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A 21% pay cut was scheduled to take effect yesterday (delayed from April 1 by Medicare holding off paying claims), but at the very last minute Congress approved legislation last night (59 to 38), as did the House (289 to 112), that delays the 21% Medicare physician payment cut to May 31. This extension is a part of an $18 billion bill that adds to the deficit. Since the bill is classified as an "emergency" it was able to bypass pay-as-you-go rules.
All major stakeholders on this issue agree that it needs to be permanently fixed but with that permanent fix estimated to cost nearly $200 billion over 10 years many politicians don't want to push for the added cost. The problem is that the delays are a viscous cycle, making the core issue more expensive with each delay. According to American Medical Association President Dr. James Rohack the issue needs to be resolved soon because baby boomers begin aging into Medicare next year and that is going to add millions of seniors onto the system over the next decade. This crush of seniors on Medicare will require a strong, robust health infrastructure, but the continued confusion and uncertainty regarding this issue threatens to undermine it.
Sources: KHN, NPR, AP, Health Leaders Media |