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Medicare Payment Policy

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• Along A with th he recommend dations inclu uded in this leetter,<br />

the Commmission<br />

is ooffering<br />

a sett<br />

of<br />

sa avings option ns for the pur rpose of assis sting the Conngress<br />

in offssetting<br />

the buudgetary<br />

costt<br />

of<br />

re epealing the SGR S system. . The project ted savings ammounts<br />

are uunofficial,<br />

baased<br />

on MedPPAC<br />

st taff estimates s, and subject t to change.<br />

• The T options ar re divided int to two tiers. Tier I—abouut<br />

$50 billionn—contains<br />

pproposals<br />

thaat<br />

ha ave been recommended<br />

by b the Comm mission in preevious<br />

reportss<br />

or commennt<br />

letters. Tierr<br />

II—<br />

ab bout $170 billion—contains<br />

options in nformed by ooutside<br />

(e.g., , the Office oof<br />

Inspector<br />

General, G Depa artment of He ealth and Hu uman Servicees;<br />

Congressiional<br />

Budget Office optioons)<br />

an nd MedPAC staff analysi is. The Comm mission has nnot<br />

voted on or recommennded<br />

the itemms<br />

on<br />

th he Tier II list.<br />

The exclusi ion of policie es from this llist<br />

should noot<br />

be construeed<br />

as a statemment<br />

of f MedPAC’s s position on such policies s.<br />

• In n the statute creating c Med dPAC, the Co ongress chargges<br />

the Commmission<br />

withh<br />

reviewing<br />

<strong>Medicare</strong> M poli icies, includin ng their relat tionship to acccess<br />

and quaality<br />

of care ffor<br />

<strong>Medicare</strong>e<br />

be eneficiaries. Therefore, all<br />

of the offse et options onn<br />

this list are <strong>Medicare</strong> poolicies;<br />

the<br />

Congress C coul ld choose to employ other r savings or rrevenue<br />

offseets<br />

includingg<br />

those from<br />

ou utside of <strong>Medicare</strong>.<br />

21<br />

Report to the Congress: <strong>Medicare</strong> <strong>Payment</strong> <strong>Policy</strong> | March 2013<br />

391

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