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Passage of Medicare Bill Averts Deep Cuts in Physician Payments
AAFP ^ | 7-9-08 | James Arvantes

Posted on 07/09/2008 4:55:19 PM PDT by Dysart

The Senate has passed an 18-month Medicare physician payment bill that negates steep reductions in the Medicare physician payment rate for the remainder of this year and next year. The legislation now will go to President Bush.

"H.R. 6331" in the search box after selecting "Bill Number") maintains current Medicare payment levels for the rest of 2008 and provides a 1.1 percent increase in the Medicare payment rate in 2009, thus negating a 10.6 percent payment reduction that took effect on July 1 and an additional 5.4 percent reduction that was scheduled to take place in 2009.

Bush has threatened to veto the legislation, but both the House and Senate now have passed the bill by veto-proof margins, making it likely that Congress can override a presidential veto.

"We are extremely pleased with the outcome of the vote and the efforts of family physicians who communicated with their senators about the importance of passing this legislation for Medicare beneficiaries, " said AAFP President Jim King, M.D., of Selmer, Tenn., in an interview with AAFP News Now. "With an 18-month update, Congress will now have time to develop an alternative to the flawed SGR (sustainable growth rate) formula."

This is the second time in less than two weeks that the Senate addressed H.R. 6331. Senate supporters of the measure could not muster enough votes to bring the bill to the Senate floor for a vote before adjourning for a weeklong July 4 recess on June 27. As a result, a 10.6 percent payment cut took effect July 1. Senate Majority Leader Harry Reid, D-Nev., brought the bill back to the Senate floor for a vote on June 9, and this time, the bill passed by a large margin.

King credits the grass-roots efforts of the medical community in general and the AAFP in particular for pushing the bill through Congress. The Senate vote represents a triumph for family medicine, perhaps signaling a turning point for the advocacy efforts of family physicians and their patients, who deluged Senate offices with e-mails and phone calls urging support for the legislation, King said. In the final analysis, nine senators who originally opposed the measure ended up supporting it.

"We have broken through the glass ceiling," King said, in reference to the AAFP's advocacy efforts.

Medicare relies on the SGR formula to determine Medicare payment rates. During the past several years, the SGR has triggered steep reductions in the Medicare payment rate that only have been averted by last minute-congressional intervention. In December, Congress passed a six-month payment update postponing an impending 10.1 percent reduction in the Medicare payment rate until July 1.

During the next 18 months, the Academy will be working closely with members of Congress to develop an alternative to the SGR formula.


TOPICS: News/Current Events
KEYWORDS: 110th; aafp; congress; federalspending; healthcare; hr6331; medicare; physicians; seniors; ussenate

1 posted on 07/09/2008 4:55:20 PM PDT by Dysart
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To: Dysart

Just kicking the can down the road...


2 posted on 07/09/2008 4:56:17 PM PDT by Nova442 ("Cry Havoc and let slip the Dogs of War.")
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To: Dysart
I agree with the bill's intent. If you pay doctors less than what it costs them to provide care, they will just drop Medicare patients and it doesn't really save the government any money and I don't agree it should be balanced on the backs of doctors.

"Show me just what Mohammed brought that was new, and there you will find things only evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelologus

3 posted on 07/09/2008 4:59:08 PM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: Nova442
I don't know any doctors that are getting rich on Medicare payments. In fact I know several that won't accept new mediocre patients. In addition to not being compensated adequately, doctors are often forced to wait months because of bureaucratic snafus.
4 posted on 07/09/2008 5:01:58 PM PDT by paul51 (11 September 2001 - Never forget)
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To: goldstategop
Health care costs were not a problem to me until the government got involved.

Let's not even talk about how low cost prescription drugs were until pharms were allowed to advertise ala law firms...

5 posted on 07/09/2008 5:03:28 PM PDT by realdifferent1 ( I'll think of something...)
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To: paul51
mediocre patients

Intentional or not, this is one of the funniest things I've seen in a while. I'm probably one of those considered a mediocre patient.

To your point - it is incredibly stupid to make doctors bear the brunt of reduced Medicare payments. But then again, it's Congress that's doing it, so that's redundant.

6 posted on 07/09/2008 5:04:42 PM PDT by Hardastarboard (I have Zero Tolerance for Zero Tolerance policies.)
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To: Hardastarboard
i’m happy you got a kick. i wish there was a way to correct misspelled posts but, alas, it remains as posted for all to enjoy. to the point, i can't imagine the pres threatened to veto this. .i couldn't disagree more
7 posted on 07/09/2008 5:08:31 PM PDT by paul51 (11 September 2001 - Never forget)
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To: paul51

Doctors aren’t the problem in healthcare, it’s government.


8 posted on 07/09/2008 5:10:46 PM PDT by Nova442 ("Cry Havoc and let slip the Dogs of War.")
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To: Nova442
Doctors aren’t the problem in healthcare, it’s government

Unfortunately, that is becoming true for most problems in this country. The elected elite have insulated themselves from the repercussions of their acts that the rest of the subjects must endure. As long as this situation continues, the worse it gets. Our so called public servants should have exactly the same pay, benefits, retirement plans, health care system and everything else their bosses, us the voters, have. Then we might be able to make some progress

9 posted on 07/09/2008 5:18:11 PM PDT by paul51 (11 September 2001 - Never forget)
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To: Nova442

Agreed - so the question is - would it be better for Bush to symbolically veto this and have it overridden and have the problem roll on, or...? I think it really comes down to - what strategy breaks Medicare faster - driving physician participation down or breaking the backs of taxpayers? In situations like this - whee you would think the logical approach is to design a better approach - you have to destroy the iron triangle supporting the bad program first...


10 posted on 07/09/2008 5:18:34 PM PDT by Wally_Kalbacken
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To: paul51

For example...Medicare decided to stop payment on all claims until the current mess with Congress was resolved.


11 posted on 07/09/2008 5:30:41 PM PDT by I-ambush
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To: Dysart
Actually this law was not passed today. They only agreed to invoke cloture to discuss it. It most likely will get a vote either tomorrow or someday, depending on the Senate schedule.
12 posted on 07/09/2008 6:41:36 PM PDT by Morgosh
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To: Morgosh
Well, yes and no. Yes, it was cloture that was agreed to, but it's effectively passed. A vote for cloture serves as a vote for the bill.

House Vote #443 --- Jun 24, 2008 Result: Passed

From an email I received:

"According to a congressional rule, the successful cloture vote also serves as a vote in favor of the bill itself. "

Unfortunately, no specific citation of the applicable rule.

13 posted on 07/09/2008 7:38:18 PM PDT by Dysart
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To: long hard slogger; FormerACLUmember; Harrius Magnus; hocndoc; parousia; Hydroshock; skippermd; ...
Socialized Medicine aka Universal Health Care PING LIST

FReepmail me if you want to be added to or removed from this ping list.


14 posted on 07/10/2008 4:34:41 PM PDT by socialismisinsidious ( The socialist income tax system turns US citizens into beggars or quitters!)
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To: Hardastarboard

I have an idea...why don’t the people who can afford it pay a percentage of what they use? Just a thought.


15 posted on 07/17/2008 8:44:10 PM PDT by Hildy (In success and in adversity, Tony Snow was a model of how a life should be lived. - Steve Forbes)
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To: goldstategop

The problem is that Medicare is really socialized medicine. You don’t have a choice. And the private insurance companies make sure that medicare becomes the primary insurer with private insurance being supplemental. The Dems want a Medicare system that will cover everyone, which will be a disaster.


16 posted on 07/17/2008 8:50:37 PM PDT by kabar
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