Doc Fix

Proposals to pay for 'doc fix' law are making long-term care providers nervous

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Much of last week's historic bill that created new payment rates for Medicare doctors was left unfunded by lawmakers, and now GOP budget hawks are presenting ideas that provoke anxiety in the sector.

Medicare doc payment bill doesn't 'fix' therapy caps

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The historic repeal of the "doc fix" this week left about equal numbers of stakeholders relieved and disappointed. Among the most crestfallen: Therapy providers who were hoping for Congress to finally repeal Medicare Part B outpatient therapy caps.

Nursing home operators urge swift Senate approval of physician pay formula

Nursing home operators urge swift Senate approval of physician pay formula

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The American Health Care Association and National Center for Assisted Living are urging the U.S. Senate to act quickly on a potentially historic bill for establishing Medicare rates for doctors.

Medicare physician pay cuts officially kick in Wednesday

Medicare physician pay cuts officially kick in Wednesday

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The Centers for Medicare & Medicaid Services said it will hold physician claims for 14 calendar days, thereby delaying 21% rate cuts otherwise set to take effect Wednesday.

Providers holding breath for Senate 'doc fix' vote

Providers holding breath for Senate 'doc fix' vote

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As expected, the House of Representatives on Thursday repealed the Medicare Sustainable Growth Rate (SGR), earning loud praise from the American Health Care Association.

Nursing home groups support 'doc fix' bill

Nursing home groups support 'doc fix' bill

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Leaders of the nation's two largest long-term care associations spoke favorably Monday about a bill that would improve Medicare physician pay rates while moderately restricting LTC pay. In fact, the head the American Health Care Association said the group will "enthusiastically support" a bill that would end the "doc fix" issue, provided the final language is what it expects.

Minnix blasts 'doc fix' formula

Minnix blasts 'doc fix' formula

The "doc fix" that ends the Sustainable Growth Rate formula drew at least one long-term leader's sharp criticism. The $213 billion deal, which is still to be voted on in both houses, will be partially financed by $35 billion in cuts to Medicare beneficiaries' benefits.

Debate on permanent doc fix rages on

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Long-term care leaders continue to brace this week for news about any new plans to pay Medicare physicians, which might siphon pay from seniors' caregivers. Medicare physicians face a 21% pay cut at the end of the month if lawmakers don't find an alternative, which most thing they will.

Congress mulls Medicaid-Medicare pay parity, and end of 'doc fixes'

Congress mulls Medicaid-Medicare pay parity, and end of 'doc fixes'

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Long-term care providers are closely monitoring two major lawmaking efforts in Washington this week that have both chambers of Congress debating a plan to end annual Medicare cuts and abolish painful "fixes" to the Medicare physician payment formula.

Providers intensify efforts to influence Congress

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More than 400 long-term and post-acute care professionals from across the country completed meetings with their respective federal lawmakers Wednesday in Washington. The meetings were the conclusion of the annual Congressional Briefing event hosted by the American Health Care Association and the National Center for Assisted Living.

Doc fix bill once again is less than LTC field had hoped for

Doc fix bill once again is less than LTC field had hoped for

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A measure President Barack Obama signed into law does a lot more for doctors than it does for long-term care operators.

Sleeper measures could cut Medicare payments to skilled care operators

Sleeper measures could cut Medicare payments to skilled care operators

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As far as skilled care is concerned, most recent reporting on a major Medicare bill has all but overlooked what's in the bill for the sector. And it's not trivial.

Bill affecting skilled nursing facility payments, ICD-10 deadline passes House in controversial vote

Bill affecting skilled nursing facility payments, ICD-10 deadline passes House in controversial vote

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A bill linking skilled nursing facilities' Medicare payments to hospital readmissions passed the House of Representatives Thursday, through a voting method that provoked outrage from some legislators. The measure also would extend the ICD-10 transition period and prevent a looming physician pay cut.

Congress passes a bill to extend Medicare cuts an additional year

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The Senate has passed a bill to extend 2% cuts to Medicare reimbursements for an additional year, and the measure now is headed to the White House for President Obama's signature.

