Commission members will include individual in health finance, economics, actuarial science, health facility management, health plans, reimbursement, physicians, employers, payers, and researchers. The surety bond may be waived if one is already required under State law. Thus, it is possible that HCFA may try to impose the surety bond requirements on ambulance suppliers. Ownership information is already required, as part of the process for an ID number. Payment does not reflect changing technology, increased facility with that technology or reductions in acquisition or production costs.
Payment is substantially higher or lower than payment for that service by other payers.
The potential impacts on quality, access, beneficiary liability, assignment rates and participation rates. A notice of a proposed determination is published in the Federal Register specifying the amount proposed, the factors taken into consideration, data taken into consideration and the potential impacts on quality, access and beneficiary liability. A 60 day comment period is allowed. HCFA takes into consideration the comments before publishing a final determination, which must also specify the factors and data taken into consideration. This provision went into effect on August 5, 1997.