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San Francisco Marin Medical Society Blog

Medicare Payment Advisory Commission SGR Proposal



This morning the Medicare Payment Advisory Commission (MedPAC), which advises Congress on Medicare payment policy, discussed the possibility of adopting a proposal to address the SGR. The proposal would repeal the SGR using a broad range of budget offsets. However, to bring down the cost of repeal, the proposal calls for a freeze for primary care and 5.9 percent cut for all of the other specialties for each of the next 3 years followed by a 7 year freeze. The proposal is currently under discussion by the Commission but will not be voted on until the October 6-7 meeting. If it adopts this proposal as its SGR recommendation to Congress, it will make it that much more difficult to convince Congress to adopt the plan AMA have advocated.  MedPAC will be releasing more on this proposal in the next week or so. Below is the statement attributed to AMA President, Peter Carmel, MD. “The misguided scheme discussed by MedPAC to replace the nearly 30 percent cut to physicians scheduled for January 1 with a new series of very significant cuts will harm patients and physicians in the Medicare program. The new cuts are inconsistent with MedPAC’s previous recommendations to stop cuts to physicians who care for Medicare patients because they threaten access to care for patients and would have severe consequences for the Medicare system." "Medicare payment updates since 2001 have not kept up with the cost of running a medical practice, leaving a 20 percent gap between reimbursement rates and practice expenses. Further drastic cuts pose a very real risk to physicians' ability to retain staff, care for Medicare patients and make the investments needed to modernize their practices and participate in care delivery models intended to improve quality while reducing costs in the Medicare system."


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