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An Electronic Briefing Book
Tab 10
Medicare's Many Providers, Many Payment Systems
[Speakers]
Mark Miller, PhD, Executive Director, Medicare Payment Advisory Commission, and A. Bruce Steinwald, Director, Health Care, Government Accountability Office
"Medicare Payment System Design: An Overview" (PDF of PowerPoint Presentation)
[Session Chair]
Michelle Easton, Chief Health and Welfare Counsel (D), Senate Committee on Finance
[Briefing Materials]
- "Medicare Physician Payments and Spending"
Laura A. Dummit, National Health Policy Forum, Issue Brief 815, October 9, 2006; available at www.nhpf.org/pdfs_ib/IB815_PhysicianSpending_10-09-06.pdf
- "Updating Medicare's Physician Fees: The Sustainable Growth Rate Methodology"
Laura A. Dummit, National Health Policy Forum, Issue Brief 818, November 10, 2006; available at www.nhpf.org/pdfs_ib/IB818_SGR_11-10-06.pdf
- "Hospital Acute Inpatient Services Payment System"
Medicare Payment Advisory Commission (MedPAC), paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_hospital.pdf
- "Physician Services Payment System"
MedPAC, paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_Physician.pdf
- "Outpatient Hospital Services Payment System"
MedPAC, paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_OPD.pdf
- "Clinical Laboratory Services Payment System"
MedPAC, paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_clinical_lab.pdf
- "Critical Access Hospitals Payment System"
MedPAC, paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_CAH.pdf
- "Ambulatory Surgical Centers Payment System"
MedPAC, paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_ASC.pdf
- "Outpatient Therapy Services Payment System"
MedPAC, paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_OPT.pdf
- "Outpatient Dialysis Services Payment System"
MedPAC, paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_dialysis.pdf
- "Psychiatric Hospital Services Payment System"
MedPAC, paymentbasics, revised September 2006; available at www.medpac.gov/publications/other_reports/ Sept06_MedPAC_briefs_psych.pdf
- "Medicare Physician Services: Use of Services Increasing Nationwide and Relatively Few Beneficiaries Report Major Access Problems" (GAO-06-704)
GAO, July 2006; available at www.gao.gov/new.items/d06704.pdf
- "Medicare: CMS's Proposed Approach to Set Hospital Inpatient Payments Appears Promising" (GAO-06-880)
GAO, July 2006; available at www.gao.gov/new.items/d06880.pdf
- "Medicare Physician Payments: Trends in Service Utilization, Spending, and Fees Prompt Consideration of Alternative Payment Approaches" (GAO-06-1008T)
Statement of A. Bruce Steinwald, Government Accountability Office (GAO), July 25, 2006; available at www.gao.gov/new.items/d061008t.pdf
- "Medicare Physician Payments: Concerns About Spending Target System Prompts Interest in Considering Reforms" (GAO-05-85)
GAO, October 2004; available at www.gao.gov/new.items/d0585.pdf
- "End-Stage Renal Disease: Bundling Medicare's Payment for Drugs with Payment for All ESRD Services Would Promote Efficiency and Clinical Flexibility" (GAO-07-77)
GAO, November 2006; available at www.gao.gov/new.items/d0777.pdf
- "Medicare Part B Drugs: CMS Data Source for Setting Payments is Practical but Concerns Remain" (GAO-06-971T)
- "Medicare Payment Policies"
Sibyl Tilson et al., Congressional Research Service (CRS), updated January 25, 2007; available only to congressional staff through CRS, order code RL30526, from www.crs.gov
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