Gingrey applauds SGR reform efforts

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Washington, D.C., Jun 28, 2013 | Jen Talaber (202.225.2931) | comments

The House Energy and Commerce Committee, in collaboration with the Ways and Means Committee and the GOP Doctors Caucus, unveiled a legislative framework today to repeal the current Sustainable Growth Rate.The draft legislation is an important advancement in efforts towards reforming the system and replaceing it with a fair and stable Medicare physician payment formula.

"Repealing the flawed Medicare physician payment formula and enacting a permanent solution has been a top priority of the GOP Doctors Caucus," Gingrey said. "This is a major step towards securing a fiscally-responsible, permanent fix that promotes quality care while providing physicians with certainty and security. Our seniors cannot afford further delay, and the time for action—and results—is now."

From the Energy and Commerce Committee:

SGR BACKGROUND: Enacted in 1997 as part of the “Balanced Budget Act,” the Sustainable Growth Rate has been a source of continued concern for physicians who serve Medicare beneficiaries and for the beneficiaries themselves. Long recognized as an imperfect solution that rewards quantity of services rather than the quality of care, Congress has repeatedly implemented a temporary “doc fix” to prevent substantial Medicare reimbursement rate cuts, which could result in fewer physicians being able to serve Medicare patients.

2013 SGR Reform Milestones

February 7, 2013 - Energy and Commerce and Ways and Means Committee leaders outline a framework to reform the current Medicare system. Committees ask for feedback on the outline by February 25.

February 14, 2013 – Energy and Commerce Subcommittee on Health holds hearing on “SGR: Data, Measures and Models; Building a Future Medicaid Physician Payment System.”

April 3, 2013 – Leaders from the House Energy and Commerce and Ways and Means Committees outlined additional details of a proposal to repeal the SGR system. The leaders also sent a letter to the provider community requesting feedback. The leaders requested stakeholder feedback by April 15.

May 28, 2013 - the Energy and Commerce Committee unveiled a draft legislative framework, seeking further stakeholder input by June 10.

June 5, 2013 – Subcommittee on Health holds a hearing on “Reforming SGR: Prioritizing Quality in Modernized Physician Payment System”


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