Just the Facts…..Please
April 10, 201210:10 am
Today, I saw an argument in support of the Independent Payment Advisory Board (IPAB) – the 15-member board of political appointees with unprecedented power to reduce Medicare expenditures – that was so off the mark one would think it came from some sort of fringe website. In fact, it was found on CBS News’s Marketwatch site.
CBS provided webspace for a consulting actuary to argue that there is really no difference between IPAB and private insurers. IPAB will, he said, “assess whether certain procedures will be denied reimbursement, either due to ineffectiveness or excessive costs,” the same as private health insurers. IPAB members may be unelected, but, he argues, private insurance claims adjusters aren’t elected either.
“It’s just a reality that any insurance program, whether commercial or governmental, will deny some claims, states this CBS News-hosted editorial.
We won’t even get into some of the obvious differences between IPAB and private coverage, such as the fact that employers can take their business to different insurers. Or the fact that private insurers have appeals mechanisms, whereas IPAB decisions aren’t even subject to judicial review.
But that’s not even the biggest problem with this pro-IPAB argument. IPAB isn’t structured to cut costs by denied payment for ineffective procedures. It’s not about that at all.
As the Congressional Budget Office has made quite clear, the law creating IPAB explicitly forbids the board from rationing care, changing Medicare benefits or increasing beneficiary cost-sharing. According to CBO, the board will, for all practical purposes, be limited to cutting healthcare provider payments to meet its cost-cutting targets.
That’s not distinguishing one treatment or therapy from another based on cost and effectiveness. That’s simply paying physicians less to treat Medicare patients. And, in so doing, IPAB threatens to widen the payment level gap between Medicare and, you got it, private insurers. It will result in care for Medicare beneficiaries that is less accessible, not more cost-effective.
There is a legitimate debate to be had over whether IPAB is a wise public policy choice. To have that debate, though, we need to be on the same platform in terms of understanding what this board will actually do.
75 Responses to “Just the Facts…..Please”
January 28th, 2024 at 1:35 pm
albuterol 2mg pill ventolin 2mg canada ventolin 4mg cost
January 29th, 2024 at 2:01 pm
tizanidine brand zanaflex where to buy tizanidine brand
January 31st, 2024 at 4:45 am
buy prednisone 20mg online deltasone 5mg cheap buy prednisone 20mg pill
February 1st, 2024 at 8:44 pm
order accutane 20mg pill order accutane 10mg online cheap cost accutane 10mg
February 3rd, 2024 at 10:31 am
how to get amoxicillin without a prescription order amoxil 1000mg sale buy amoxicillin 1000mg online cheap
February 4th, 2024 at 8:37 pm
albuterol price antihistamine tablets ventolin 2mg without prescription
February 5th, 2024 at 4:19 am
buy zithromax 500mg generic zithromax 250mg pills zithromax pills
February 6th, 2024 at 12:30 pm
augmentin 375mg tablet augmentin 625mg usa how to get clavulanate without a prescription
February 6th, 2024 at 7:45 pm
omnacortil buy online order prednisolone pills buy generic omnacortil 10mg
February 8th, 2024 at 5:23 am
order synthroid 100mcg online synthroid online order generic synthroid 100mcg
February 8th, 2024 at 11:58 am
neurontin 100mg cheap gabapentin 600mg pill purchase neurontin generic
February 9th, 2024 at 9:02 pm
cheap clomid 50mg buy clomid for sale how to get clomiphene without a prescription
February 10th, 2024 at 2:31 am
order generic lasix 40mg generic lasix 40mg buy generic lasix 100mg
February 11th, 2024 at 5:28 pm
purchase acticlate online cheap purchase monodox generic acticlate online buy
February 12th, 2024 at 3:19 am
sildenafil pills 25mg sildenafil 100mg generic cheap generic viagra
February 13th, 2024 at 4:19 am
big fish casino online blackjack for money online casino real money no deposit
February 13th, 2024 at 2:26 pm
semaglutide 14mg usa semaglutide drug rybelsus 14 mg cheap
February 15th, 2024 at 7:03 pm
triamcinolone cheap buy aristocort 10mg online cheap triamcinolone pills
February 16th, 2024 at 10:38 am
buy hydroxychloroquine pills hydroxychloroquine pill plaquenil 200mg us
February 17th, 2024 at 1:36 am
buy clarinex generic clarinex for sale order desloratadine generic
February 17th, 2024 at 6:57 pm
cialis canada order tadalafil 5mg pill cost cialis 10mg
February 18th, 2024 at 7:40 am
loratadine 10mg cost order loratadine online claritin online buy
February 19th, 2024 at 2:31 am
buy cenforce pill order cenforce sale buy cenforce 100mg online
February 19th, 2024 at 10:22 pm
order dapoxetine 60mg sale cytotec 200mcg drug buy misoprostol 200mcg pills
February 20th, 2024 at 11:19 am
where can i buy chloroquine aralen 250mg without prescription buy chloroquine medication
February 21st, 2024 at 4:03 am
buy orlistat 60mg generic buy xenical 120mg pills purchase diltiazem
