Reimbursement Issues Continue to Shape Agenda for 2012
Thursday, January 12, 2012
In one of the first decisions for what is expected to be a uniquely
challenging year for reimbursement policies, the Medicare Payment
Advisory Commission (MedPAC) recommended that Medicare payments for
hospital inpatient and outpatient care in fiscal 2013 be increased by 1
The commission also voted to recommend that Medicare lower payments
to hospital outpatient departments for evaluation and management
services so that they are equal to the reimbursements for those services
when they are provided in a doctor's office.
According to MedPAC projections, the profit margins hospitals have
on Medicare patients will drop from a negative 4.5 percent in 2010 to
negative seven percent in 2012.
In addition, Congress announced this week that a conference
committee will meet later this month to begin negotiations on a long
term solution for the "doc fix," or SGR. A two month extension of
current reimbursement was passed in December.
MDMA's Reimbursement Working Group continues to coordinate member
efforts to address the issues and challenges facing medical technology