29 July 2011
2011-16972 Pl-Physician Fee Schedule Proposal
I just glanced through the 621-page Proposed Rule for Medicare Payment Policies under the Physician Fee Schedule. I am appalled by the size of this regulation and by much of the content I read. How does this Proposed Rule improve the health of Medicare beneficiaries? What evaluative studies has the Centers for Medicare and Medicaid Services (CMS) commissioned to support the kinds of measures proposed for determining appropriate health care by physicians? Who is supposed to use this Proposed Rule and for what purposes?
Someone should look closely at the value of such CMS rules. CMS is the implementation agency for our national, public health insurance programs. This agency's mission is to establish and maintain a federal bureaucracy for improving the health outcomes of those receiving Medicare and Medicaid services. Congressional oversight from the ISSA Committee of the House looks for fraud and abuse at CMS. The Committee's process is akin to the farmer's wife spending her days picking up chicken droppings in the yard, while overlooking that her purpose was to harvest eggs. (Apologies to Achan Chah),
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Someone should look closely at the value of such CMS rules. CMS is the implementation agency for our national, public health insurance programs. This agency's mission is to establish and maintain a federal bureaucracy for improving the health outcomes of those receiving Medicare and Medicaid services. Congressional oversight from the ISSA Committee of the House looks for fraud and abuse at CMS. The Committee's process is akin to the farmer's wife spending her days picking up chicken droppings in the yard, while overlooking that her purpose was to harvest eggs. (Apologies to Achan Chah),
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