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The IPAB Threatens Anesthesia and Pain Medicine Practices

Last week saw the launch of the latest version of the iPad – and the beginning of the end, perhaps, of the IPAB.The Independent Payment Advisory Board (IPAB) was created by the Patient Protection and Affordable Care Act (ACA) in 2010.  IPAB is responsible for recommending specific proposals to contain the growth rate of Medicare spending if spending per capita is projected to exceed targets also established by the ACA.  From 2015 through 2019, that target is based on measures of inflation.  Starting in 2020, the target is based on the growth of the gross domestic product plus one percentage point.Binding Recommendations and Other ReportsAt the start of every year, IPAB must submit recommendations to Congress to reduce spending if the targets are going to be exceeded. If IPAB fails to meet this deadline, the Secretary of Health and Human Services (HHS) must develop a proposal.  Congress must consider the IPAB...
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