doc fix

Last week, President Obama signed long-awaited legislation that will put an end to periodic panic at the prospect of massive, sudden cuts to Medicare physician payments. The bipartisan “doc fix” bill repeals the Sustainable Growth Rate formula that aimed, but failed, to control growth in Medicare physician payments (Medicare Part B). When it was first adopted in 1997, the SGR probably seemed like a good idea for controlling spending growth. When total Medicare Part B payments exceeded the targeted amounts, the SGR mechanism was supposed to automatically reduce physician payment rates. But…
By Kim Krisberg Friday wasn't a great day for public health. That day, Congress voted to raid the Affordable Care Act's Prevention and Public Health Fund to the tune of $5 billion. The move comes as part of a deal to delay scheduled cuts to Medicare physician payment rates and was part of a legislative package to extend the payroll tax cut and unemployment benefits. Both the Senate and House voted by wide margins to pass the bill, and President Obama is expected to sign it. Of course, this was hardly the intent of the Prevention and Public Health Fund, which was created via the Affordable…