decisionhealth Newsletters, Part B News - 2013 Issue 11 (November)
House, Senate leaders make new SGR proposals, invite comments
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Article Overview
This article covers a Congressional effort to move away from the sustainable growth rate (SGR) formula and the recurring physician payment patch associated with it. It summarizes the broad direction of the new House and Senate discussion, the role of alternative payment models, and concerns raised by a health care attorney about reporting and implementation issues. The piece is relevant to physicians, practice administrators, coders, and reimbursement professionals tracking Medicare payment policy and federal legislative updates.
Why This Topic Matters
Changes to the physician payment framework can affect reimbursement, reporting expectations, and practice planning. Readers following Medicare policy and payment reform will want to understand the direction Congress is considering and the potential administrative impact.
What You Will Learn
- What the article says about the congressional effort to replace the SGR framework
- How the discussion relates to physician payment policy and alternative payment models
- Why stakeholders may have concerns about reporting and implementation
- How and when comments on the proposal may be submitted
Who Should Read This
- Physicians
- Medical practice administrators
- Medical coders
- Billing and reimbursement professionals
- Health policy analysts
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