Archive for the ‘Physicians’ Category

One of the most far-reaching innovations in the PPACA is the creation of an Independent Payment Advisory Board (IPAB), which will allow changes in Medicare reimbursement rules to be fast-tracked starting in 2015.  The purpose of the IPAB is to reduce the per capita rate of growth in Medicare spending.

Effective immediately, the annual market basket updates are being reduced for 15 different types of Medicare services.  The statute expressly provides, as to each of the following services that, as a result of these adjustments, a provider’s or supplier’s annual percentage increase,  may be less than zero percent in a fiscal year and thus may […]

With the obvious intent to improve access to primary care for Medicaid recipients, the Health Care and Education Affordability Reconciliation Act of 2010 will increase Medicaid payment rates to at least the level of the Medicare rates for Evaluation & Management (E&M) codes in 2013 and 2014.  The new rates will be available to all […]

The Commonwealth Fund has developed interactive tables for side-by-side comparisons of the system reforms and insurance coverage provisions in the two health reform bills.  After clicking on the link, check the box for the House bill or the Senate bill (both if you want to see a comparison), then click on the subject matter that […]

Under health reform, federal law would finally require private health insurance companies to pay hospitals that treat real medical emergencies for that care.