Fiscal Policy - The government’s tax and usually required to select a primary care spending policies, which influence the physician through whom all care must be amount and maturity of government debt as coordinated. HMOs generally will not well as the level, composition, and reimburse all costs for services obtained distribution of national output and income. from a non-network provider or without a See debt. primary care physician's referral. HMOs Fiscal Year - A yearly accounting period often emphasize prevention and careful ° ; assessment of medical necessity. The federal government's fiscal year begins ¥ October 1 and ends September 30. Fiscal Independent Payment Advisory Board years are designated by the calendar years (IPAB) - A 15-member Independent in which they end—for example, fiscal year Payment Advisory Board created under 2011 will begin on October 1, 2010, and end PPACA with significant authority with on September 30, 2011. respect to Medicare payment rates. GDP price ind bk ‘ Beginning in 2014, in any year in which the are aricas of all goods and semices that ° Medicare per capita growth rate exceeded a ; target growth rate, the IPAB would be hange'tethe GDP price Preece ine as a required to recommend Medicare spending ; ae reductions. The recommendations would measure of inflation in the overall economy. become law unless Congress passed an General Fund - One category of federal alternative proposal that achieved the same funds in the government's accounting level of budgetary savings. Subject to some structure. The general fund records all limitations—hospitals, for example, would be revenues and offsetting receipts not exempt until 2020—the IPAB could ; earmarked by law for a specific purpose and recommend spending reductions affecting all spending financed by those revenues and Medicare providers and suppliers, as well as receipts Medicare Advantage and Prescription Drug Plans. Government-Sponsored Enterprise (GSE) - A financial institution creat