A Steeper Cliff to Climb; Long-Term SGR Fix Still Needed as Cut Could Top 30 Percent

While Congress has reached an agreement to spare physicians a 27.4 percent Medicare payment cut through the end of 2012, permanent repeal of the broken Sustainable Growth Rate (SGR) formula is still necessary. The road to a permanent solution now goes up a steeper cliff as the cost to repeal SGR grows and future cuts are expected to rise to approximately 32 percent.  

As has been the case for almost a decade, Congress is once again using temporary Band-Aid tactics to postpone these drastic cuts that would have a significant impact on access to care. The Pennsylvania Medical Society (PAMED) appreciates the efforts of Rep. Allyson Swartz, recipient of the Dr. Nathan Davis Award, and Sen. Pat Toomey for their support in repealing SGR.

As part of Congress’s action, the Government Accountability Office and U.S. Department of Human Services are required to submit reports to Congress to help develop a long-term replacement of the existing Medicare physician payment system.

The Pennsylvania Medical Society and the American Medical Association (AMA) continue to strongly advocate for permanent SGR repeal rather than the short-term fixes to avert these cuts. Delaying permanent repeal only increases the size of future cuts and the cost to taxpayers.

"Congress had an opportunity to permanently end this problem, which is the sound, fiscally prudent policy choice, said the AMA in a recent statement. “We are deeply disappointed that Congress chose to just do another patch—kicking the can, growing the problem, and missing a clear opportunity to protect access to care for patients."

PAMED and the AMA support using the Overseas Contingency Operations (OCO) funds, discretionary monies for the wars in Afghanistan and Iraq that are no longer needed, to offset the cost of permanent SGR repeal.

“As Congress looks to yet again preempt a physician payment cut, I believe it is imperative that we identify a viable pathway to replacing the SGR,” said Sen. Toomey in a statement expressing his support of the use of OCO funds for this purpose. “It’s time that Congress use honest budgeting and provide Pennsylvania’s 2.2 million Medicare beneficiaries and 155,776 employees of medical practices with some certainty.”

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I think that the high cost of medical care has come from the government picking winners in each geographic area of the country which has cause unfair competition in the medical community. These goliaths are monopolies that have been set up by the goovernment. There systems largely financed with government money in the forms of grants. Essentially free money. The result is that there are fewer smaller practicesand more large multispecialty groups and health systems that have an inordinate amount of power. The result small practices and smaller groups are joining the larger systems. Smaller hospitals are told that the only way to survive iis to develop an alliance with a larger entity. As we join we lose autonomy and our patients get less choice at a higher cost. The net effect is the fox is guarding the hen house and the hens are getting robbed. The hens will then get help from the farmer. The hens will vote!! for protection from the predatory health systems that have been set up. Then the knight can ride in on the white horse to save the day. That knight is the federal government. Every physician should realize that short term monitary gain at a cost of lost autonomy but a better quality of life is an illusion!!! When that knight comes in to protect the hens (voters/public) he will tell the mnopolies he set up that there has to be a change and will then pass the "medicare cut" and it willl be not 27% but 40%. The CEOs (his buds) will have to make cuts in their bloated systems and cardiologist will be told times are tough and he needs to take a 35% pay cut and the RNs and RTs will get steeper cuts. Of course the cardiologist will refuse to take the pay cut and look into going to California to Keiser Permanente, or to Geisinger in PA or UPMC in western PA and find that that same white knight told those CEOs they had to do the same thing and their salaries had to drop due to the situation. Wake up everyone. Stop working for the monopolies.

anonymous at 2/25/2012 12:05:30 AM

Last Updated: 2/21/2012
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