“We made significant progress in the previous Congress to find common ground for a Medicare fix that would establish a clear pathway for developing and implementing new healthcare delivery and payment models that improve quality, coordinate care and reduce costs,” Robert M. Wah, MD, president of the AMA, wrote. “It would be a shame to once again let that solution, which took months to develop, go to waste.”
House Speaker John Boehner and Minority Leader Nancy Pelosi are working together to rollout a permanent SGR fix, which will likely include replacing the SGR formula, as proposed in the bipartisan legislation last year. Replacing the SGR formula would cost $174.5 billion from fiscal 2015 to fiscal 2025, according to the Congressional Budget Office.
If an agreement is not reached by the end of the month, lawmakers will need to pass another short-term patch to the tune of approximately $20 billion to avoid a cut of more than 20 percent to providers’ Medicare payments.
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