240.014 Geographic Practice Cost Indices (GPCIs): The Texas Medical Association supports geographic adjustments for Medicare payment that are fair and accurate based on variations in local economic conditions. To ensure accurate adjustments, the Centers for Medicare & Medicaid Services (1) should find and apply the most accurate and current available data for use in GPCI calculations, including better data on commercial office costs, current information on medical liability costs, and data to accurately measure the existing variations in costs of medical supplies; and (2) update at least every five years all factors including locality definitions and boundaries. Since locality boundaries for most multilocality states have not been updated since 1996, Congress should mandate an immediate revision using new boundaries based on metropolitan statistical areas or comparable economic groupings and provide federal funding for hold-harmless provisions to prevent cuts to localities that could be affected adversely. (BOT Rep. 39-I-98; reaffirmed CSE Rep. 1-A-08; amended CSE Rep. 2-A-18).
Last Updated On
August 20, 2018