The ink was barely dry on the Medicare Physician Sustainable Growth Rate (SGR) fix, and it has already been changed.
One component of the SGR fix, which was just passed in April of this year, was freezing Medicare physician payments from 2019 through 2025, and then allowing a .75% increase for physicians participating in alternative…
CMS has issued the Proposed 2015 Physician Fee Schedule and Fact Sheets for specific issues (ASC, ESRD, Home Health, Physician Quality Programs).
SGR Reduction
Although the Protecting Access to Medicare Act Prohibits any SGR reduction for the first 60 days of 2015, i.e., until March 1, 2015, CMS predicts a 20.9% decrease without legislative action.…
New joint legislation to repeal Medicare’s failed SGR formula is advancing to both chambers of Congress following an agreement announced Thursday by the three committees that put forth repeal bills earlier this session.
“The AMA congratulates House and Senate negotiators for taking this critical step toward reforming the nation’s Medicare program,” AMA President Ardis Dee…
I recently posted the SGR White Paper published jointly by the Senate Finance Committee and the House Ways and Means Committee. Earlier this week, both committees endorsed legislation enacting those concepts.
The section by section summary of the SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 is attached. Unfortunately, both the House and…
The House Ways and Means Committee and the Senate Finance Committee have jointly issued a White Paper proposing the repeal of the Medicare Sustainable Growth Rate Formula, entitled “SGR Repeal and Medicare Physician Payment Reform”.
The SGR white paper acknowledges that the Sustainable Growth Rate formula is “fundamentally broken” and that application…
CMS has issued the poroposed Medicare Physician Fee Schedule. Without Congressional intervention, the SGR will mandate a 24.4% decrease. CMS sent its calcuations to the Medare Payment Advisory Commission.
CMS has also issued a Fact Sheet Summary:
Supercommittee failure leaves 27 percent Medicare payment cut in place With the Joint Select Committee on Deficit Reduction failing to reach agreement on a deficit-reduction proposal, physicians still face a 27 percent cut in Medicare physician payments scheduled to take effect Jan. 1. Congress has missed an opportunity to address the nation’s fiscal problems, stabilize…
The 2012 Medicare Physician Fee Schedule is out!
It contains a proposed Medicare Conversation Factor of $23.9635. This is a 29.5% DECREASE, mandated by the Sustainable Growth Rate (SGR) formula.
Med Law Blog will be presenting analysis of key additional provisions in the coming weeks.
The Social Security Act requires CMS to provide annual estimates to the Medicare Payment Advisory Commission (MedPAC) for both the Medicare Physician Fee Schedule Conversion Factor (SCF) and the Sustainable Growth Rate (SGR). According to the letter just released by Jonathan Blum, Deputy Administrator and Director for CMS, the 2012 Medicare Physician Fee Schedule Conversion Factor…
Pres. Obama signed the Physician Payment and Therapy relief Act of 2010. This act extends the temporary 2.2 % medicare Physician Fee Schedule increase, which replaced the projected 23% SGR decrease for 2010, but only for one more month.
