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  2. Medicare Payment Advisory Commission - Wikipedia

    en.wikipedia.org/wiki/Medicare_Payment_Advisory...

    The Medicare Payment Advisory Commission (MedPAC) is an independent, non-partisan legislative branch agency headquartered in Washington, D.C. MedPAC was established by the Balanced Budget Act of 1997 (P.L. 105–33). The BBA formed MedPAC by merging two predecessor commissions, the Prospective Payment Assessment Commission (ProPAC), established ...

  3. Prospective payment system - Wikipedia

    en.wikipedia.org/wiki/Prospective_payment_system

    Regardless of services provided, payment was of an established fee. The idea was to encourage hospitals to lower their prices for expensive hospital care. In 2000, CMS changed the reimbursement system for outpatient care at Federally Qualified Health Centers (FQHCs) to include a prospective payment system for Medicaid and Medicare. [2]

  4. SGR Repeal and Medicare Provider Payment Modernization Act of ...

    en.wikipedia.org/wiki/SGR_Repeal_and_Medicare...

    The bill would require GAO to submit to Congress a report that: (1) compares the similarities and differences in the use of quality measures under the original Medicare fee-for-service programs, the Medicare Advantage (MA) program under Medicare part C (Medicare+Choice), selected state Medicaid programs, and private payer arrangements; and (2 ...

  5. Resource-based relative value scale - Wikipedia

    en.wikipedia.org/wiki/Resource-based_relative...

    In 1988 the results were submitted to the Health Care Financing Administration (today CMS) to be used in the American Medicare system. In December of the following year, President George H. W. Bush signed into law the Omnibus Budget Reconciliation Act of 1989, switching Medicare to an RBRVS payment schedule. This took effect on January 1, 1992.

  6. Ambulatory Payment Classification - Wikipedia

    en.wikipedia.org/wiki/Ambulatory_Payment...

    APCs or Ambulatory Payment Classifications are the United States government's method of paying for facility outpatient services for the Medicare (United States) program. A part of the Federal Balanced Budget Act of 1997 made the Centers for Medicare and Medicaid Services create a new Medicare "Outpatient Prospective Payment System" (OPPS) for hospital outpatient services -analogous to the ...

  7. Independent Payment Advisory Board - Wikipedia

    en.wikipedia.org/wiki/Independent_Payment...

    The Independent Payment Advisory Board (IPAB) was to be a fifteen-member United States government agency created in 2010 by sections 3403 and 10320 of the Patient Protection and Affordable Care Act which was to have the explicit task of achieving specified savings in Medicare without affecting coverage or quality.

  8. Substantially Equal Periodic Payments (SEPP), explained - AOL

    www.aol.com/finance/substantially-equal-periodic...

    However, early retirees can still access their funds by taking what is known as substantially equal periodic payments (SEPP) in an IRA, 401(k), 403(b) or other qualified retirement account without ...

  9. Bundled payment - Wikipedia

    en.wikipedia.org/wiki/Bundled_payment

    The former bill establishes a national Medicare pilot program starting in 2013 with possible expansion in 2016, [41] which is consistent with the Obama proposal. [40] The latter bill requires "a plan to reform Medicare payments for post-acute services, including bundled payments."