Docs might get a raise, and long-term care might get a bill

Docs might get a raise, and long-term care might get a bill

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Major League teams don't celebrate World Series victories midway through the season. But politicians do the equivalent all the time. Consider a revised Medicare payment plan that was joyously unveiled on Thursday.

Pay cuts could wipe out labs, hurt nursing homes

Pay cuts could wipe out labs, hurt nursing homes

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When it comes to worries about how Medicare doctors will be paid, nursing home operators have thought they should stand at the front of a long and anxious line. Truth be told, they have some stiff competition for the "most nervous" title.

LTC to be a victim of the latest 'doc fix' proposal?

LTC to be a victim of the latest 'doc fix' proposal?

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Now, even three or four years down the road, the impression of the long-term care leader cowering like a guilty child is haunting.

Bill repealing Sustainable Growth Rate passes House committee

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A bill that would repeal the Sustainable Growth Rate and effectively end the need for the "doc fix," passed a house committee on Wednesday. The Medicare Patient Access and Quality Improvement Act passed the Energy and Commerce Committee unanimously and will now move to the full chamber.

'Doc fix' bill calls attention to need for therapy fix, NASL leader says

'Doc fix' bill calls attention to need for therapy fix, NASL leader says

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Provider groups are urging lawmakers to address outpatient therapy payments in addition to fixes to Medicare's physician payment system, according to Cynthia Morton, executive vice president of the National Association for the Support of Long-Term Care.

Medicare 'doc fix' clears hurdle in the House, but providers still have questions

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A House of Representatives subcommittee has approved legislation reforming physician payments through Medicare. The bill passed out of the Energy and Commerce subcommittee on health by voice vote on Tuesday, after a two-day markup.

Long-term care wants its own 'fix' if docs get one

Long-term care wants its own 'fix' if docs get one

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If you hang around long enough, you learn there are only two things long-term care providers fear after Republicans and Democrats. That would be hospitals and doctors.

Freeze nursing home doctor pay for 10 years, replace Sustainable Growth Rate system, Senate Finance Committee told

Freeze nursing home doctor pay for 10 years, replace Sustainable Growth Rate system, Senate Finance Committee told

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Medicare rates for physician visits to nursing homes should be frozen for 10 years as the government replaces the Sustainable Growth Rate system, a Medicare Payment Advisory Commission official advised the Senate Finance Committee.

Long-term care providers ready to deal with 'doc fix'

Long-term care providers ready to deal with 'doc fix'

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If you hang around long enough, you learn there are only two things long-term care providers fear after Republicans and Democrats. That would be hospitals and doctors.

Senators invite provider input on Medicare 'doc fix'

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The leaders of the Senate Finance Committee have called for healthcare providers to weigh in on possible changes to the Medicare physician payment system.

Best is yet to come? Don't tell that to providers

Best is yet to come? Don't tell that to providers

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When he gave his acceptance speech Tuesday night, President Obama told the nation that "the best is yet to come." Many long-term care operators may not be in full agreement.

HHS issues yet another rule calling for 26.5% physician pay cut

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The Department of Health and Human Services released new rule proposals Thursday, including one that calls for a 26.5% statutorily required pay cut for Medicare physicians in 2013

CBO: Federal health spending to slow over next decade

CBO: Federal health spending to slow over next decade

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Government outlays for Medicare will add up to 3.7% of the gross domestic product in 2013, rising only to 4.3% of the GDP by 2022, the CBO predicts.

Congressman proposes 'doc fix' extension

Congressman proposes 'doc fix' extension

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A newly proposed bill in the U.S. House would extend Medicare physician payment rates for one year while legislators work to devise a more manageable alternative to the existing formula.

Extreme disruption of Medicare funding forecast if Affordable Care Act is tossed out

Extreme disruption of Medicare funding forecast if Affordable Care Act is tossed out

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Healthcare experts on both sides of the political spectrum are warning that the Medicare program could unravel if the Supreme Court deems the Affordable Care Act unconstitutional. Nursing homes, and others might not get paid, at least one expert says.

'Doc fix' might hurt a little

'Doc fix' might hurt a little

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President Obama has signed legislation that delays a pay cut for doctors treating Medicare patients. That comes as good news for physicians, but not so much for nursing facilities.

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