If Congress manages to get the government restarted and avert the debt ceiling crisis, lawmakers may have just enough time to renew their
10-year tradition of "kicking the can" on finding a replacement for the Medicare sustainable growth-rate payment formula.
During a "Washington Update" session, Jeb Shepard and Jennifer Gasperini of the Medical Group Management Association's government affairs staff told attendees at the association's annual conference in San Diego how legislative and regulatory action and inaction may affect the medical practices they run.
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It's Christmas in July for Medicare-participating physicians—though the gift is far from being delivered. On Wednesday, the House Energy and Commerce Committee unanimously passed bipartisan legislation to repeal Medicare's sustainable growth-rate formula and replace it with a stable system of payments to the nation's physicians.
For years, Congress has waited until the end of the calendar year to stave off a steep Medicare payment cut to physicians with a temporary fix.
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Republican and Democratic leaders on the House Energy and Commerce Committee released the latest version of a draft bill to repeal Medicare's sustainable growth-rate formula calling for a five-year period of stable payment increases as physicians transition into new payment models. But lawmakers still offered no way to offset the cost of the repeal.
Totaling 70 pages, the bill is a work in progress, as the panel's health subcommittee will mark up the legislation next week. Committee members—along with members of the House Ways and Means Committee—have worked throughout the year to craft a bill incorporating comments from more than 80 stakeholders. As before, this version of the bill gives providers the option of leaving traditional Medicare fee-for-service to try new payment models that emphasize better quality and lower costs.
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