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    Medicare Advantage Survives—for Now

    There seems to be much confusion surrounding the recent drama of Medicare Advantage’s (MA) 2014 payment rate. Here’s what happened: In February, the Centers for Medicare and Medicaid Services (CMS) released its advance notice of estimates of the national per capita Medicare Advantage (MA) growth percentage, which is a key … More

    How to Fix the Medicare Physician Payment Problem

    The congressional formula that determines the annual Medicare payment update for physicians, the sustainable growth rate (SGR), was supposed to cut Medicare doctors’ pay each year starting in 2002. But that congressional formula is so flawed and unworkable that every year since 2003, Congress has stepped in to stop it … More

    Congressional Budget Office Shows Senate Bill Is $600 Billion Tax Hike

    The Congressional Budget Office (CBO) just now released its score of the bill the Senate passed early this morning while everyone was celebrating the beginning of the New Year. Despite knowing for a long time that taxes would go up on all Americans today, the Senate waited until we technically went … More

    Morning Bell: What IS the Fiscal Cliff?

    With just a few weeks left in 2012, all eyes in Washington are on Capitol Hill and the “fiscal cliff” negotiations. As usual, Congress and the President are taking highly contentious issues down to the wire before cutting a deal—never a situation that ends well for taxpayers. Federal Reserve Chairman … More

    The “Doc Fix” Dilemma Calls for Immediate Medicare Reforms

    Once again, Congress is scrambling to stop a scheduled 27 percent payment cut to physicians who serve Medicare patients. This frequent exercise serves as a perfect example for the need to move Medicare away from its current price control model toward a market-based, premium support model. Congress should take immediate action … More

    Doctors Need a Permanent Fix to the Medicare Payment Mess

    This week, the House Energy and Commerce Committee will consider solutions to Medicare’s flawed physician payment scheme. Physician payment is annually updated on the basis of the Sustainable Growth Rate (SGR), a special economic formula which, as configured today, would result in deep annual payment cuts. This directly threatens seniors’ … More

    Secretary Sebelius Questioned Before the Senate Finance Committee

    Health and Human Services (HHS) Secretary Kathleen Sebelius testified in front of the Senate Finance Committee yesterday about the President’s 2012 fiscal year budget and the status of health care reform. Despite the projected $1.6 trillion deficit in the President’s budget, Sebelius claimed that it represents “the blueprint for putting … More

    President’s Budget Contains One Sorry Excuse of a Doc Fix

    President Obama has received praise for including a two-year Medicare “doc fix” in his FY 2012 budget proposal, but hold the applause. Every year, physician reimbursement for treating Medicare patients is scheduled to decrease according to the “sustainable growth rate” formula. This complex and unworkable policy is intended to create … More

    Morning Bell: Repeal Doesn’t Increase the Deficit

    When now-House Minority Leader Nancy Pelosi (D–CA) was sworn in as Speaker on January 4, 2007, the national debt stood at $8.67 trillion. By the time Pelosi surrendered the gavel to Speaker John Boehner (R–OH) yesterday, the national debt stood at $14.01 trillion. At $5.34 trillion, that means Speaker Pelosi … More

    Doctors Avoid Medicare Pay Cut for Another Year—but Then What?

    Senate leaders reached an agreement Monday to delay cuts to physician reimbursement rates under Medicare for one year. The details of the negotiations have yet to be ironed out, but if the deal makes it through Congress, doctors will avert a 23 percent pay cut scheduled for January 1. Heritage … More