joether
Posts: 5195
Joined: 7/24/2005
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Some useful information for this discussion:
"The Independent Payment Advisory Board, or IPAB, is a fifteen-member United States Government agency created in 2010 by sections 3403 and 10320 of the Patient Protection and Affordable Care Act which has the explicit task of achieving specified savings in Medicare without affecting coverage or quality. Under previous and current law, changes to Medicare payment rates and program rules are recommended by MedPAC but require an act of Congress to take effect. The new system grants IPAB the authority to make changes to the Medicare program with the Congress being given the power to overrule the agency's decisions through supermajority vote.
Beginning in 2013, the Chief Actuary of the Centers for Medicare and Medicaid Services will determine in particular years the projected per capita growth rate for Medicare for a multi-year period ending in the second year thereafter (the "implementation year"). If the projection exceeds a target growth rate, IPAB must develop a proposal to reduce Medicare spending in the implementation year by a specified amount. If it is required to develop a proposal, the Board must submit that proposal in January of the year before the implementation year; thus, the first proposal could be submitted in January 2014 to take effect in 2015. If the Board fails to submit a proposal that the Chief Actuary certifies will achieve the savings target, the Secretary of Health and Human Services must submit a proposal that will achieve that amount of savings. The Secretary must then implement the proposal unless Congress enacts resolutions made to override the Board's (or the Secretary's) decisions under a fast-track procedure that the law sets forth."
SOURCE
These people are appointed by the current US President and confirmed via the Senate in Congress. Each of these postions is broken down into three groups of give. They are staggered so no two groups will be up for election/re-election at the same time. All are given six years after the first batch has had terms in office. The first group was given one year in office, the second, three years, and the final group six years. So in six years, the first and second group will have already been elected to their position when the President and Senate are dealing with the third group.
This panel was created to help streamline actions and take 'some work' off Congress's plate. Because the current Congress we have seems to be overwhelmed in handling problems to the nation. Ironically, without this panel in place, it would imply those 'Death Panels' would be members of Congress. Right now (if the panel didnt exist), that would mean many Republicans would be serving on those 'Death Panels' they attacked the President about with regards to the ACA.....
An irony lost on most conservatives and libertarians. Both on this forum and at large in the nation!
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U.S. Supreme Court rejects Obamacare 'death panel' chal... - 
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