Doc Fix

A component of a lower-spending compromise bill put before the US Senate after the initially proposed $140 billion Medicare finance package failed to pass (June 2010). The compromise bill would have cost $118 billion, delayed planned cuts in Medicare services, and provided a 2.2% raise in physician reimbursement (the ‘doc fix’) through November (2010). The latter bill also failed to pass, initiating a scheduled 21.3% reduction in reimbursement to physicians and other health providers. A survey of 9,000 members of the American Medical Association revealed that 31% of physicians in primary care would stop seeing Medicare patients because the rates of reimbursement were too low
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Members of both parties had long sought a permanent doc fix, and over the last two years had even agreed on the outlines of a replacement.
And one estimate by the Committee for a Responsible Federal Budget, a nonpartisan organization focused on deficit reduction, found that, because the new law puts physicians on track to receive regular raises in Medicare payments, ending the doc fix will actually add some $500 billion to the deficit over the long term.
We have no intentions of passing any kind of a short-term doc fix.
On April 2nd, President Barack Obama officially signed the temporary SGR doc fix delaying the compliance date of ICD-10 until October 1, 2015.
It is an excellent case study in federal backsliding as an everyday way of doing business: yet another Medicare doc fix when the administration touted that reimbursement cut as a way of making PPACA budget-neutral.
Despite bipartisan support for the so-called doc fix, other controversial provisions in the bill kept it from gaining traction in the Senate.
In December 2010, congressional leaders announced a tentative deal to pay for a one-year extension of the doc fix by trimming funding for the first year of ObamaCare's insurance subsidies.
He said it is one of his goals for the year to have a "permanent and paid-for doc fix," and he pledged that the Ways and Means Committee would address the issue.
The total cost of the package would be around $150 billion with the $100 billion cost of the payroll tax reduction being added to the deficit and the $50 billion cost of the unemployment benefits and Medicare doc fix being offset by budget cuts elsewhere.
The doc fix is now expected to be enacted separately, at a cost of more than $200 billion over 10 years.
This is why House Democrats stripped out the doc fix from the health care bill, and passed it separately; it made the CBO scores look bad, making it harder for the president to present bogus claims about deficit neutrality.
2, the Medicare Access and CHIP Reauthorization Act of 2015, otherwise known as the "permanent doc fix.