Citing SGR Cuts, Physicians Mull Dropping Medicare Patients
Two of three medical practices surveyed—67% of respondents—say they will either limit the number of new Medicare patients they accept or stop seeing Medicare patients altogether if Congress does not halt reimbursement cuts of about 30% that take effect by the end of the year, a survey by the Medical Group Management Association shows.
A reimbursement cut of 23.6% is slated to take effect Dec. 1, followed by an additional 6.5% cut on Jan. 1, as part of the Medicare's controversial sustainable growth rate formula.
The SGR formula has called for an across-the-board reduction in physician payment rates every year since 2002, and since 2003, through May 31, 2010, the cuts have been averted by legislative action.
"This is a situation that must be dealt with immediately when Congress returns after the elections," said MGMA President/CEO William F. Jessee, MD in a statement. "Further congressional delays jeopardize patients and the medical practices that serve them."
If no action is taken to stop the reductions, 49.5% of medical groups said that they will stop seeing new Medicare patients, and 27.5% of respondents said they would cease treating Medicare patients.
In addition, physician practices are considering other steps to address reimbursement cuts:
- 76% will likely delay the purchase of new clinical equipment and/or facilities;
- 60% will likely reduce the number of administrative support staff;
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- Medicare Advantage Carriers See 'No Choice' But to Accept Cuts
- 3 Management Lessons from a Supermarket Debacle
- Physicians to Appeal 'Docs v. Glocks' Ruling in FL
- Centralizing the Revenue Cycle Protects the Bottom Line
- CA Fines 8 Hospitals for Medical Errors
- Revenue Cycles Get a Boost from Simple JPEG Files
- IOM Identifies GME Problems, Calls for Finance Changes
- Doctors Feel Pressure to Accept Risk-based Reimbursement
- Employers Weigh Risks, Benefits of Private Exchanges