Why Medicare Access Is In Jeopardy In Both Salaried and Physician Owned Settings

Jaan Sidorov

Posted 12/21/11 on The Disease Management Care Blog

Don’t underestimate the physician dismay over the looming “Doc Fix” debacle. Unless some budget compromise gets hammered out, Medicare is about to stick it to a lot of docs.

Ever since the passage of the Balanced Budget Act of 1997, Congress has been repeatedly delaying a yearly mandated cut in Medicare’s physician fees. That statutory reduction has been slowly accumulating through no fault of the physician community and is now estimated to be more than 27%.  Assuming most physicians’ practices are made up by a majority of Medicare beneficiaries, that represents a huge hit to their cash flow. KHN has a good summary of the partisan mutual assured destruction that has led us to this crisis here.

Continue reading “Why Medicare Access Is In Jeopardy In Both Salaried and Physician Owned Settings”

Physician Payment Reform: An Opportunity to Bolster Primary Care

James Rickert

First posted 9/07/11 on The Health Affairs Blog

Copyright ©2011 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. 

With the Budget Control Act of 2011 now signed into law, health care lobbyists are preparing to fight any changes to federal programs that affect their constituents.  One particular concern for physicians is the scheduled 30 percent cut to Medicare reimbursement mandated by the Sustainable Growth Rate (SGR) formula.

Any attempt to waive these cuts will need to be offset by lower spending elsewhere in the federal budget.  While no one can predict what action will occur, it appears that Congress is in no mood for increased health care spending, and some cuts are inevitable. Thoughtful and strategic changes in physician reimbursement  could meaningfully improve health care in our country while  reducing our health care spending.

Continue reading “Physician Payment Reform: An Opportunity to Bolster Primary Care”