decisionhealth Newsletters, Part B News - 2015 Issue 6 (June)
MedPAC targets prescription drug spending, seeks bundled payment options
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare Payment Advisory Commission (MedPAC) recommendations aimed at revising how Medicare pays for physician-administered prescription drugs and encouraging more coordinated, episode-based care. It explains the broader policy rationale, the types of payment models under consideration, and why the topic matters to physician practices, especially specialties affected by drug spending.
Why This Topic Matters
The article is relevant to practices that bill Medicare for Part B drugs and to organizations tracking payment reform, because it discusses proposed changes that could affect reimbursement patterns, care coordination, and specialty-specific revenue mix.
Article Sections
-
Physician payments
Introduces the article’s focus on Medicare drug payment policy and the broader reimbursement context for physician offices.
-
Minimize the price discrepancy between current high-dollar and inexpensive drugs
Covers MedPAC’s discussion of alternative payment structures for physician-administered drugs and the policy goals behind those options.
-
Create a value-based prescription payment methodology to spur on coordinated care
Describes MedPAC’s interest in broader bundled or episode-based payment approaches and the implications for coordinated care.
What You Will Learn
- The policy issues MedPAC is raising about Medicare drug reimbursement
- How alternative payment approaches are being discussed at a high level
- Why bundled or value-based payment concepts are being considered for drug spending
- Which provider groups and specialties are most associated with the discussion
Who Should Read This
- Physician practice administrators
- Medical coders and billers
- Revenue cycle professionals
- Health policy analysts
- Oncology practice managers
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com