tci Part B Insider - 2004 Issue 25

PHYSICIAN NOTES: What's on Deck for the Annual Fee Update

One formula can't meet all doctor payment goals Come fall, you can expect Congress and the Medicare Payment Advisory Commission to increase their attention to an upcoming task: Overhauling Medicare's physician-payment formula. That was the prediction of MedPAC Executive Director Mark Miller at a June briefing with health reporters. Like physicians, analysts and lawmakers are concerned about the recent volatility of Medicare Part B payments under the so-called sustainable growth-rate formula. But they're also worried about the current formula's failure to check the high growth in volume and intensity of physician services , which continues unabated even though the SGR...

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