No Change for Doc Pay: MedPac Current Medicare payments seen as 'adequate'
Written by Editor   
Monday, April 04, 2016 12:00 AM

The Medicare Payment Advisory Commission's (MedPAC) most recent report to Congress didn't suggest increasing physician reimbursement under Medicare.  "The evidence suggests that payments for physicians and other health professionals are adequate," wrote the authors of the report,. 

MedPAC also recommended that Medicare not take health assessments into account when risk-adjusting payments in the Medicare Advantage program.  Medicare Advantage plans increasingly provide health assessments of their enrollees; for example, a nurse may come to a patient's home to do a physical exam." But Medicare has found that "some insurers mainly use these assessments to 'collect' diagnoses in order to raise enrollees' risk scores for purposes of risk adjustment, rather than to improve follow-up care or identify illnesses requiring treatment.  In fact, the Centers for Medicare and Medicaid Services had proposed excluding these kinds of assessments but dropped this change in the face of industry opposition."