Ambulatory surgical centers should receive a 0.5% rate increase in calendar year 2013 from Medicare, according to a draft advisory board recommendation, which also suggested creating a value-based purchasing program for them.
Draft recommendation says ASCs should get 0.5% update
Glenn Hackbarth, chairman of the Medicare Payment Advisory Commission, suggested the Medicare changes Thursday afternoon, following a morning of other suggestions on which the panel will vote in January.
In addition to suggesting that the HHS secretary launch a value-based purchasing program for ASCs by 2016, Hackbarth recommended that Congress require ASCs to submit cost data.
Skilled-nursing facilities would receive no increase in 2013 as part of the revisions to the prospective payment system MedPAC had previously recommended. The changes would include rebasing their payment rates in 2014 that included an initial 4% reduction followed by additional reductions over a transition period.
Additionally, Hackbarth recommended reducing payments to skilled-nursing facilities with relatively high rates of risk-adjusted rehospitalization among their Medicare populations.
Earlier in the day, Hackbarth recommended increasing fiscal 2013 inpatient and outpatient hospital payments by 1% and equalizing Medicare payment rates for non-emergency evaluation and management at hospital outpatient and physician office settings.
In a statement, the American Hospital Association blasted the last recommendation for effectively cutting the reimbursement for such hospital outpatient visits by nearly 75%.
Hackbarth also proposed reiterating MedPAC's earlier controversial suggestion for replacing Medicare's physician payment formula and funding the change with a series of cuts to specialty physicians and other types of providers.
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