The Commission recommends Advanced Practice Registered Nurses (APRNs) and Physician Assistants (PAs) bill Medicare directly, eliminating “incident to” billing for their services.
This year, in addition to its traditional margin calculation, the Commission is considering a new aspect of the relationship between Medicare payments and providers’ costs: Medicare payments relative to providers’ marginal costs, i.e. marginal profit.
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repealed the sustainable growth rate (SGR) system and established a new approach to updating payments to clinicians. In order to implement MACRA, CMS will need to conduct rulemaking over the next two years to establish specific definitions for the APM and MIPS payment paths. This post provides a guide to some of the key requirements of the law.
MedPAC’s March 2015 report continues the Commission’s focus on increasing support for primary care with a recommendation to create a per beneficiary payment for primary care providers.
At our November meeting, we had a session on beneficiary access to hospital services, which was the first part of MedPAC’s yearly work on payment updates. Here’s an explainer on why we do this work and what it entails…
At MedPAC’s October public meeting, the Commission had a session that focused on how Medicare can get the payment rates right in its fee schedule for physicians, nurses, and allied health professionals.