At a hearing today on Capitol Hill, Illinois congressman Peter Roskam had this question for Scott Gottlieb, a resident fellow at the American Enterprise Institute: “Under IPAB, will healthcare providers ability to provide care to patients be affected by reimbursements being cut for particular services?” IPAB (the Independent Payment Advisory Board) is the fifteen-member board created by Obamacare to determine Medicare payments.
“I think it absolutely will,” Gottlieb said in response to Roskam's question.
Later, in the same testimony, Roskam asked the expert more directly about rationing: “Rationing as you know is not defined in the statute. Let me ask you this: can you have per se rationing based on what the Independent Payment Advisory Board makes decisions to reimburse?”
“Sure, you’re going to have payment driven so low in some settings that certain services won’t be available. Physicians won’t be available to take patients,” said Gottlieb.