Payment Adjustment Factors

1:00 – 2:00 Current Geographic Adjustment Factors Under Medicare: The Hospital Wage Index and Physician Fee Schedule
  Marc Hartstein, Deputy Director, Hospital and Ambulatory Policy Group, CMS
2:00 – 2:40 MedPAC’s Approach to the Hospital Wage Index and Geographic Practice Cost Indexes (GPCIs)
  Mark Miller, Ph.D., Executive Director, MedPAC
2:40 – 3:30 Physician and Hospital Perspectives on the Geographic Adjustment Factors
  Sherry Smith, M.S., C.P.A., Director, Physician Payment Policy and Systems, American Medical Association
  James Bentley, Ph.D., Former Senior Vice President, American Hospital Association
  Joint Q and A
3:30 Adjourn

DAY 2: Friday, September 17, 2010

Labor Markets

8:00 Welcome
8:05 – 8:50 Theoretical Approaches to Labor Market Variations
  Dan A. Black, Ph.D., Professor and Dean, Harris School of Public Policy, University of Chicago

Practitioners’ Recommendations for Change

8:50 – 10:00 Recommended Changes in Physician and Hospital Geographic Adjustment Factors
  Michael Kitchell, M.D., Neurologist and President of Board of Directors, McFarland Clinic, Ames, Iowa, and President, Iowa Medical Society
  Jennie Rhinehart, Administrator and CEO, Community Hospital, Tallassee, Alabama, American Hospital Association Task Force on Variations in Health Care Spending
  Larry deGhetaldi, M.D., Family Medicine, Palo Alto Medical Foundation, and Chair of Medicare Committee, California Medical Association
  Douglas Reding, M.D., F.A.C.P., M.P.H., Vice President, Marshfield Clinic, Marshfield, Wisconsin

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