FROM THE FOUNDATION

All Over the Map

Newly updated to include breast cancer, prostate cancer, and spine procedures, this CHCF-sponsored research shows that practice patterns vary dramatically from place to place.

Medi-Cal Transforms

Medi-Cal is the main source of health insurance for one in five Californians. An updated report gives an overview of the program's key features, describes how the program is evolving, and examines the challenges ahead.

Obama Care in the Second Term

CHCF is a long-time sponsor of the UC Irvine Forecast Conference. A webcast of this year's conference on health policy in President Obama's second term is now available.

Medicare

Wednesday, August 01, 2012

House, Senate Budget Deal Lacks Provision To Avert Medicare Pay Cuts

Congressional leaders on Tuesday reached a budget agreement to avoid a government shutdown in the fall, but the deal does not include an adjustment or repeal of the sustainable growth rate formula, Modern Healthcare reports (Robeznieks, Modern Healthcare, 7/31).

The agreement would extend government funding at $1.047 trillion -- the top-line level for 2012 -- for six months after current funding expires on Oct. 1 (Wasson, The Hill, 7/31).

Senate Majority Leader Harry Reid (D-Nev.) -- who announced the agreement along with House Speaker John Boehner (R-Ohio) -- said that a fix for the SGR is not included in the agreement. Medicare hospital supplemental payment extensions also are not included.

Reid's announcement comes after a new Congressional Budget Office report found that the SGR formula will require a 27% cut to physician payments in 2013. The report analyzes several options for offsetting the cut, which could cost between $15.3 billion and $376.6 billion.

The lowest-cost option would feature short-term increases to Medicare physician reimbursements, followed by payment reductions of between 22% and 26%. The most-costly option would replace, restructure or reset the SGR, according to Modern Healthcare (Modern Healthcare, 7/31).



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