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Lawmaker Letter to 'Super Committee' Makes Case for SGR Repeal



Congressional support to repeal the sustainable growth rate (SGR) program is growing, as 114 members of Congress signed a bipartisan letter to the deficit super committee asking it to repeal the unpopular Medicare physician payment system.



2 comments on "Lawmaker Letter to 'Super Committee' Makes Case for SGR Repeal"
S Daniels (10/10/2011 at 3:32 PM)

Just pay doctors an annual compensation. Base rate based on historic volume of M & M patients with opportunity for additional payment based on quality & cost outcomes.
msamms (10/10/2011 at 10:12 AM)

New Scoring innovation is THE simple solution to the healthcare cost problem! I went to D.C., in August, to provide each Super Committee member healthcare legislative assistant information about an awesome [INVALID]native to the usual slash and burn overall reimbursement cuts that usually occurs within healthcare. In her book, Overtreated, Shannon Brownlee states, "...medicine does not function like other economic markets. If doctors found they weren't getting enough business, they didn't have to slash their fees in order to attract new patients; they could simply give more medical care to patients they already had...". She further describes this process as artificial demand creation. A much better way is offered through www.sesscoring.com. This is an innovation that is fair and will result in higher quality medicine while creating better healthcare economics. I proposed a generic scoring version that can be supported by Congress as anybody can participate in the scoring arena. This is an effective way of dealing with artificial demand creation. Attending to artificial demand creation will avoid the indiscriminate slash and burn across-the-board reimbursement cut mentality which was recently proposed by MedPAC. Healthcare scoring that takes into consideration procedure saturation, within a defined geometry, is a new model that makes perfect sense and avoids penalizing under-served areas of the U.S. This is a paradigm change that must be embraced. The Scoring process: If a provider has not performed a diagnostic test within the previous 12-months, the provider must apply for a score. A score is issued using complex algorithms that are based upon existing supply and capacity within a defined geographic region. Payers will [INVALID] reimbursement based upon the score. This process does not interfere with the sacred physician-patient relationship and does not deny any patient any needed service. Once the scoring process is fully deployed and the reduction in artificial demand creation has subsided, fewer redundant and unnecessary diagnostic services will be provided. The overall U.S. healthcare system will benefit from reduced costs. The healthcare scoring innovation will save $944 billion over the next 10 years in the U.S. healthcare system.