Physicians Oppose MedPAC Prosposal and Seek Tort Reform from Deficit Committee

By Jay Nawrocki – Wolters Kluwer Law & Business: Several physician groups voiced strong concerns to recommendations adopted by the Medicare Payment Advisory Commission (MedPAC) that would replace the sustainable growth rate formula (SGR) with a 10 year schedule of payment reductions and payment freezes for physicians.   In addition, 98 physician groups sent a letter to the Joint Committee on Deficit Reduction, commonly known as the Super Committee, asking them to include tort reform in their proposals.

MedPAC’s Proposal

MedPAC adopted a recommendation that would result in automatic cuts in payments to most physician specialties for several years and freeze the reimbursement rate for other physicians.  Specifically, the proposal would replace the sustainable growth rate formula with a ten year path of legislated fee schedule updates.  Under this path, payments for primary physicians would be frozen for the ten years and payments for services provided by a specialist would be cut by 5.9 percent for three consecutive years and then be frozen. The recommendation would cost about $200 billion over 10 years.  In addition MedPAC’s proposal would cut $235 million from other providers to help off-set the cost of their 10 year plan.  READ FULL ARTICLE


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