Tag Archives: Kate Pickert

The Secretive Group Behind Medicare Reimbursements

Kate Pickert

Published 7/29/13 in Time Magazine’s Swampland

Earlier this month, the Washington Post published a blockbuster front-page story about a secretive committee that determines what Medicare pays physicians for their work. Part of the American Medical Association (AMA), the committee estimates the time and intensity of various doctor tasks, and the recommendations are plugged into a formula that sets Medicare reimbursements. The committee overestimates the time it takes to perform myriad medical procedures, which thereby increases the amount doctors can earn from Medicare. One gastroenterologist in the Post story would have to work 26 hours, according to the committee time estimates, to accomplish what he gets done in a typical workday.

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