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IPAB Has to Go, Providers and Advocates Urge

Cheryl Clark, for HealthLeaders Media, April 26, 2013

The IPAB is one of the most controversial provisions in the Patient Protection and Affordable Care Act.

Two federal lawmakers participated in a teleconference town hall Thursday sponsored by the council.

"Most people don't realize that this group will only be able for the most part to cut reimbursement rates to facilities and to providers," said Rep. Paul Gosar, (R-AZ), who said 80% of the seniors in his district are eligible for both Medicare and Medicaid, dual eligibles, because "we are a very poor district."

"And right now, we have an open rebellion, because the providers aren't getting paid and are restricting access (for dual eligibles) because of the mechanism of payment.

"You can't expect the private sector to absorb the losses the federal government is dictating."

Rep. Jim Matheson, (D-UT), added that the IPAB provision of the health reform law needs to be repealed because "it focuses on short-term cuts, and doesn't look at structure changes. I'm also concerned that it would not have any physician input."

In an interview, Grealy explained that some of the concern is that the IPAB would focus on cuts, rather than on restructuring the healthcare payment system to focus on outcomes, wellness and prevention. With draconian cuts, healthcare costs will be shifted to employers and employees in the private sector, the group believes.

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2 comments on "IPAB Has to Go, Providers and Advocates Urge"


Robert K (4/28/2013 at 1:10 PM)
As long as the healthcare consortium plays by the rules, the panel is never even put in play. It is only the loss of enormous profits that motivates their dispute. If the 'for profit' side of healthcare cant live with solid profits, but must have huge profits, the patient loses every time.

DWM (4/26/2013 at 10:09 AM)
What a funny bunch we are...we want less government spending, yet we don't want mechanisms in place that actually lower spending. The IPAB only exists because our elected officials and industry "experts" have failed for years to act to control spending growth. It's sad to see that there's still a belief in "magic" that will lower costs over the long term while not lowering costs in the short term.