![]() ![]() Any committee that fails to meet the deadline is barred from further considering the bill. By April 1, the committees of jurisdiction must complete their consideration of the proposal.Congress cannot “consider any bill, resolution, amendment, or conference report … that would repeal or otherwise change the recommendations of the board” if such changes fail to meet the board’s budgetary target.The majority leaders in the House and Senate must introduce bills incorporating the board’s proposal the day they receive it. By January 15 each year, the Independent Payment Advisory Board must submit a proposal to Congress and the president for reaching Medicare savings targets in the coming year.If this board determines that the growth of Medicare costs will exceed a predetermined target, it has the power to enact a remedy through “fast track” legislation, which works like this: Saying, in effect, “Stop us before we spend again,” Democrats transferred most of Congress and the president’s policy-making authority to the 15 “expert” members of the Independent Payment Advisory Board, appointed by the president and confirmed by the Senate. The creators of Obamacare saw the ability of constituents to influence their representatives as a problem. That arrangement is inevitably messy because the people have a strong say. At present, Congress is responsible for setting the policies that govern all aspects of Medicare, including payments to health care providers and facilities. ![]() Orszag was actually restrained in describing the depth of the Independent Payment Advisory Board’s statutory authority. Talk about creating a new level of raw bureaucratic power. In other words, the only way to stop the commission’s fiscal “recommendations” from taking effect is for Congress to act. This way, inertia works in favor of cost containment rather than against it. Under the law, any policy that the board issues takes effect unless legislation to block it is passed by Congress and signed by the president. ![]() Perhaps most important, the legislation creates an Independent Payment Advisory Board, a panel of independent medical experts who will look for more ways to improve Medicare’s cost-effectiveness. Dubiously asserting that the Patient Protection and Affordable Care Act is a money saver, Orszag extolled the establishment of an arcane new commission to oversee the Medicare budget: The day after the Obama administration’s shellacking at the polls, Peter Orszag, former director of the White House Office of Management and Budget, defended Obamacare from the ramparts of the New York Times. Smith NovemHuman Exceptionalism Original Article Our New Obamacare Masters Meet the Independent Payment Advisory Board Wesley J. Share Facebook Twitter Print arroba Email ![]()
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