Doc Fix Legislation Pending
The deadline for significant cuts to reimbursement rates for physicians’ seeing Medicare and TRICARE patients is fast approaching. Reductions of nearly 30 percent are slated to take effect on January 1, 2014, unless Congress acts to prevent them.
Congress approved only temporary fixes in the past, but earlier this year the House Committee on Energy and Commerce’s Health Subcommittee approved legislation that authorizes comprehensive reform of the formula used to determine physician reimbursements. The bill (H.R. 2810), sponsored by Rep. Michael Burgess (Texas), seeks to make the so-called “doc fix” permanent by repealing the antiquated Sustainable Growth Rate (SGR) formula for determining Medicare and TRICARE reimbursement rates and replacing it with a fair, stable and simplified system of physician payments. The bill is awaiting further consideration by the full House.