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Federal Budget Agreement Contains No SGR Adjustment
Congressional leaders and President Barack Obama announced an agreement that will keep the federal government operating through the first quarter of 2013, but the agreement does not include adjusting or repealing the sustainable growth-rate Medicare payment formula—which a new Congressional Budget Office analysis says will require a 27% cut in physician payments next year.
Read the full story: http://tinyurl.com/c7u3x8l
Source: ModernHealthcare.com
Estimates of the SGR-driven Medicare payment cut have gone as high as 30%, and the CBO report analyzes several short-term options with price tags of $15.3 billion to $376.6 billion in additional spending between 2013 and 2022.
Stuck in Prior Auth Purgatory: The Hidden Costs of Health Care Delays
June 19th 2025Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care, explains Colin Banas, MD, MHA, chief medical officer with DrFirst.
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From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
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Democratic Doctors Caucus Reaffirms EMTALA Amid Trump's CMS Policy Reversal on Abortion Care
June 18th 2025Democratic leaders assert the Emergency Medical Treatment and Labor Act (EMTALA) remains vital for emergency care, countering confusion from recent policy changes affecting abortion rights and patient safety.
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