Print Page   |   Sign In   |   Join
SlitLamp E-News
Blog Home All Blogs
SlitLamp provides illuminating e-news for Colorado ophthalmologists. It keeps you in the know on the evolving Colorado health care scene by detailing the latest legislative and regulatory happenings. It also spotlights the information and resources you need for your practice.

 

Search all posts for:   

 

Top tags: advocacy  health plans  practice management  2014 legislative session  Avastin  MACRA  AAO  Coffman  compounding  CSEPS Connect  FDA  health advisory alert  HIPAA  IPAB  legislator  Medicaid  Medicare  member meeting  mergers  MIPs  pay issues  payer issues  payment reform  PDMP  QPP  reimbursement  repackaged drugs  US Congress 

Opposing Medicare Part B payment model

Posted By Chet Seward, Tuesday, May 3, 2016

CSEPS joined almost 30 other Colorado organizations in a letter to the Colorado Congressional delegation urging them to intervene and request that the Centers for Medicare & Medicaid Services (CMS) withdraw their proposed rule that would implement a new Medicare Part B drug payment model. CMS is focused on implementing alternative payment strategies and how those efforts affect physician-prescribing patterns, especially for high priced provider-administered drugs. The proposed initiative would greatly impact retina specialists and others who do intravitreal injections. The proposed initiative would reduce the add-on to the average sales price below the current 6 percent that providers are paid to administer drugs. As proposed, CMS would pay this average sales price, plus 2.5 percent. In addition, there would be a flat $16.80 administrative fee. These numbers do not include the current sequestration adjustment, and therefore physicians would only receive a fraction of that add-on. There is a growing backlash as the issue heats up in Congress. Be sure to review more background information from the AAO on this ill-advised proposal,read the letter that CSEPS sent to the Colorado Congressional Delegation and consider writing a letter to CMS yourself (comments are due by May 9). CSEPS will continue to advocate in opposition to this proposed program.

Tags:  Medicare  payment reform 

Share |
PermalinkComments (0)