Sustainable Growth Rate

60 seconds with ... Sen. Debbie Stabenow (D-MI)

60 seconds with ... Sen. Debbie Stabenow (D-MI)

Q: Would an SGR repeal inevitably be financed through Medicare cuts to long-term care providers?

Rehab providers offer study results to argue against site-neutral payments

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Patients generally have better clinical outcomes and live longer if they are treated in an inpatient rehabilitation hospital rather than a skilled nursing facility, according to a study commissioned by the American Medical Rehabilitation Providers Association. The findings show why IRFs should be reimbursed at a higher Medicare rate than SNFs, the trade association argued when releasing the results Tuesday.

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.

 Long-term care providers, physicians at loggerheads over pace of doctor payment reform

Long-term care providers, physicians at loggerheads over pace of doctor payment reform

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Long-term care and physician groups may be headed for an impasse when it comes to fixing Medicare's system for paying doctors.

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.

Long-term care groups offer cautious support for Medicare doc pay 'fix'

Long-term care groups offer cautious support for Medicare doc pay 'fix'

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Bipartisan leaders from the Senate and House announced legislation Thursday to replace Medicare's Sustainable Growth Rate formula for physician payments. Two major long-term care industry groups called it a step in the right direction.

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.

A 'Super' physician-pay fix in the making?

A 'Super' physician-pay fix in the making?

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I suppose it's only fitting that during the week of the season's biggest football game, Washington healthcare wonks are discussing a potential huge punt of their own.

Senators advance bill to repeal Medicare outpatient therapy caps, physician payment formula

Senators advance bill to repeal Medicare outpatient therapy caps, physician payment formula

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The Senate Finance Committee has advanced a bill that would repeal the Medicare Part B cap on therapy reimbursements and replace it with a new outpatient therapy payment system.

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 calls for pharma to compensate for 'doc fix' solution; would readjust dual-eligibles payment

Bill calls for pharma to compensate for 'doc fix' solution; would readjust dual-eligibles payment

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Senator Jay Rockefeller wants provider groups to support his Medicare Part D plan for a drug rebate bill that calls for money from pharmaceutical companies to replace funds lost from the sustainable growth rate (SGR) removal.

Medicare reform proposal needs fixes for long-term care physicians, AMDA says

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Prospective Medicare changes regarding physician payments might unfairly penalize doctors working in long-term care settings, according to a prominent medical directors association.

New SGR proposal: Progress or pie in the sky?

New SGR proposal: Progress or pie in the sky?

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I've recently drawn up my plans for the winter, and I'm very excited about what's in store! I'd like to share my ideas with you and get some feedback. Let's call this the "Winter 2014 Agenda: Discussion Draft."

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.

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 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.

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.

'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.

SGR fix?! Don't get me started!

SGR fix?! Don't get me started!

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So here's a Sustainable Growth Rate (SGR) 101 primer so you will understand why I am so upset.

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