SGR

Doctors brace for return of financial pain as 2-year Medicaid raise expires

More than half of Ohio's primary care doctors will keep seeing the same number of Medicaid recipients after a significant but temporary pay boost expires at year's end – while 7 percent say they'll stop accepting Medicaid entirely, according to a survey by two physician trade groups.

The Affordable Care Act raised Medicaid payments for two years to equal Medicare for certain primary care services, mainly assessments and vaccinations. On Jan. 1 rates go back to their previous levels – about 59 cents on the dollar compared to what Medicare pays.

News Author: 
Carrie Ghose

Budget Bill Gets Thumbs Down From Physician Groups

SGR fix, Medicaid pay bump remain unaddressed

The House ended its "lame duck" session with a budget deal that didn't please most physician groups.

The $1.1 trillion budget bill, which was passed by the House on Thursday and is expected to be passed shortly by the Senate, is lacking any fix to the widely hated sustainable growth rate (SGR) formula for physician reimbursement under Medicare. Also missing in action: an extension of the current pay bump for primary care physicians who see Medicaid patients.

News Author: 
Joyce Frieden

PCPCC Letter to Congress Supporting SGR Repeal and Medicare Provider Payment Modernization Act

February 20, 2014

Dear Speaker Boehner, Majority Leader Reid, Minority Leader McConnell, and Minority Leader Pelosi:

The Patient-Centered Primary Care Collaborative (PCPCC), commends the Senate Finance, House Ways and Means, and Energy and Commerce Committees on their bipartisan agreement to repeal the Sustainable Growth Rate (SGR) and replace it with a reimbursement model that moves the U.S. health care delivery system away from the current volume-based payment system to one that rewards quality, efficiency, and innovation.  

News Author: 
Marci Nielsen

Call to Action: Urge Congress to Support Medicare Payment Reform

Please join the PCPCC as we urge Congress to repair the flawed US health care payment system, beginning with Medicare.

News Author: 
Marci Nielsen

PCPCC Supports SGR Repeal and Medicare Provider Payment Modernization Act

Statement Attributable to:

Marci Nielsen, PhD, MPH
Chief Executive Officer, Patient Centered Primary Care Collaborative

News Author: 
Marci Nielsen

PCPCC Responds to Latest SGR Proposal from Senate Finance and House Ways & Means

Statement Attributable to:

Marci Nielsen, PhD, MPH
Chief Executive Officer, Patient Centered Primary Care Collaborative

Dear Members of the Senate Finance/House Ways and Means Committee:

News Author: 
Marci Nielsen

PCPCC Extends Support for Bipartisan House 'Doc Fix' Bill

Statement Attributable to:

Marci Nielsen, PhD, MPH 
Chief Executive Officer
Patient-Centered Primary Care Collaborative 

News Author: 
Marci Nielsen

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