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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
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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MDA Reflects on 75 Years of Research and the Precarious Times Ahead
March 24th 2025Speakers from the Muscular Dystrophy Association (MDA) highlighted 75 years of progress in understanding and treating neuromuscular diseases but also raised concerns about how potential funding cuts could impact this community.
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