February 22nd, 2024 at 3:26 am
metformin 500mg without prescription generic glucophage 1000mg order metformin 500mg sale
February 22nd, 2024 at 12:37 pm
acyclovir brand buy allopurinol no prescription allopurinol 100mg uk
February 24th, 2024 at 10:30 am
buy amlodipine without a prescription amlodipine online buy amlodipine 5mg sale
February 24th, 2024 at 12:45 pm
crestor online order crestor without prescription ezetimibe 10mg ca
February 25th, 2024 at 7:33 pm
buy cheap domperidone buy tetracycline 250mg pill sumycin oral
February 25th, 2024 at 7:55 pm
buy lisinopril generic purchase zestril for sale prinivil tablet
February 27th, 2024 at 2:13 am
order omeprazole pills omeprazole over the counter how to buy omeprazole
February 27th, 2024 at 3:04 am
buy cyclobenzaprine without prescription baclofen for sale where can i buy baclofen
February 28th, 2024 at 11:39 am
toradol 10mg pills buy colcrys online where to buy colcrys without a prescription
February 28th, 2024 at 1:38 pm
order lopressor 50mg sale order lopressor 50mg pills order lopressor 100mg online
February 29th, 2024 at 11:13 pm
tenormin 100mg price order tenormin without prescription tenormin 50mg drug
March 2nd, 2024 at 4:49 am
buy inderal 10mg for sale inderal 20mg price clopidogrel 75mg oral
March 2nd, 2024 at 6:40 am
medrol 4mg over the counter methylprednisolone buy medrol 16mg online
March 3rd, 2024 at 8:15 am
buy methotrexate 5mg generic coumadin ca buy coumadin 5mg without prescription
March 3rd, 2024 at 6:54 pm
write research paper for me help with research paper cheap essay help
March 4th, 2024 at 11:47 am
buy metoclopramide 20mg pills cheap losartan 50mg buy cozaar for sale
March 5th, 2024 at 1:15 pm
order meloxicam 15mg generic where can i buy celebrex buy generic celecoxib over the counter
March 5th, 2024 at 2:59 pm
oral esomeprazole buy topiramate 100mg generic order topiramate generic
March 6th, 2024 at 11:37 pm
buy flomax pills for sale oral celebrex 200mg where to buy celebrex without a prescription
March 8th, 2024 at 7:23 pm
order sumatriptan 50mg generic levofloxacin ca order levaquin 250mg online cheap
March 9th, 2024 at 7:10 pm
zofran medication purchase zofran without prescription buy cheap aldactone
March 9th, 2024 at 11:11 pm
order generic avodart buy ranitidine 300mg online buy ranitidine generic
March 11th, 2024 at 7:19 am
order generic zocor 10mg valtrex sale valacyclovir 500mg generic
March 11th, 2024 at 4:46 pm
ampicillin online order ampicillin online buy generic amoxicillin
March 12th, 2024 at 7:00 pm
finasteride ca forcan price fluconazole brand
March 14th, 2024 at 2:11 pm
order baycip – amoxiclav oral purchase amoxiclav sale
March 15th, 2024 at 10:30 am
buy baycip without prescription – buy keflex 125mg generic buy clavulanate tablets
March 17th, 2024 at 9:14 pm
purchase ciprofloxacin without prescription – ciplox pill erythromycin online
March 18th, 2024 at 7:14 am
cheap flagyl 400mg – terramycin 250 mg usa azithromycin without prescription
March 20th, 2024 at 12:48 am
stromectol 12 mg – buy ciprofloxacin 500mg generic order sumycin 500mg for sale
March 20th, 2024 at 12:46 pm
order valacyclovir 500mg pills – brand acyclovir 400mg zovirax online order
March 21st, 2024 at 7:16 pm
buy acillin cheap order ampicillin pills buy amoxicillin generic
March 22nd, 2024 at 6:16 am
flagyl 200mg brand – purchase cefaclor sale zithromax uk
March 24th, 2024 at 4:05 am
buy furosemide medication – minipress 2mg oral capoten 120mg pills
March 25th, 2024 at 8:47 pm
order glucophage 500mg generic – oral sulfamethoxazole buy lincocin pills for sale
March 27th, 2024 at 7:29 pm
order retrovir 300 mg – lamivudine brand purchase zyloprim for sale
March 28th, 2024 at 5:50 am
clozapine 100mg for sale – quinapril price order pepcid pill
March 30th, 2024 at 4:08 pm
quetiapine ca – ziprasidone order online buy eskalith pills for sale
March 31st, 2024 at 12:12 am
anafranil for sale online – purchase remeron generic sinequan 75mg without prescription
April 1st, 2024 at 10:14 am
purchase atarax for sale – buy buspin pills brand amitriptyline
April 4th, 2024 at 2:22 am
buy augmentin 375mg generic – ampicillin order online generic ciprofloxacin
April 5th, 2024 at 2:05 am
amoxil online order – axetil for sale online ciprofloxacin price
April 10th, 2024 at 1:20 am
azithromycin 250mg for sale – buy ofloxacin medication purchase ciplox sale
April 10th, 2024 at 3:02 pm
where to buy clindamycin without a prescription – cefixime pills buy chloromycetin pills
April 12th, 2024 at 6:29 pm
ivermectin 3mg without prescription – eryc online buy cefaclor 250mg canada
April 14th, 2024 at 5:23 am
albuterol uk – seroflo over the counter buy theo-24 Cr 400 mg without prescription
April 15th, 2024 at 7:12 pm
methylprednisolone online pharmacy – buy medrol 8mg azelastine 10 ml sprayer
April 16th, 2024 at 4:01 pm
buy clarinex generic – purchase albuterol ventolin us
April 18th, 2024 at 12:01 pm
how to get glyburide without a prescription – buy glipizide medication buy cheap generic dapagliflozin
Leave a Reply