staff estimates that in 2013, retail drugs made up 13% of Medicare spending, versus 9% of national health expenditures.
Thomas said, I think the whole focus for MedPAC
is just to really make sure we make good decisions surrounding the Medicare program so that it s sustainable and it s fiscally responsible .
Mary Naylor, PhD, RN, from the University of Pennsylvania School of Nursing and a MedPAC
member, stated, "I would really wonder whether or not we couldn't create the conditions of participation that say you can't restrict the use of people.
And, while providers contend that they lose money on Medicaid and count on higher Medicare payments to close the gap, robbing Peter to pay Paul doesn't fly with politicians and regulators for myriad reasons, including an argument by MedPAC
Principal Policy Analyst Carol Carter that using Medicare to subsidize Medicaid would help facilities with many Medicare patients--the facilities that need help the least.
In formulating their proposal, MedPAC
staffers sought to address four key concerns:
While the Senate bill phases in lower payments over four years, the MedPac
recommendation, if adopted, "would give providers no chance of adjusting to these cuts," he said.
overwhelmingly supports the creation of a national database to collect information about payments between drug and device manufacturers and physicians.
We believe this is again a reasonable recommendation, given that margins are higher in 2006 than they were in 2005 and are more than adequate to accommodate cost growth," said MedPAC
consultant Carol Carter, PhD, as she presented the draft ruling at the December meeting.
Senate Finance Committee, Glenn Hackbarth, chairman of MedPAC
, said Medicare Advantage has "become a program in which there are few incentives for efficiency.
is an independent federal body established by the Balanced Budget Act of 1997 to advise Congress on issues affecting the Medicare program.
also wants to implement a site-neutral postacute payment system.
In this article, we review recent discussions of Medicare payment policy that have appeared in MedPAC