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Medicare Drug Program News

Final Bill of this Congress Saved Physicians from Big Medicare Pay Cut

AMA says it will help avert a potential sharp decline in access for America’s senior citizens

December 10, 2006 – Sometime shortly before 4 a.m. Saturday the Congress finally managed to pass legislation that will stop Medicare from cutting what it pays physicians. On January 1, a 5.1 percent pay cut was to take affect. The measure passed by large margins in both the senate and house but was packaged with a number of other items the congressional leadership wanted to get passed before this Congress ended.

 

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Docs Still Face Medicare Pay Cut as Congress Winds Down Without Agreement

Veterans stuck too in fight for more health care funding

December 8, 2006 – Certainly this last day of the lame-duck Congress will continue into the weekend, but as of late Friday the physicians still do not have a vote on the bill that would stop a 5.1 percent pay cut by Medicare that is to become effective on January 1. The House was expected to vote today on HR 6408 but it had not reached the floor by 5 p.m. And, too, it would still require Senate action. Many physicians are predicting senior citizens will have a more difficult time finding a doctor that will accept Medicare patients, if the pay cut stands. Senate Budget Committee Chair Judd Gregg (R-N.H.) said that he opposes the bill but that he expects the legislation to pass. "They bought the votes." Read more...

Congress Nears Agreement on Stopping Medicare's Reduction of Physician Pay

Action needed today if it is to happen before cut kicks in

December 7, 2006 – Read more...

Lame-Duck Congress Still Wrestling with How to Reverse Medicare's Proposed Pay Cut for Doctors

December 6, 2006 –   Read more...

Medicare Final Rule Cuts Physician Pay Five Percent for 2007

CMS says rule encourages more physician-patient communication

November 3, 2006 –  (See AMA reaction in sidebar.) Read more...

 

Read the latest news on Medicare or Medicare Drug Program

 

A major hang-up on the pay cut for physicians has been how to make up the money that would be lost by not instituting the pay reduction. The Associated Press reported, "The GOP-crafted solution to the problem was criticized as an accounting gimmick since it would double the cost of fixing the problem again next year."

The American Medical Association's chairman, Dr. Cecil Wilson, said," Congressional action to avert next year’s five percent Medicare physician payment cut will help avert a potential sharp decline in access for America’s seniors."

The AMA has repeatedly warned that many physicians would stop taking Medicare patients if physician pay was cut.

"The AMA sincerely appreciates the bipartisan efforts by House and Senate leaders, committee chairmen, ranking minority members and congressional staff to prevent the Medicare cut triggered by the flawed Medicare physician payment formula," Wilson said.

"This action stops next year’s cut by maintaining the current 2006 payment rate, and also sets aside funds to avert cuts in 2008. This legislation also stops additional Medicare cuts to rural physicians.

"If the 2007 Medicare cut had occurred as planned, nearly half of physicians told the AMA the cut would force them to limit the number of new Medicare patients into their practice.

"Today’s action provides an important but temporary reprieve for seniors and the physicians who care for them. The AMA renews its commitment to work with Congress, the Administration and senior groups on a more permanent solution to the flawed Medicare physician payment formula. The time is long overdue to devise a sound financing system for the Medicare program so we can avoid this annual struggle to preserve seniors’ access to care.

"The legislation also initiates a physician quality reporting program, and the AMA will continue to work with the Administration and Congress on ways to improve health care quality.

"The AMA-convened Physician Consortium for Performance Improvement has already developed 151 quality measures, and we will work to ensure that Consortium measures continue to form the foundation of a Medicare quality reporting program. We will work closely with the incoming Congress to address concerns with the current reporting framework."

The bill blocking the cut in Medicare payments to doctors was actually a wide-ranging trade bill that also "restored $38 billion in popular tax breaks; established normal trade relations with Vietnam and granted trade benefits to Haiti and four South American countries; and blocked a cut in Medicare payments to doctors. The measure also fulfilled a long-sought objective of Gulf Coast lawmakers and the oil industry by expanding offshore drilling opportunities in the eastern Gulf of Mexico and directing hundreds of millions of dollars in new royalties to the region, according to the New York Times today.

 

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