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A Fix for the "Doc Fix"?

Hi blog readers!  It's Heather Heppner with the AARP Illinois Communications Team back with your Tuesday health care post.  This week, we're focusing on the budget deal approved by the U.S. House on Dec. 12th and how it could impact how Medicare pays doctors.  The article was written by Tamara Lytle - original article linked here.

Portait of Doctor

Capitol Hill lawmakers are showing signs that they could finally revamp how Medicare pays doctors.  For the short term, the budget deal approved in the House on December 12th delays for three months a cut of 24% in physicians' reimbursements slated to begin January 1, 2014.

For the long term, after years of last-minute scrambling to stave off the payment cuts, several key Senate and House committees have approved legislation to repeal the formula that Medicare uses to pay physicians, also known as the Sustainable Growth Rate (SGR).  The SGR was originally put in place in 1997 as a way to control Medicare costs.  Doctors have long been upset that no permanent "doc fix" has been found, and that in turn has worried patients that their doctors would stop seeing them.

“For far too long, seniors’ health care has been jeopardized by drastic Medicare physician payment cuts that Congress has to fix year after year with piecemeal patches,” said Sen. Orrin Hatch (R-Utah). “Republicans and Democrats in the Senate and the House have come together to once and for all put an end to this uncertainty by repealing this broken payment formula and replacing it with a smarter approach that rewards quality health care over quantity.”

The new system would tie Medicare reimbursements to quality and efficiency, which would be “good news for seniors and for the Medicare program overall,” says Max Richtman, the president of the National Committee to Preserve Social Security and Medicare.

But there is no done deal either for the long term or the short term.

Some Democrats say they won’t support a short-term “doc fix” unless unemployment benefits for the long-term jobless are extended as well, according to National Journal.

Another — and perhaps bigger — obstacle: Lawmakers haven’t yet agreed on how to pay for a permanent fix. The solution is unlikely to emerge before lawmakers soon return home for recess.


The Tuesday health care post will be on hiatus until 2014.  See you next year!

Until healthy!




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