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To Pay for a Doc Fix, Focus on Post-Acute Care
In a rare display of bipartisanship, key committees of both houses of Congress are backing legislation that would permanently erase the sustainable growth-rate formula, a poorly thought out payment reform measure that for more than a decade dictated sharp cuts in Medicare physician pay.
In a rare display of bipartisanship, key committees of both houses of Congress are backing legislation that would permanently erase the sustainable growth-rate formula, a poorly thought out payment reform measure that for more than a decade dictated sharp cuts in Medicare physician pay. Now all they have to do is figure out how to pay for it.
The usual fix is for Congress to temporarily freeze physician pay for a few months or years. So far, that's cost $150 billion and left physicians facing a nearly 24% pay cut when the latest fix expires, which is March 31.
To pay for its fixes, Congress usually included an across-the-board cut in hospitals' future Medicare reimbursement rates. That approach did nothing to improve quality and eventually leads to seniors being denied needed care.
Read the full story here:http://bit.ly/1dtWvpT
Source: Modern Healthcare
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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