Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy, Second Edition
Автор:Committee on Geographic Adjustment Factors in Medicare Payment, Board on Health Care Services, Insti Год: 2012 Издание: [не указанo] Страниц: 206 ISBN: 030921145, 030921145X, 030921145X Medicare is the largest health insurer in the United States, providing coverage for 39 million people aged 65 and older and 8 million people with disabilities, and reaching more than an estimated $500 billion in payments in 2010. Although Medicare is a national program, it adjusts fee-for-service payments according to the geographic location of a practice. While there is widespread agreement about the importance of providing accurate payments to providers, there is disagreement about how best to adjust payment based on geographic location. At the request of Congress and the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) examined ways to improve the accuracy of data sources and methods used for making the geographic adjustments to payments. The IOM recommends an integrated approach that includes moving to a single source of wage and benefits data; changing to one set of payment areas; and expanding the range of occupations included in the index...
