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Dr. Eric Schnipper on MedPac, the Medicare Payment Advisory Commission, and how it is advising the government on costs of procedures.
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She called the med -- in advises congress on how much Medicare should pay for each medical procedure now there's only one problem.
None of its commissioners are actually doctors we have a doctor and a council doctor Eric -- he's a radiologist who's dealt with met -- many times.
In -- here to help us understand what is that like for adopted to deal with these non -- be -- bureaucrats.
Well I I gotta tell you it's it's fascinating because the chief of -- -- -- how important to GG attorney.
Living in an ivory tower in Bend, Oregon somehow figuring out on his own what it's like to be in the trenches and practice medicine what it's like in terms of income.
-- Regan the income dropping 60%.
In the last seven years for reimbursement for a camera wire -- -- going from 1110400 dollars for even an osteoporosis exam for a lady.
Going down 44 dollars and for that type of person to try to figure out what it's like to pay their employees what's like -- pay their rent and their equipment.
In overhead.
It's impossible and I don't even know who enters their minds can you think of any other business or industry where 67%.
Drop over six or seven your period is sustainable.
Dutch boy Eric I was certain conflict of interest whereas you have doctors determining the reimbursements perhaps doctor -- specialty might.
Recommend -- higher reimbursement for their specialty vs a different one.
It is -- -- it's an excellent question and if you look at the composition of the group that recommended or few doctors on.
They are heavily weighted towards primary care -- -- heavily weighted towards hospital based doctors.
Not people that are actually having to.
Work in the private practice said so all the decisions that are made or to take money away from the specialist and away from the people who don't get philanthropy don't get subsidies from the federal state government.
As if they were in hospital.
We are gonna actually as we -- we're gonna continue to discuss -- for the audience we're gonna start scrolling.
The members of the committee that you talked about now -- noticed no MD's will be on this list to your point.
So what drives -- decision making what do you think then what do they think about when they gather together what's with the impetus for them coming up with these is that.
-- decisions as I've seen them over the past seven years are purely results agenda oriented.
There's an agenda right now to limit care to limit private practice -- Deductible -- -- that the bottom line I mean what -- -- -- is one of these players are they try to be fairly what exactly are they doing because it seems like they're ruining -- in the.
For right they are and they're being charged in the future with a 500 billion dollar of this generation Medicare.
And the successor of of -- -- -- even going to be scarier in the independent opinion advisory board.
In obamacare because they will be on accountable.
On elected.
And anything that they want -- -- that we've become law even if congress doesn't like it.
And Eric this is something we've all -- listen we're out of time now but we wanna have you back because this is important it pertains to everyone watching the show now.
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