A loophole in Medicare law related to hospital outpatient services (such as diagnostic tests, radiology, and certain surgeries) had subjected beneficiaries to much higher c
The Centers for Medicare & Medicaid Services should ensure that the phase-down of beneficiary coinsurance for outpatient hospital care continues as rapidly as possible.
The Centers for Medicare & Medicaid Services should closely monitor and vigorously enforce balance-billing limits.
Congress should not expand private contracting for physician services.
Traditional fee-for-service Medicare uses several payment systems to pay providers for services in the traditional program: prospective, episode-based, and
Medicare payment rates should be fair and should provide incentives for providing preventive services, evidence-based practice, person- and family-centered
Medicare pays for hospital inpatient and outpatient services using a prospective payment system (PPS).
The Medicare Payment Advisory Commission and the Centers for Medicare & Medicaid Services should continue researching how Medicare payments to hospital
Medicare sets payment rates for physician services according to a fee schedule.
In implementing the new payment system for physicians and other health professionals, the Centers for Medicare & Medicaid Services (CMS) should: