Noteworthy News

Medicare Doc Fix: Robbing Peter to Pay Paul?

Finding $25 billion to implement a Medicare “doc fix” may necessitate cutting other payments vital to health care providers – and to the nation’s private, non-profit urban safety-net hospitals

According to observers in Washington, D.C., among the areas where Congress may look for savings to pay for another Medicare doc fix are Medicare outpatient evaluation and management (E&M) fees; Medicaid disproportionate share hospital payments (Medicaid DSH); and the enhanced payments to Medicaid primary care providers that are supposed to take effect on January 1, 2013.

Medicaid DSH and the enhanced primary care payments are considered especially important by urban safety-net hospitals.

Read more about the cost of another Medicare doc fix and the challenges lawmakers face in trying to find the money to pay for that fix in this CQ Roll Call articleiStock_000014445371XSmall presented by the Commonwealth Fund.

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