Senate acts to stop Medicare doctors pay cut

WASHINGTON Wed Dec 8, 2010 7:07pm EST

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WASHINGTON (Reuters) - The Senate on Wednesday agreed to avert a 25 percent pay cut for doctors treating patients covered by the Medicare health program for the elderly.

On a voice vote, the Senate approved a one-year "fix" to the doctor's payment formula that would stop a scheduled cut in physicians pay in January that advocates for the elderly said would have made it harder for Medicare patients to get medical care.

The measure now goes to the House of Representatives for anticipated final approval, which would clear the way for President Barack Obama to sign it into law.

The House and Obama must act quickly since the pay cut is set to go into effect on January 1.

"More than 80 percent of our members -- whether Republican, Democrat or independent -- are concerned that a Medicare pay cut will threaten access to their doctors," said Nancy LeaMond, an executive vice president for AARP, which represents millions of elderly Americans.

The bill was a compromise worked out by Democratic and Republican Senate leaders as lawmakers make a final push to complete the legislative work of the current Congress by the end of next week. A new Congress will be seated in January when Republicans will take control of the House.

The $15 billion cost of the one-year pay fix for doctors treating Medicare and military Tricare patients will be paid for by changing a provision on recouping excess subsidy payments in the healthcare legislation enacted this year.

The government will be able to recover more excess insurance subsidy payments to individuals than provided under the existing law. The change will save $19 billion over the next 10 years, according to congressional estimates.

Obama backed the legislation but said it was time to enact a more permanent fix in the Medicare payment formula for doctors.

"This agreement is an important step forward to stabilize Medicare, but our work is far from finished. For too long, we have confronted this reoccurring problem with temporary fixes and stop-gap measures." Obama said in a statement.

Doctors say the payment formula is outdated and would result in steep pay cuts that would discourage physicians from treating Medicare patients. But changing the formula would add to long-term deficits. As a result Congress for years has resorted to a series of short-term fixes that helped mask budget realities and made the long-term budget numbers look better.

(Reporting by Donna Smith; editing by Chris Wilson)

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Comments (1)
donshaeffer wrote:
It seems difficult to understand how this Congress could one day fail to vote to give those on Social Securitya $250. payment in lieu of a cost of living increase. The basis, as I understand it, is to prevent additions to the massive national debt. Through some legislative manuevering, which required more than a simple majority vote, the Congress was unable to pass the senior citizen tax rebate.
The next day this same Congress is electing to fail to PREVENT additional saving to the Medicare program by stalling for one year,(and hence to the national debt) the already voted upon requirement, for a 25% decrease in payments to physicians.
How did your Congressperson respond to this showing of favoritism to one of the most fiscally powerful lobby group – physcians? Is this something that you may want to ask. No, you can’t because Congress did not want to go on the record with their vote by having a voice vote. Any queries to Congresspersons could surely receive a response “I didn’t vote for the one year stall”.
Again the question is: “Whom do our Congresspersons represent – we, the public, or their political masters. Is it time to have a truly independent Congress? What would happen if the various issues were voted upon with full knowledge of how it would effect the ‘folks back home’?

Dec 09, 2010 11:19am EST  --  Report as abuse
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