MedPAC Continues to Examine Methods on Addressing Reimbursements
Thursday, October 4, 2012
Members of the Medicare Payment Advisory Commission (MedPAC) met this
week to continue examining reimbursements paid to outpatient hospital
departments and stand-alone doctor's offices.
This past winter, MedPAC recommended that payments for evaluation and
management services paid to outpatient departments be lowered so they
are equal to payments to doctor's offices. MedPAC is also looking at
other ambulatory care services in an effort to "equalize" payments,
which could save Medicare between $1 billion and $5 billion over five
The issue continues to gain prominence as more hospitals are
purchasing physician practices and consolidating systems. Of the 100
hospitals whose payment reductions would be reduced the most, a majority
are specialty hospitals and many are orthopedic/surgical hospitals.
While MedPAC noted that they are not yet at the point of crafting a
draft recommendation, MDMA continues to work with the commission and
policy makers to ensure that medical technology innovators obtain timely
and adequate reimbursements.