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Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy (2012)

Chapter: Appendix B: Public Committee Meeting Agendas

« Previous: Appendix A: Committee and Staff Biographies
Suggested Citation:"Appendix B: Public Committee Meeting Agendas." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
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Appendix B

Public Committee Meeting Agendas

Committee Meeting 1 Agenda

SEPTEMBER 16–17, 2010
20 F STREET, NW, CONFNFERENCNCE ROOM B,
WASHINGTON, DC 20001

DAY 1: Thursday, September 16, 2010

OPEN SESSION ONE

10:30 – 10:45 Welcome and Introductory Remarks
  Frank Sloan, Ph.D., Chair and Moderator
Policy and Legislative Context for the Study
10:45 – 11:15 Remarks from Study Sponsor (CMS)
  Jonathan Blum, M.A., Director, Center for Medicare Management, Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services
 
11:15 – 12:00 Legislative Perspectives
  The Honorable Bruce Braley, U.S. House of Representatives (D-Iowa)
  The Honorable Allyson Schwartz, U.S. House of Representatives (D-Pennsylvania)
  Joint Q and A
 
12:00 Adjourn Open Session
Suggested Citation:"Appendix B: Public Committee Meeting Agendas." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×

OPEN SESSION TWO
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

OPEN SESSION THREE
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

SESSION THREE, PART 2:
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
Suggested Citation:"Appendix B: Public Committee Meeting Agendas." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
  Karen Heller, M.B.A., Executive Vice President, Greater New York Hospital Association, New York, New York
  Alice Tolbert Coombs, M.D., Anesthesiologist and President, Massachusetts Medical Society
 
10:00 – 10:15 Break
 
10:15 – 11:00 Q and A
11:00 Adjourn Open Session

Day 2: Friday, September 17, 2010

OPEN SESSION FOUR
Public Comments

1:00 – 2:00 Additional Public Statements on Hospital and Physician Adjustment Factor Components and Calculations (by request through IOM website)
  Dario de Ghetaldi, Corey, Luzaich, Pliska, de Ghetaldi & Nastari LLP, Millbrae, California
  Dale Baker, Baker Healthcare Consulting, Inc., Indianapolis, Indiana
  Edward Bentley, M.D., California Medical Association, Santa Barbara, California
  Jerome Connolly, American Academy of Family Physicians, Washington, DC
  Craig Boyer, North Country Health Services, Bemidji, Minnesota
  Tim Bartholow, Wisconsin Medical Society, Madison, Wisconsin
  Steve Speil, Federation of American Hospitals
 
2:00 Adjourn

Committee Meeting 3 Agenda

JANUARY 20, 2011
500 FIFTH STREET, NW, Room 101
WASHINGTON, DC 20001

3:15 – 3:30 Speaker arrivals and room set-up
 
3:30 – 4:45 Panel One: Provider Perspectives on Medicare Payment
  10-minute individual presentations followed by Q and A with committee and audience
  Roland Goertz, M.D., President, American Academy of Family Physicians
  Jan Towers, Ph.D., F.A.A.N.P., F.A.A.N., Health Policy Director, American Academy of Nurse Practitioners
  James G. Potter, Senior VP of Advocacy and Government Relations, American Academy of Physician Assistants
Suggested Citation:"Appendix B: Public Committee Meeting Agendas." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
  Elena Rios, M.D., President, National Hispanic Medical Association
  Byron Sogie-Thomas, M.S., Director, Office of Health Policy and Government Relations
 
4:45 – 6:00 Panel Two: Open Forum for Stakeholders
  5-minute individual presentations followed by Q and A with committee and audience
  Dale Baker, President, Baker Healthcare Consulting, Inc.
 
6:00 Adjourn
Suggested Citation:"Appendix B: Public Committee Meeting Agendas." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 163
Suggested Citation:"Appendix B: Public Committee Meeting Agendas." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 164
Suggested Citation:"Appendix B: Public Committee Meeting Agendas." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 165
Suggested Citation:"Appendix B: Public Committee Meeting Agendas." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 166
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Medicare is the largest health insurer in the United States, providing coverage for 39 million people aged 65 and older and 8 million people with disabilities, and reaching more than an estimated $500 billion in payments in 2010. Although Medicare is a national program, it adjusts fee-for-service payments according to the geographic location of a practice. While there is widespread agreement about the importance of providing accurate payments to providers, there is disagreement about how best to adjust payment based on geographic location.

At the request of Congress and the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) examined ways to improve the accuracy of data sources and methods used for making the geographic adjustments to payments. The IOM recommends an integrated approach that includes moving to a single source of wage and benefits data; changing to one set of payment areas; and expanding the range of occupations included in the index calculations. The first of two reports, Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy, assesses existing practices in regards to accuracy, criteria consistency, evidence for adjustment, sound rationale, transparency, and separate policy adjustments to reform the current payment system. Adopting the recommendations outlined in this report will mean a change in the way that the indexes are calculated, and will require a combination of legislative, rule-making, and administrative actions, as well as a period of public comment.

Geographic Adjustment in Medicare Payment will inform the work of government agencies such as HHS, the Centers for Medicare and Medicaid Services, congressional members and staff, the health care industry, national professional organizations and state medical and nursing societies, and Medicare advocacy groups.

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