Kaiser Daily Health Policy Report Highlights Recent Medicare News - Medical News

Thursday 28 July 2005 - 12am PSTKaiser Daily Health Plan Record analyzes current news connected to Medicare. Summaries show up below.

  • Advanced diagnostics reimbursements: The Advanced Medical Technology Association, the biggest medical gadget profession team, on Tuesday launched a project to modify the Medicare repayment formula for state-of-the-art diagnostics. AdvaMed mentioned a report prepared by the Lewin team that discovered existing Medicare reimbursements for brand-new diagnostic examinations "archaic, not practical and significantly flawed," in component considering that they require the program to pay the exact same amount or less for brand-new examinations when it comes to aged examinations, although brand-new examinations might offer even more advantages. Baseding on the research, Medicare has actually not modified the fee timetable for diagnostic examinations for inflation in 13 of the last 15 years and will not make added revisions till after 20.08. The research also discovered that complex Medicare coding and repayment processes offer doctors without reward to prescribe and utilize brand-new diagnostic examinations, a fad that has actually had an unfavorable impact on the Health of beneficiaries (CQ HealthBeat [1], 7/26).
    The research is available.

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  • Healthcare facility reimbursements: Sixty-one senators and 127 House participants sent a letter to Supervisor Mark McClellan asking him to turn down suggested revisions to a transition Plan connected to Medicare reimbursements for acute Healthcare facility hygiene. Under the existing Inpatient Potential Payment Device, Medicare beneficiaries in medical centers in 30 diagnosis relevant teams are specified as "transitions," as opposed to "discharges," when their length of remain in acute hygiene centers is greater than someday less compared to the nationwide standard. Medicare reimburses .medical centers less for transitions compared to for discharges. A recommended modification advises that CMS expand the transfer Plan to regarding fifty percent of the greater than 500 DRG teams, a technique that the lawmakers said could "lessen essential Medicare paymentsbillion over monetary year 2006-2010." The letter also said that CMS does not have the authority to expand the number of DRG teams under the transfer Plan (CQ HealthBeat [2], 7/26).

  • Physician reimbursements: A group of 89 senators led / /" target="_ blank")Us senate Finance Task force Chair Chuck Grassley (R-Iowa) and Sen. Max Baucus (D-Mont.) on Monday sent a letter to Workplace of Administration and Budget plan Supervisor Joshua Bolten that asked him to use his administrative authority to get rid of Medicare component B prescription drugs from the formula utilized to compute Physician reimbursements. The letter said, "One of more major imperfections is the incorporation.


    of component B drugs in the sustainable development price formula considering that the price of development in expense of component B drugs is beyond the control of doctors. If component B drugs are taken out from the Physician Payment baseline, anticipated cuts would not be as high or as enduring." The lawmakers added that administrative revisions to the formula "will permit Congress to focus on a lasting remedy that will support Physician payments in the future." House Ways and Means Task force Chair Expense Thomas (R-Calif.) asked McClellan to take comparable activity in June (CQ HealthBeat [3], 7/26).


  • prescription drug benefit: Republican politician lawmakers plan to utilize the five-week legislative recess scheduled to start in August in component to market the brand-new Medicare prescription drug benefit. Republican lawmakers, along with outdoors teams, "are preparing exactly what likely will be a months-long effort to guarantee that" of the brand-new prescription drug benefit for the 2006 election cycle, Baseding on CongressDaily. Deborah Pryce (R-Ohio), chair of the, on Thursday will work with a meeting with outdoors teams to talk about proposals to market the Medicare prescription drug benefit. Pryce said that HRC will "lean heavily" on doctors and pharmacists to assist inform beneficiaries regarding the benefit and will talk about marketing efforts with company teams. Republican lawmakers also have begun to movie civil service news on the Medicare prescription benefit to run in their local areas, and HRC has actually coordinated with HHS Secretary Mike Leavitt for a "post-Thanksgiving push" to encourage households to talk about the program with older loved ones, CongressDaily reports (Davis, CongressDaily, 7/27).

CongressDaily Column
Health prepares "are gathering" to offer prescription drug strategies, a fad that has both favorable and negative ramifications, Emily Heil fills in a CongressDaily column.

Medicare beneficiaries will have a wide range of selections under the prescription drug benefit, which could "equal even more confusion for senior citizens already unpredictable regarding browsing the brand-new drug law," Heil creates (Heil, CongressDaily, 7/27).
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