Contents tagged with medicare access and CHIP reauthorization act
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Texas Family Physician - Vol. 67 No. 1, Winter 2016
Go to the TFP archive
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President’s letter
Perspective
CONTENTS
Texas Family Physician of the Year 2015-16: Antonio Falcon, MDBorn and bred in Rio Grande City, … more
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The brave new world of the SGR repeal
By Dale Ragle, MD
TAFP President, 2014-2015On April 16, 2015, President Obama signed the Medicare Access and CHIP Reauthorization Act of 2015, which phases out Medicare’s flawed sustainable growth rate payment formula over the next 10 years. The so-called “doc fix” enjoyed bipartisan and bicameral support in Congress, a rare phenomenon these days, as well as support from most major medical organizations, including AAFP and the American Medical Association. In spite of broad support, the bill took more than a year of tweaking and survived innumerable negotiations between both political parties and the White House, a testament to the adage that “the devil is in the details.”
The SGR formula tied Medicare expenditures to the gross domestic product. Since demand and utilization of health care services do not rise and fall directly with the ebbs and flows of the general economy, the SGR often threatened to cut physician fees year after year. Perennially, Congress passed special legislation to delay the fee cuts, often only finding they have to repeat the action in the following year.
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