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Geographic Adjustment in Medicare Payment: Phase II: Implications for Access, Quality, and Efficiency (2012)

Chapter: Appendix D: Public Session: Workforce, Access, and Innovation Policy Levers for Geographic Adjustment In Medicare Payment

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Suggested Citation:"Appendix D: Public Session: Workforce, Access, and Innovation Policy Levers for Geographic Adjustment In Medicare Payment." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase II: Implications for Access, Quality, and Efficiency. Washington, DC: The National Academies Press. doi: 10.17226/13420.
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Appendix D
Public Session:
Workforce, Access, and Innovation
Policy Levers for Geographic
Adjustment In Medicare Payment

September 22, 2011
20 F Street, NW
Washington, DC 20001


M. Roy Wilson, Committee Vice Chair and Moderator

2:00-2:55

Panel One: Workforce Recruitment and Retention

This panel will focus on finding and retaining primary care providers (physicians, nurses, nurse practitioners, and physician assistants) and specialists who treat Medicare beneficiaries, including factors that make it easier and more difficult to match and keep providers in communities.

Challenges and Opportunities in Health Care Recruiting Jennifer Grebenschikoff, President, The Physician Executive Leadership Center, Tampa, Florida

Challenges and Opportunities in Rural Recruiting Cindy Bagwell, Vice President, Talent Acquisition, Geisinger Health System, Danville, Pennsylvania

Collaborative Approaches to Recruitment and Retention of Health Professionals Anne Rosewarne, President, Michigan Health Council, Okemos, Michigan

3:00-3:55

Panel Two: Impact of Delivery System Integration on the Provider Marketplace

Panelists will describe the potential impact of current market trends on providers that serve Medicare beneficiaries, with a focus on changes in payment and organizational structures.

Suggested Citation:"Appendix D: Public Session: Workforce, Access, and Innovation Policy Levers for Geographic Adjustment In Medicare Payment." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase II: Implications for Access, Quality, and Efficiency. Washington, DC: The National Academies Press. doi: 10.17226/13420.
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Financial Performance and Access to Care
Mark Miller, Executive Director, Medicare Payment Advisory Commission (MedPAC), Washington, DC

Realities of the Health Care Marketplace
Blair Childs, Senior Vice President, Premier Inc., Washington, DC

4:00-4:55

Panel Three: Innovations in Expanding Primary Care Capacity and Access

This panel will describe innovative approaches to expanding workforce capacity and health care access and will include an overview of state scope of practice legislation, a description of a home care program in a large health system in Boston, and telemedicine in a rural hospital in Arizona.

Promising Practices in Expanding Scope of Practice
Rachel Morgan, National Conference of State Legislatures, Washington, DC

Moving Away from Visit-Based Care for Medicare Beneficiaries
Kathy Duckett, BSN, RN, Director of Clinical Programs, Partners Home Care, Boston, Massachusetts

Innovations in Expanding Capacity and Access
James Dickson, CEO, Copper Queen Community Hospital, Bisbee, Arizona

Note: In addition to approximately 35 in-person participants, more than 600 individuals participated via webinar.

Suggested Citation:"Appendix D: Public Session: Workforce, Access, and Innovation Policy Levers for Geographic Adjustment In Medicare Payment." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase II: Implications for Access, Quality, and Efficiency. Washington, DC: The National Academies Press. doi: 10.17226/13420.
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Page 187
Suggested Citation:"Appendix D: Public Session: Workforce, Access, and Innovation Policy Levers for Geographic Adjustment In Medicare Payment." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase II: Implications for Access, Quality, and Efficiency. Washington, DC: The National Academies Press. doi: 10.17226/13420.
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Page 188
Next: Appendix E: Exchange of Letters Between House of Representatives Quality Coalition and Committee Chair Frank Sloan »
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Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced.

In July 2010, the Department of Health and Human Services, which oversees Medicare, commissioned the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. The first report examined the data sources and methods used to adjust payments, and recommended a number of changes.

Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency applies the first report's recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners. This report also offers recommendations to improve access to efficient and appropriate levels of care. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of where they live.

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