SGR Reform, Affordable Care Act Will Be Focus of Republican Congress

Share this content:

the Neurology Advisor take:

Election Day results will likely mean there will be actions taken on health reform and the sustainable growth rate for physician reimbursement under Medicare.

Now that Republicans control both Congress and the Senate, healthy policy experts expect there to be actions taken on the Affordable Care Act (ACA), the sustainable growth rate (SGR) formula for physician reimbursement under Medicare, and reauthorization of the Children’s Health Insurance Program (CHIP).

The SGR will likely take top priority early on in the new term as a 21.2% cut to physician reimbursement is set to take place on April 1, 2015 if something isn’t done. A big change isn’t likely, though, as experts feel that Republicans will hold off on a permanent fix until after the 2016 elections in hopes for a Republican president.

Experts also expect the ACA to come under scrutiny, especially taxes and coverage mandates. Penalties associated with the Act’s individual and employer mandates will be examined to possibly determine new thresholds at which point insurance coverage must be obtained. The administrative side of the Act has also been subject to opposition by employer groups.

One area that might see less friction is the reauthorization of CHIP, which has been known to be bipartisan. Funding for the program runs out at the end of next year, so action is likely.

The same doesn't go for Medicaid, however. Expansions to the program likely won’t happen now that several Republicans are seated as governor in states like Maine, Wisconsin and Florida.

Malpractice
SGR Reform, Affordable Care Act Will Be Focus of Republican Congress

The Affordable Care Act, the sustainable growth rate (SGR) formula for physician reimbursement under Medicare, and reauthorization of the Children's Health Insurance Program (CHIP) are all likely targets for action in the new Republican-controlled Congress, several health policy experts said Wednesday.

"The SGR fix is something they need to deal with," said Douglas Holtz-Eakin, PhD, former director of the Congressional Budget Office and now president of the American Action Forum, a right-leaning Washington think tank. He was referring to a 21.2% cut in physician reimbursement under Medicare that is due to take effect April 1, 2015.

READ FULL ARTICLE From Medical Page Today
You must be a registered member of Neurology Advisor to post a comment.
close

Next Article in Practice Management

Sign Up for Free e-newsletters



CME Focus