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End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Medicare

Thursday, February 09, 2012

Democrats To Unveil Plan To Fund Payroll Tax Cut, Medicare 'Doc Fix'

On Thursday, Democrats are expected to release a package of funding measures for an extension of the payroll tax cut and a delay to scheduled cuts to Medicare physician reimbursement rates, Modern Healthcare reports (Daly, Modern Healthcare, 2/8).

Democrats earlier this week rejected a package of offsets proposed by Republicans.

In a recent public hearing, Democrats suggested that a combination of surtaxes on U.S. residents with annual incomes of more than $1 million and savings from ending the wars in Afghanistan and Iraq could fund a permanent repeal of the sustainable growth rate formula.

Their package could include these funding measures.

GOP Criticizes Democrats for Delay

Rep. Tom Reed (R-N.Y.) criticized Democrats for waiting to issue a proposal. He said, "There's been a calculation that's been made on their side that from a political point of view, they come out better pushing this all the way to the deadline and then having to deal with it then" (Modern Healthcare, 2/8).

Negotiators Ready To Move to Next Stage

Meanwhile, the conferees seem prepared to move on from public meetings to private talks, CQ Today reports.

Rep. Henry Waxman (D-Calif.) said the meetings have been "productive," but suggested that it's "time to move now to another stage."

Rep. Fred Upton (R-Mich.) said, "We haven't made any progress by meeting in public, so maybe if we can do one private meeting, we can actually make some progress" (CQ Today, 2/8).



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