decisionhealth Newsletters, Part B News - 2015 Issue 2 (February)
Proposed Medicare budget aims to take incentive out of provider-based payments
Subscribe or sign in to view the full article.
Article Overview
This article examines a proposed federal Medicare budget and how it could affect physician practices, hospitals, beneficiaries, and Medicare administration. It is relevant to coders, billing staff, practice administrators, and healthcare finance professionals who follow Medicare payment policy, provider-based reimbursement, and related coverage and payment changes. The discussion covers broad categories of proposed payment updates, cost-sharing changes, drug pricing policy, prior authorization, and appeals-related changes.
Why This Topic Matters
The proposal could affect how physician services are paid, how patients share costs, and how practices manage billing, collections, and compliance. It also touches on policy areas that influence provider behavior, practice consolidation, and administrative workload.
Article Sections
-
Physician payments
Introduces the budget proposal’s impact on physician practices and provider-based payment policy. Summarizes the broader context for Medicare spending changes affecting payment alignment across settings.
-
Current policy spurred M&A activity
Discusses how current payment policies have influenced provider consolidation and market activity. References policy interest from Medicare advisory and hospital organizations.
-
More proposals affect physicians
Outlines additional budget proposals that would affect physician practices and Medicare administration. Covers multiple categories of payment, cost-sharing, utilization management, and appeals-related changes.
What You Will Learn
- How a proposed Medicare budget could affect physician practices and provider-based locations
- What broad payment-policy changes are being discussed for Medicare
- Which general beneficiary cost-sharing and drug-payment areas are included in the proposal
- How the proposal may influence utilization management and appeals processes
Who Should Read This
- Physician practice administrators
- Medical coders and billers
- Revenue cycle professionals
- Healthcare compliance staff
- Health policy analysts
- Hospital finance teams
Codes Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com