It has affirmed IPAB
's Short-Term IDRs at 'F2', its Support Rating at '2', Support Rating Floor at 'BBB+', and its long- and short-term National Scale ratings at 'AAA(mex)' / 'F1+(mex)'.
"Little attention was given to the IPAB
's sweeping powers to limit notjust Medicare spending, but also even healthcare paid for with nongovernmental dollars," said Carol Tobias, president of National Right to Life.
If Medicare exceeds a predetermined growth rate, then IPAB
is "triggered." By law, the president would have to appoint 15 members to serve on the board.
Under the Affordable Care Act, IPAB
has the ability to cut Medicare if the program's expenditures exceed a certain limit.
PPACA drafters created IPAB
in an effort to establish a mechanism for helping Medicare program managers adjust the prices Medicare pays for services such as primary care and various types of specialty care.
Under the ACA, the IPAB
is charged with looking at 5-year Medicare spending trends and recommending cuts for the following year if per capita spending exceeds a set target.
However, recent political history and public choice theory suggest that IPAB
will have the exact opposite effect: it likely will be a paper tiger that will lead to increased spending on low-value medical care.
is the primary means by which the Affordable Care Act (ACA) seeks to control federal healthcare spending.
In an effort to lower the ever-increasing cost of health care, the ACA created the IPAB
based upon an idea that was floated back in 1999 by the National Bipartisan Commission on the Future of Medicare.
is a panel of unelected, government-appointed bureaucrats set up under the guise of "efficiency" and "clinical effectiveness" to "recommend" cuts to Medicare services in order to "bend the cost curve downward." That is government-speak for "spend less money on patient care," declares Vliet, who maintains IPAB
is a threat to patients whose care is denied because of age, condition, and cost based on how many "quality" years the person is expected to live.
protein is encoded by 1743 bp gene with an apparent molecular weight of 57 kDa and its production in E.