Page:United States Statutes at Large Volume 101 Part 2.djvu/893

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-99

Act, with all relevant supporting data (including survey data, analj^ic data files, and file documentation), by no later than 30 days after the date the final report is received by the Secretary. ^c) OTHER PHYSICIAN PAYMENT STUDIES.— (1) FEE SCHEDULE IMPLEMENTATION.—The

42 USC 1395/ note.

Secretary shall conduct a study of changes in the payment system for physicians' services, under part B of title XVIII of the Social Security Act, that would be required for the implementation of a national fee schedule for such services furnished on or after January 1, 1990. Such study shall identify any major technical problems related to such implementation and recommendations on ways in which to address such problems. The Secretary shall report to the Reports. Congress on such study by not later than July 1, 1989. (2) VOLUME AND INTENSITY OF PHYSICIAN SERVICES.—The Secretary shall conduct a study of issues relating to the volume and intensity of physicians' services under part B of title XVIII of the Social Security Act, including— (A) historical trends with regard to increeises in the volume and intensity of physicians' services furnished on a per enrollee basis (with appropriate adjustments to account for changes in the demographic composition of the medicare population); (B) geographic variations in volume and intensity in physicians' services; (C) an analysis of the effectiveness of methods currently used under such part to ensure that payments under such part are made only for services which are medically necessary; (D) the development and analysis of alternative methods to control the volume of services; and (E) the impact of the implementation of the relative value scale developed under section 1845(e) of such Act on the volume and intensity of physicians' services. The Secretary shall submit to Congress an interim report on Reports. such study not later than May 1, 1988, and a final report on such study not later than May 1, 1989. (3) SURVEY OF OUT-OF-POCKET COSTS OF MEDICARE BENEFICIARIES

FOR HEALTH CARE SERVICES.—The Secretary shall conduct a survey to determine the distribution of— (A) the liabilities and expenditures for health care services of individuals entitled to benefits under title XVIII of the Social Security Act, including liabilities for charges (not paid on an assignment-related basis) in excess of the reasonable charge recognized, and (B) the collection rates among different classes of physicians for such liabilities, including collection rates for re}j, t quired coinsurance and for charges (not paid on an assignment-related basis) in excess of the reasonable charge recognized. The Secretary shall report to Congress on such study by not later than July 1, 1990. (d) STUDY OFFICES.—

OF PAYMENT FOR CHEMOTHERAPY IN PHYSICIANS'

(1) IN GENERAL.—The Secretary shall study ways of modifying part B of title XVIII of the Social Security Act to permit adequate payment under such part for the costs associated with providing chemotherapy to cancer patients in physicians' of-

Reports. 42 USC 1395/ note.

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