Replacing Medicare’s sustainable growth-rate formula for paying doctors will top the agenda when Congress returns from spring break this week.
The "doc fix" before Congress might not be so permanent after all. The new payment system would actually result in lower Medicare payments to doctors after 2049 than under the widely loathed sustainable growth-rate formula.
Draft regulations issued Monday would extend federal mental health parity protections to Medicaid beneficiaries enrolled in managed-care plans.
Congress may be on spring break, but supporters of the legislation repealing and replacing Medicare's sustainable growth-rate formula for paying doctors aren't taking it easy.
The fix isn't in yet, but it's close. The Senate adjourned for its spring break Friday without taking action on legislation permanently repealing and replacing Medicare's sustainable growth-rate physician-payment formula.
If the Children's Health Insurance Program ended, children affected would still be able to get most, but not all, of the coverage options they have with CHIP if they buy a plan from an insurance exchange.
The House still plans to vote Thursday on a repeal of Medicare's loathed sustainable growth-rate formula. The bill unveiled Tuesday also further delays the "two-midnight rule" and details provider cuts that will partially offset the cost of the SGR fix.
With the March 31 deadline to act on the sustainable growth-rate formula a week away, there are at least six potential landmines that could derail the surprise $200 billion-plus deal negotiated by House Speaker John Boehner and Minority Leader Nancy Pelosi.
The chairs of the House Energy and Commerce and Ways and Means Committees introduced legislation late Friday filling in the details of the $200 billion-plus deal to repeal Medicare's sustainable growth-rate formula.
Congressional leaders have announced a bipartisan, bicameral deal to permanently repeal Medicare's loathed sustainable growth-rate formula for paying doctors. Unclear for now, though, is the fate of the Children's Health Insurance Program.
Roughly 1.9 million children could lose health insurance coverage depending on the outcome of the King v. Burwell case and whether Congress reauthorizes the Children's Health Insurance Program.
A proposed congressional “doc fix” deal being discussed last Friday looked as if it would include a permanent repeal of Medicare's sustainable growth-rate formula and a two-year extension of the Children's Health Insurance Program with a total cost exceeding $200 billion.