accountability for the use of the payments above the empirical level. We will explore ways to better target those payments to advance specific Medicare policy objectives through increased accountability. Physician services - Medicare payment rates for physician services are based on a fee schedule and are updated annually based on the sustainable growth rate sys-tem that ties updates to growth in the national economy and other factors. Under this system, the update for 2003 would have been negative 4.4 percent. CMS imple-mentation of recent Congressional action, however, is now expected to produce a positive update of 1.6 percent for 2003. When assessing payment adequacy we find a mixed picture. The number of physi-cians billing Medicare has increased and national indicators of access are still good. There are, however, anecdotal reports of acce
Fler böcker av United States. Congress. HouseReport of the Select Committee to Investigate Communist Aggression Against Poland, Hungary, Czechoslovakia, Bulgaria, Rumania, Lithuania, Latvia, Estonia, East Germany, Russia, and the Non-RussianPaperback 2011
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MedPAC report on Medicare payment policies: hearing before the Subcommittee on Health of the Committee on Ways and Means
Bokrecensioner » MedPAC report on Medicare payment policies: hearing before the Subcommittee on Health of the Committee on Ways and Means
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