Paduda: What Medicare's Reimbursement Changes Mean for Work Comp

It isn’t possible to exaggerate the implications of the changes to Medicare’s provider fee schedule. When Medicare shifts its weight, the foundations of workers' comp move — a lot. Here’s why. First, around a third of provider reimbursement is governmental, and for some providers well over half of their payments come via Medicare, Medicaid and other governmental programs that base reimbursement on CMS. Second, the vast majority of work comp fee schedules are based on CMS. Therefore, the changes affect not only Medicare and Medicaid, but al...