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SGR Ripe for Repeal, Where's Congress?

Joe Cantlupe, for HealthLeaders Media, May 9, 2013

Rep. Kevin Brady, (R-TX) chairman of the House Ways and Means health subcommittee, also said in a statement before a hearing Tuesday on the SGR that he was hoping to take advantage of the "good CBO cost estimate."

"While funding the money to pay for an SGR replacement policy remains a challenge, the most recent Congressional Budget Office SGR repeal estimate surely helps," he adds.

Brady pointed out, specifically, how physicians are upset over the continued failed attempts to deal with the SGR and the repeated "doc fix."

"Physicians are understandably frustrated," Brady said. He added, "The current broken system is forcing doctors to rethink their future with Medicare, consider closing their private practices or joining up with a hospital. Who can blame them? The SGR is a major contributor to an unhealthy system—and it needs to change this year."

Over the last several months, House Republicans have proposed various payment models based on what they term "quality metrics, performance, and clinical improvement," which has drawn bipartisan support. Providers are also trying to get Congress moving by providing more details of plans, such as proposing to incorporate clinical data registries to evaluate quality of care.

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2 comments on "SGR Ripe for Repeal, Where's Congress?"


michael samms (5/10/2013 at 10:13 AM)
We need a system to address artificial demand creation. Programs addressing quality are always appropriate, but take a long time to widely implement. In the meantime, we need an immediate and effective reimbursement process that will eliminate up to $100 Billion in excess diagnostic services annually. A reimbursement program to slow cost increases will go a long way toward addressing needed reforms and will have an immediate payback. We need Wal-Mart style supply/demand economics which will alleviate the cost concern. Where is Wal-Mart or an organization that will step up?

msamms (5/9/2013 at 5:20 PM)
Artificial demand creation rules current healthcare economics. We could save $100 Billion annually with a proper structure. We need Wal-Mart style supply/demand economics. Begs the question, where is Wal-Mart on healthcare? Perhaps a different question: Who resides outside the current healthcare box and can save the U.S. healthcare system?