POLICY BRIEFINGS


Appendix: Draft Offset List


• Along with the draft recommendations discussed on September 15, the Commission is offering a set of savings proposals for the purpose of assisting the Congress in offsetting the budgetary cost of the SGR repeal under consideration by the Commission (attached). The items on the list are preliminary and subject to change based on Commissioner discussion. The projected savings amounts are unofficial, based on MedPAC staff estimates, and subject to change.

• The proposals are divided into two tiers. Tier I – about $50 billion – contains proposals that have been recommended by the Commission in previous reports or comment letters. Tier II – about $180 billion – contains proposals informed by outside groups (e.g., HHS OIG, CBO options) and MedPAC staff analysis. The Commission has not voted on or recommended the items on the Tier II list. The exclusion of policies from this list should not be construed as a statement of MedPAC’s position on such policies.

• In the statute creating MedPAC, the Congress charges the Commission with reviewing Medicare policies, including their relationship to access and quality of care for Medicare beneficiaries. Therefore, all of the offsets being considered by MedPAC are Medicare policies; the Congress could choose to employ other savings or revenue offsets including those from outside of Medicare.

The Commission is offering a set of savings proposals for the purpose of assisting the Congress in offsetting the budgetary cost of the SGR repeal under consideration by the Commission (attached). The items on the list are preliminary and subject to change based on Commissioner discussion. The projected savings amounts are unofficial, based on MedPAC staff estimates, and subject to change.

Draft Offset List
(savings in billions)



September 26, 2011: | Page 1 Page 2 Page 3 Page 4 Page 5 Page 6

SERVICES




BRIEFING ARCHIVE


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