The ACA is an enormous reform, of which IPAB is only one part. However, its structural defects make it a potentially damaging policy toward the future of health care in the United States. Inevitably, IPAB will be driven to implement reimbursement cuts, and consistent with the history of price controls, the result will be reduced access to care and diminished investment in medical innovation.
TMA's View: Repeal the Independent Payment Advisory Board (IPAB). Keep Congress accountable for the Medicare system. If decisions are made to limit funding for health care services, priorities will have to be set. It should not be left, however, to an unelected and unaccountable IPAB