MedPAC Examines Beneficiary Use of Emergency Departments

During its October meeting, the Medicare Payment Advisory Commission (MedPAC), reviewed Medicare’s current policies related to non-urgent and emergency care, as these topics relate to the use of hospital emergency departments (EDs) and urgent care centers (UCCs). The Commission is examining this topic because the use of ED services in recent years has grown faster than that of physician offices.  At the same time, the share of ED visits that are coded as high acuity has increased. The Commission is exploring Medicare beneficiaries’ use of EDs and UCCs for non-urgent services. In addition, the Commission is analyzing ED coding to determine if the increase in coding high-acuity visits reflects real change in the patients treated in EDs. This slide deck shows the potential savings Medicare could realize if beneficiaries shift certain care to the UCC setting. During the meeting, the staff sought feedback from Commissioners for developing next steps. This topic will likely continue to be addressed in future meetings. From the perspective of ambulance payment reform, the observations made by the Commissioners and staff would also seem to support incorporating scope-appropriate ambulance services in the context of community paramedicine or treatment at the scene with referral. While additional work...

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Spotlight: Rebecca Williamson

Rebecca Williamson Compliance Officer, Muskogee County EMS Medicare Regulatory Committee Co-Chair, AAA Board & Committees Tulsa, OK Tell us a little about yourself. I was born in Muskogee, OK and currently live in Tulsa, OK. I received my nursing degree from Connors State College and my bachelor’s degree in English from Northeastern State University. I began working at Muskogee County EMS as a paramedic 24 years ago, have moved through the ranks over the years, and have held my current title of Compliance Officer for about 12 years. When I’m not doing EMS, I am the Director of Nurses at Kids’ Space, a child advocacy center in Muskogee. I’m married to Steve Williamson, CEO/President of EMSA, and between us we have 7 children and 6 grandchildren. What do you enjoy most about your job? It’s always a challenge. Nothing is ever the same. I enjoyed being a paramedic because it was always different and no two patients were alike. Even though I’m now in administration and I’m dealing with Medicare, Medicaid, and insurance and regulatory issues and legislation, it is still never the same between days. I never feel like I have everything figured out, so there’s always a challenge in my (more…)

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