Tacts about the Medicare Program Problems Remedies ooding year. But annual increase It is the Secretary who dein prevailing charge is limited cides "similar services," to a fixed percentage cap, an "locality," & appropriate goononic index, reflecting "economic index." obangos in expenses of practice Federal guidelines require A proper mix of all charges and changes in general earnings that in determining reason- by doctors would result in more lovolo. able charge, consideration equitable reasonable charge & must be given to doctors' higher reimbursement. Source of data is controlled by HCPA and the carrier. Remedies facts about the Medicare Program Problems Data groupings present problem: data of charges by specialists & changing patterns vary too much between carriers for overall com parison. If errors exist they are and specialists. Congress could change law index as determined by Secy. lative history for single nation. Congress could presaure DHHS wide index. In fact, legisl. hist- into setting inflationary ory shows that Congress wanted cap at a level commengurato use of several economic indexes. with actual health care cost inflation rate. strong geographic variations in Consultant's 1980 report shows cost of mal-practice insurance, non-physician labor expenses, & Index has great er effect in limiting reimburse ment in northeast & west than in N.J. 18 not getting its 40% - 60% weights inappropri on both regional basis &. on In dealing with general earn ings levels, it is unfairly limite ed. It does not cover other seg profession al, agricultural, technical, etc. Earnings of those drs, whose charges continue to rise above reasonable charge are not considered in measure hots about the Medicare Program Problems housing costs. south. fair share. Index is based on changes in .ate types of doctors' practice. exy DHCA of practice (given 40% ments of labor force ment of inflation. |
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