House subcommittees unite on bipartisan reform push after hearing reveals widespread insurance company abuses
This issue brief addresses the topic of global payments for surgeons under the Medicare physician fee schedule (PFS): what they are, how they work (or don’t work) and why CMS seems so intent on doing away with them.
The Fourth of July can be counted on for two things: fireworks, and Medicare payment rules, the defining documents that sort DC health policy folk into two camps. On one side, there are the Hill staffers and lobbyists who are trying to strategically plot a path through the appropriations quagmire to get to August recess. Then there are the regulatory staff whose year has just started.
A few weeks ago, we reported that the publication of the Inpatient Prospective Payment System (IPPS) proposed rule, and specifically CMS’s big reveal of its mandatory Transforming Episode Accountability Model (TEAM) payment proposal, would awaken some of the physician payment policy wonks from a briefer than usual slumber. These past few weeks have shown signs of life, even in some unexpected places.
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