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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?

To: i-node who wrote (875200)	7/26/2015 7:32:14 AM
From: Alighieri	Respond to of 1583503

As you can readily see, the trustees said NOTHING like your excerpt, and in fact, they said ONLY if assumptions which would appear to be unlikely to be fulfilled were, in fact, fulfilled, might this happen. If you are going to post from the report let's post the whole thing, ok? Your side would eliminate this law and that, according to the trustees' reading, would negate the potential for the 165 provisions that they say are beneficial...well, you can read it yourself... PS: What I posted before was from a CMS official... Al cms.gov The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, introduced large policy changes and additional projection uncertainty. This legislation, referred to collectively as the Affordable Care Act or ACA, contains roughly 165 provisions affecting the Medicare program by reducing costs, increasing revenues, improving benefits, combating fraud and abuse, and initiating a major program of research and development to identify alternative provider payment mechanisms, health care delivery systems, and other changes intended to improve the quality of health care and reduce costs. The Board assumes that the various cost-reduction measures—the most important of which are the reductions in the annual payment rate updates for most categories of Medicare providers by the growth in economy-wide private nonfarm business multifactor productivity2—will occur as the ACA requires. The Trustees believe that this outcome is achievable if health care providers are able to realize productivity improvements at a faster rate than experienced historically. However, if the health sector cannot transition to more efficient models of care delivery and achieve productivity increases commensurate with economy-wide productivity, and if the provider reimbursement rates paid by commercial insurers continue to follow the same negotiated process used to date, then the availability and quality of health care received by Medicare beneficiaries would, under current law, fall over time relative to that received by those with private health insurance. In recent years U.S. national health expenditure (NHE) growth has slowed relative to previous historical patterns. There is some debate regarding the extent to which this cost deceleration reflects (i) onetime effects such as the recent economic downturn, (ii) positive reforms in the health care sector that may carry forward to produce 2For convenience the term economy-wide private nonfarm business multifactor productivity will henceforth be referred to as economy-wide productivity. Overview 4 additional cost savings in the years ahead, or (iii) other factors. The Trustees are hopeful that U.S. health care practices are in the process of becoming more efficient as providers anticipate more modest rates of reimbursement growth, in both the public and private sectors, than those experienced in recent decades. The methodology for projecting Medicare finances assumes a substantial long-term reduction in per capita health expenditure growth rates relative to historical experience, to which the ACA’s cost-reduction provisions would add substantial further savings.