Dermatology World March 2011 : Page 35

BY RUTH CAROL , CONTRIBUTING WRITER Reform creates board with UNPRECEDENTED authority, UNCERTAIN membership FUNDING TO ESTABLISH THE INDEPENDENT PAYMENT ADVISORY BOARD (IPAB), MANDATED AS PART OF HEALTH SYSTEM REFORM, WON’T BE AVAILABLE UNTIL THIS OCTOBER, BUT THAT’S NOT STOPPING DERMATOLOGISTS FROM BEING CONCERNED ABOUT THE IMPACT THAT THE PANEL MAY HAVE ON THE SPECIALTY. Dermatologists are appropriately anxious about the IPAB, noted Jack S. Resneck Jr., M.D., chair of the American Academy of Dermatology Association’s Council on Govern-ment A airs, Health Policy and Practice, and associate professor of dermatology and health policy at the University of California, San Francisco School of Medicine. The anxiety largely stems from the unprecedented authority that the IPAB is given and the uncertainty regard-ing who will be part of the 15-member board. Created as part of the Patient Protection and A ordable Care Act, the IPAB is charged with making recommendations to reduce growth in Medicare spending while enhancing quality of care. Speci cally, the IPAB is to develop proposals that will improve the health care delivery system and health outcomes, protect and improve Medicare bene ciaries’ ac-cess to necessary and evidence-based items and services, and target reductions in Medicare program spending to sources of excess cost growth. “The Independent Payment Advisory Board is one of the key parts of health reform that will set our system on a path to sustainability in the long run,” said Jessica Santillo, a spokesperson for the Department of Health and Human Services (HHS). The Congres-sional Budget O ce has estimated that the IPAB will save $15.5 billion between now and 2019, she added. ► DERMATOLOGY DERMATOLOGY WORLD WORLD // // January March 2011 35

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