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66 Admin. L. Rev. 131 (2014)
Death Panels: A Defense of the Independent Payment Advisory Board

handle is hein.journals/admin66 and id is 141 raw text is: RECENT DEVELOPMENT DEATH PANELS: A DEFENSE OF THE INDEPENDENT PAYMENT ADVISORY BOARD JACQUELINE Fox* TABLE OF CONTENTS Introd uction ............................................................................................... 132 I. T he C ost Problem ........................................................................... 137 A. A System Incentivized to be Wasteful ..................................... 138 B. The Role of Medicare in Healthcare Inflation ........................ 141 C. A Regulatory Flaw: Medicare's Inability to Consider Cost .... 143 D. Incentives to Maximize Use: The Marketplace, the FDA, and M edicare ........................................................................... 146 E. IPAB: Incentivizing Better Research ....................................... 149 II. T he IPA B Statute ........................................................................... 15 1 A. The M ake-up of the Board ...................................................... 153 B. Cost Calculations: When the IPAB's Power is Triggered ........ 154 C. How Recommendations are Implemented .............................. 158 D . F u nding .................................................................................... 16 1 E. What the IPAB Can Consider ................................................. 162 1. L im itations ......................................................................... 162 2. Reductions in Reimbursement Rates ................................ 164 III. A M ission Statem ent ....................................................................... 166 * Jacqueline R. Fox,J.D., LL.M., is an associate professor of health law and bioethics at the University of South Carolina School of Law. Fox received her J.D. and LL.M. at Georgetown University Law Center, was a post-doctoral Greenwall Fellow in health policy and bioethics, and a Yale University Donaghue Visiting Scholar of Research Ethics. The author would like to thank Theodore Marmor for his (always) generous advice and support, Colin Miller for his comments, and Wilder Harte for his work as a research assistant.

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