Approaching the cliff: What's at stake for Medicare and Medicaid?

Published on November 17, 2012 at 2:19 AM · No Comments

Medicare and other entitlement programs are in the mix as deficit deal-making takes center stage. If no deal is reached and automatic spending cuts take effect, Medicare providers will face a 2 percent across-the-board cut in January 2013.

The Medicare NewsGroup: Fiscal Cliff Discussions, Looming Cuts Have Medicare Providers Facing Double Whammy

Doctors, hospitals, other clinical care providers and insurance companies all face looming pay cuts. President Obama and Congress are in negotiations starting this week to avert the fiscal cliff. Medicare and other entitlement programs are on the table as lawmakers seek to bring down the deficit. If a deal is not struck, Medicare providers will be hit with a 2 percent across-the-board cut in January 2013 as part of sequestration. The sequestration cuts, scheduled to hit clinical care providers and insurers that operate Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D), resulted from Congress' failure to reach a deficit agreement in 2011. The cuts total nearly $10.7 billion in 2013 alone. And for physicians, the fiscal cliff includes a 27 percent pay cut caused by the Sustainable Growth Rate (SGR) (Sjoerdsma, 11/15).

The Medicare NewsGroup: Primer On The Fiscal Cliff And Its Impact On Medicare
If Democrats and Republicans don't reach a grand bargain ahead of the new year, Medicare providers will be hit with a 2 percent across-the-board cut as part of mandated expense reductions. These could hit providers especially hard, as most are struggling to adapt to reimbursement cuts under the Affordable Care Act (Szot, 11/15).

Kaiser Health News: Fiscal Cliff: What Is At Stake For Medicare And Medicaid? (Health On The Hill Video)
In this Kaiser Health News video, Jackie Judd talks to KHN's Mary Agnes Carey about the budget negotiation scenarios for Medicare, where the "doc fix" fits into the budget picture, and whether Medicaid cuts are possible (11/15).

CQ HealthBeat: Liberals And Advocates Pledge To Fight Medicare Cuts To Beneficiaries In Deficit Talks
Defenders of Medicare, Medicaid and Social Security rallying at the Capitol on Thursday vowed they'll oppose any attempt to cut benefits as Congress and the Obama administration seek a deal on taxes and spending in the lame duck session and possibly a larger safety net overhaul in 2013…Leaders of the National Committee to Preserve Social Security and Medicare were joined at a Thursday morning news conference by a parade of House Democrats, including Xavier Becerra of California and Rosa DeLauro of Connecticut, who said they'll fight any budget proposals that would affect benefits for Medicare enrollees (Norman, 11/15).

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