In his testimony to the House Committee on Energy and Commerce, Subcommittee on Health (embargoed until delivery Wednesday, July 13, 2011, 9:00 a.m.), Scott Gottlieb, MD focuses on the 15-member Independent Payment Advisory Board (IPAB) created by the 2010 health reform law to oversee Medicare payment rates and recommend spending reductions in the program as of 2014.
In particular, Gottlieb highlights:
IPAB's lack of transparency and openness to public notice and comment;
The future use of widespread reimbursement cuts and lower price schedules to solve Medicare's fiscal crisis all of which will undoubtedly result in hindering medical innovation;and
The likelihood that IPAB will give the Centers for Medicare and Medicaid Services (CMS) more authority in choosing which medical products and services CMS will cover, when the agency has little competency to make such judgments
As a solution, Gottlieb suggests premium support, modernizing benefits in traditional Medicare, and paying for better health outcomes.
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