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CMS Proposes 21.5% Medicare Payment Cut

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Doctors across America will see their Medicare payments cut by 21.5% starting January 1, 2010 if a proposal by the Centers for Medicare and Medicaid Services (CMS) is passed. CMS is also proposing to remove physician-administered drugs from the formula used to calculate Medicare's fee schedule for doctors.

The latter proposal is backed by the American Medical Association. AMA president J. James Rohack claims such changes to the Medicare physican payment formula are "...a major victory for America's seniors and their physicians."

The 21.5% cut in 2010 will occur unless Congress strikes down the proposal as it has in the past. The large cut is a result of the sustainable growth rate (SGR) factor in the Medicare payment formula, and from Congress stalling earlier proposed payment cuts.

As an example of what could happen under the cuts, the Michigan State Medical Society estimates that physicians in the state could lose roughly $610 million in 2010. Furthermore, in a 2008 survey the society found that 12% of doctors in the state would stop seeing medicare patients, 44% would decrease the number of Medicare patients they saw, and 40% would see still see the normal amount of Medicare patients, but have to cut investments in staff, technology, or quality improvement efforts. The remaining 4% said it would have no effect. Stay tuned for the decision.

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Comments

I believe this to be an acceptable change as opposed to some of the proposed alternatives. I just hope that we end up in a situation where Medicare recipients can't find good doctors (hmmm that sounds familiar ... oh yeah ... kinda like Medicare Advantage plans).
Posted @ Thursday, July 02, 2009 11:16 AM by Medicare supplement Quotes
What is it that not even President Obama understands how Medicare Advantage plans work. Maybe because he is not a senior or a healthcare professional. He seems to blame of the healthcare issues for people on Medicare on the Medicare Advantage companies. Yes! I do hope this issue gets resolved, but not by cutting payments to doctors, what else is next??
Posted @ Thursday, July 02, 2009 4:52 PM by Elva
If this is passed where will the multitude of seniors find a doctor.I think this will put a financial burden and stress on the seniors that have worked so hard all their lives to have their doctors not available when needed.
Posted @ Friday, July 03, 2009 9:45 AM by nelda martin
Well, let's get real. I have over 150 Medicare advantage clients and the hardest problem we have, especially for the aging in clients,is a doctor who will accept new Medicare patients. I have made as many as 50 phone calls to find one who is accepting new Medicare patients.  
 
Hopefully our" genius" Medicare "professionals" will provide a list of doctors on respective areas who will accept Medicare patients. Oh, that means another tax sucking agency. 
 
Sorry, but I am a 69 year old financial advisor who has been both in the system and selling Medicare plans and see nothing short of a real mess. 
 
 
 
John Null
Posted @ Sunday, July 05, 2009 11:05 AM by John Null
Obama and his "people" don't care about senior citizens!!! Nor the rest of the population!!
Posted @ Wednesday, July 08, 2009 12:45 PM by Judy McNish
Time for action: Now is the time.. I started at the age of 21 in my insurance career and 50 years later at 71 I am continuing as long as the Lord is willing. I am currently selling Sr. Products and I am so disappointed in our government getting more socialized every passing day. I hope I am not the only one that has had enough of our government trying to tell us that they know best how to spend our tax dollars. They are creating high unemployment and high Debt which our grand children will be paying for ever. We will have run away inflation because insane spending
Posted @ Saturday, July 25, 2009 12:37 PM by Gene Skillman
I have a client who has rheumatoid arthritis and has her Orencia infusions done out of her doctor's office so Part B drugs pays for it instead of having to go through the drugstore and use Part D. Will these changes affect that?
Posted @ Wednesday, August 05, 2009 1:36 PM by Michelle Grigsby
I am deaf and have disability.I am eligable to Medicare since 1995. It really confuses me about cutting 21.5 % I do not understand anything so well. I am not sure if some doctors may reject me if they can't help me ??? I am in calforina.
Posted @ Monday, December 21, 2009 3:40 PM by Dana Avery
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