decisionhealth Newsletters, Part B News - 2013 Issue 4 (April)
Cuts to in-office ancillary services, drug payments in 2014 Obama budget
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Article Overview
This piece reviews budget proposals affecting Medicare physician payments and related Part B policy areas in President Obama’s 2014 budget. It is relevant to coding, reimbursement, and compliance professionals who track federal payment policy, Stark law-related service exclusions, drug reimbursement changes, and the broader effort to replace the sustainable growth rate framework. The article also touches on premium-related and beneficiary-cost changes, along with other budgeted savings initiatives.
Why This Topic Matters
The article helps readers understand which Medicare payment and coverage policy areas were targeted in the 2014 federal budget and how those proposals could affect physician offices, ancillary services, drug payment methods, and provider reimbursement planning.
Article Sections
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Physician payments
This section summarizes major Medicare budget proposals affecting physician reimbursement and related service categories. It also outlines projected savings and the broader policy context for provider payment changes.
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SGR fix encourages efficient care
This section discusses proposed changes related to the physician payment formula and the administration’s stated goals for care coordination and performance-based payment policy. It also mentions additional offsetting savings measures included in the budget summary.
What You Will Learn
- Which broad Medicare payment areas were included in the 2014 budget proposal
- How the article frames proposed changes affecting physician office reimbursement
- What categories of payment policy and savings initiatives the budget summary highlights
- How the article connects the budget to Medicare physician payment reform efforts
Who Should Read This
- Medical coders
- Biller/coding managers
- Revenue cycle professionals
- Compliance officers
- Physician practice administrators
- Healthcare policy analysts
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