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Pay and Practice: Budget Deal Muddles SGR Fix
As the dust settled following yesterday's last-minute budget deal to avert a federal government's default, a frightening fact emerged for the nation's doctors.
As the dust settled following yesterday's last-minute budget deal to avert a federal government's default, a frightening fact emerged for the nation's doctors.
It might be tougher to delay for yet another year the planned cuts physicians face under Medicare's sustainable growth rate (SGR) formula. Physicians face a 24.4% cut for Medicare payments in 2014 unless Congress acts to avert it.
Hear me out.
With the federal government funded till Jan. 15 and no natural bill to attach a one-year SGR patch to, what mechanism is left for Congress to take action?
Of course, Congress could act on a stand-alone bill -- so not all hope is lost for physicians. But the reality is that there is far too much work on an SGR repeal-and-replace bill to finish before the holidays -- despite great optimism that such a bill would see action this year.
Read the full story here: http://bit.ly/1fGdmed
Source: MedPage Today
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
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