Don't Count on SGR Reform This Year
Under the current SGR structure, Medicare physician payments would be reduced 30.9% on Jan 1, 2013, unless, of course, Congress can be counted on to stop it—which they have continually done, in a one-step, two-step for years. The ongoing threat of reduced payments, while the physicians groups' payment needs increase each year, destabilizes their business operations and planning, as long as the formula stays in place.
On the surface, the mere focus of the letter on the SGR suggests immediate hope.
Don't believe it, insiders say. It's probably illusory.
SGR reform absent from GOP's agenda
For one thing, it's summer and it's an election year—a double deal-breaker for advancing issues in Washington. Absolutely nothing will happen regarding the SGR, not for months, or possibly this year, I am told. In addition, Republicans have a different healthcare focus, not the SGR: The GOP priority is getting rid of "Obamacare."
That push is reflected in a separate Washington D.C. document making the rounds. It's a memo from Rep. Eric Cantor, (R-VA), the House majority leader, sent to his GOP colleagues over the Memorial Day weekend. I received a copy. It makes no mention of SGR.
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Top-Ranked MA Plans Earn Their Stars
- How Telehealth Pays Off for Providers, Patients
- House Calls Key to Pioneer ACO Success
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- Defensive Medicine Still Prevalent Despite Tort Reform
- Ebola: Health Officials Try to Quell Front Line Fears
- How Hospitals Can Become 'Upstreamists'
- 'Overtreatment' Debate Circles Back to Lung Cancer Screening
- 4 Tips for Managing Employed Physicians