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130404 1 (1986-07-16)

handle is hein.gao/gaobactsy0001 and id is 1 raw text is: 10I   VC'


        UNITED STATES GENERAL ACCOUNTING OFFICE
                Washington, D.C.  20548

                                FOR RELEASE ON  DELIVERY
                                EXPECTED AT  10:00 A.M.
130404                          WEDNESDAY, JULY  16, 1986


   THOMAS G.

       HUMAN



SUBCOMMITTEE

   COMMITTEE

       HOUSE


STATEMENT OF

DOWDAL, GROUP DIRECTOR

RESOURCES DIVISION

BEFORE  THE

ON HEALTH AND ENVIRONMENT

ON ENERGY AND COMMERCE

OF REPRESENTATIVES

     ON


            PHYSICIAN PAYMENT RATES UNDER MEDICARE'S
                 END STAGE RENAL DISEASE PROGRAM


Mr. Chairman and Members of the Subcommittee:

     I am pleased to be here today to discuss GAO's  report on

physician payments under Medicare's End Stage Renal Disease

(ESRD) program.1  As you requested, I will be addressing  only

that portion of the report that deals with establishing the

level of the Monthly Capitation Payment  (MCP), the Medicare

payment a physician receives each month for each ESRD  patient he

or she treats.  Our findings were the basis  for the Department

of Health and Human Service's  (HHS's) July 2, 1986, revision of

the MCP.  Basically, we found that HHS's original  computation of

the MCP resulted in a rate that was too high because  the

computation overstated physician involvement with  patients'

dialyzing at home.


1Changes Needed in Medicare Payments to Physicians  Under the End
Stage  Renal Disease Program, GAO/HRD-85-14  and GAO/HRD-85-14A,
February  1, 1985.

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