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Physician Groups Blast IPAB, Rally Behind Repeal Effort



Critics of the Independent Payment Advisory Board, which makes recommendations on Medicare spending, describe it as an "unelected, unaccountable body." A bipartisan bill to repeal the board has been introduced in the House.



1 comments on "Physician Groups Blast IPAB, Rally Behind Repeal Effort"
Cyndy Nayer (1/25/2013 at 10:12 AM)

The idea that physicians must wait every year to find out what their pay will be, according to the SGR, means that much of the year is not only focused on keeping up with evidence of good medicine but also managing a budget that has little or no predictability. CMS is now paying for outcomes (less readmissions for 3 conditions) as a part of the contractual arrangement for hospitals. Why can't physicians have a 3-year contract with achievable metrics? Why shouldn't a practicing physician sit on the IPAB board as a representation of the market sector, a voice to be heard? I do not think that FFS, uncontrolled, has worked well in this country, and we all concede that fraud in Medicare and Medicaid must be brought under control. But treating physicians as the "problem" does not solve the economic escalation of the costs. Let's bring folks together to solve the problems and provide a longer runway for doctors to support the change in health behaviors, including reduction in redundant imaging, appropriate use of treatments, etc., in a more predictable contract.