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CMS-1403-FC
other preventive services (for example, the tobacco
cessation benefit) we do not expect that the amount of the
increase will be more than a modest amount. Since MIPPA
refers to the evidence-based preventive services
recommended by the USPSTF, costs would be aligned with the
most effective screenings, and would avoid use of resources
for those services that are not based on available evidence
of effectiveness, thus reducing wasted resources.
b. Section 101(b) – Revisions to Initial Preventive
Physical Examination (IPPE)
Section 101(b) of the MIPPA expands the eligibility
period for beneficiaries using the initial preventive
physical examination (IPPE) from 6 to 12 months, waives the
Part B deductible, and makes several other changes to the
benefit such as adding the measurement of the body mass
index (BMI) and end-of-life planning to the list of
required services. We estimate that the expansion of these
Medicare Preventive services and the waiver of the Part B
deductible requirement may increase the number of covered
services that are performed in the next several years. As
a result, we expect the amendment may result in a small but
modest increase in payments to physicians and other
qualified practitioners who provide these examinations and
for any medically necessary follow-up (tests, counseling or
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