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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

    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

    Promised Health Care Savings: Don’t Bet On Medicare Cuts

    Forget the President’s rhetoric about bending the health care cost curve. The House of Representatives will soon vote on legislation (H.R. 3961) that effectively repeals the cost control mechanism included in the Medicare physician payment update formula back in 1997. Passage of H.R. 3961 would add another $210 billion to … More

    Morning Bell: Exposing the Obamacare Shell Game

    In his primetime health care address before a Joint Session of Congress, President Barack Obama promised the American people: “I will not sign a plan that adds one dime to our deficits – either now or in the future. Period.” But it is hard work adding $1 trillion in government … More