payment reform

The SGR fix helps the value-based care evolution

The incentives in the permanent “doc-fix” legislation, which now has overwhelming bipartisan support from both houses of Congress and the president, will not, by themselves, drive physicians toward value-based compensation schemes.

News Author: 
Merrill Goozner

PCPCC Congratulates the House for Repealing SGR, Urges Senate to Take Action

Statement from PCPCC Chief Executive Officer Marci Nielsen

WASHINGTON - The Patient-Centered Primary Care Collaborative (PCPCC) congratulates the House of Representatives for passing the SGR Repeal and Medicare Provider Payment Modernization Act of 2015 (HR 1470). Today’s vote was an incredible sign of bipartisanship, with 397 members voting in favor of the bill. Now, we are urging the Senate to follow the House’s lead and officially repeal SGR and transition to a new, dual system intended to reward quality of care.

News Author: 
Marci Nielsen

BREAKING: House votes for permanent doc fix, bill goes to Senate

The U.S. House Thursday voted overwhelmingly in favor of scrapping Medicare's sustainable growth-rate formula, passing a permanent doc fix. The measure next goes to the Senate for a vote. President Barack Obamahas indicated he will sign the measure.

News Author: 
John N. Frank
Adam Rubenfire
Paul Demko

Obama says he's ready to sign Medicare doctor payment fix

President Barack Obama says he's ready to sign good bipartisan legislation to fix Medicare's doctor payment problem, without endorsing any specific legislation.

Without a fix, doctors face a 21% cut in Medicare fees. It's the consequence of a 1990s budget law that Congress has repeatedly waived.

Companion SGR bill unveiled, pays for repeal with steep levies on tax scofflaws

Bill calls for stiffer fines for tax delinquent Medicare service providers.

Less than a week after bipartisan House leaders introduced a bill to repeal the sustainable growth rate, the committee on Tuesday released more detailed plans on how it will pay for the $200 billion bill.

The “Medicare Access and CHIP Reauthorization Act of 2015” calls for stiffer fines for tax delinquent Medicare service providers, keeping reimbursement foracute care providers to 1 percent and by upping premiums for wealthier Medicare beneficiaries.

The bill also extends funding for the Children’s Health Insurance Program (CHIP) for two years, but does not increase it.

News Author: 
Susan Morse

Bipartisan Deal on Health Care Issues Hits a Snag Among Senate Democrats

The deal is as politically remarkable as it is substantive: a long-term plan to finance health care for older Americans, pay doctors who accept Medicare and extend popular health care programs for children and the poor. It was cobbled together by none other than House Speaker John A. Boehner and Representative Nancy Pelosi, the leader of House Democrats, who rarely agree on anything, with the apparent blessing of a majority of their respective members.

News Author: 
Jennifer Steinhauer
Robert Pear

A make-or-break week awaits Republican leaders in Congress

This week offers a make-or-break moment for Republican leaders on Capitol Hill.

After stumbling several times since taking control of Congress earlier this year, House Speaker John A. Boehner (R-Ohio) and Senate Majority Leader Mitch McConnell (R-Ky.) have an opportunity to demonstrate on two important fronts that Republicans can effectively govern.

But it remains unclear if they will be able to deliver.

News Author: 
Lisa Mascaro

In rare deal, Boehner, Pelosi tout wins for seniors, doctors

An extraordinary bipartisan accord between House Speaker John Boehner and Minority Leader Nancy Pelosi is letting both parties exhale as they move toward permanently ending the nagging annual threat of Medicare cuts to physicians. Yet each side is bragging about more than that.

News Author: 
Alan Fram

SGR Fix to Simplify Quality Reporting, Value-Based Payments

In an annual battle that has flared up every spring since 1997, Congress is once again considering the repeal and replacement of the Medicare sustainable growth rate (SGR), and this year’s potential legislation has significant impacts on CMS quality reporting programs and value-based payments.

News Author: 
Jennifer Bresnick

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