tci Medicare Compliance & Reimbursement - 2005 Issue 9

REIMBURSEMENT: House Will Wade Into Doc Pay Issue, But Next Steps Are Unclear

SGR system may be broken, but will pay for performance solve the problem?House health leaders apparently intend to develop a long-term fix for Medicare's troubled sustainable growth rate formula for physician payment. House Ways and Means Health Subcommittee Chair Nancy Johnson (R-CT) said Feb. 10 that she's in favor of moving toward some kind of pay for performance system, and is calling for physicians to come up with quality indicators that could form the basis of such a mechanism. She and other lawmakers are voicing significant confusion about precisely how to proceed, however.Signaling Johnson's interest in developing...

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