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Association: Name: APSA 2008 Annual Meeting URL: http://www.apsanet.org
Citation: URL: http://www.allacademic.com/meta/p281083_index.html Direct Link: HTML Code:

Laugesen, Miriam. "Physicians, Congress, and Medicare Fees" Paper presented at the annual meeting of the APSA 2008 Annual Meeting, Hynes Convention Center, Boston, Massachusetts, Aug 28, 2008 <Not Available>. 2009-05-23 <http://www.allacademic.com/meta/p281083_index.html>

Laugesen, M. J. , 2008-08-28 "Physicians, Congress, and Medicare Fees" Paper presented at the annual meeting of the APSA 2008 Annual Meeting, Hynes Convention Center, Boston, Massachusetts Online <APPLICATION/PDF>. 2009-05-23 from http://www.allacademic.com/meta/p281083_index.html

Publication Type: Conference Paper/Unpublished Manuscript Abstract: Physicians' fees under Medicare are updated by regulation annually, based on a formula called the Sustainable Growth Rate (SGR). Since 2003 Congress has reversed impending cuts to fees, and repeatedly physician groups have threatened to leave Medicare. Congress has always swept in at the last moment to override the rate cuts, most dramatically, in mid-2008 with Senator Kennedy's surprise appearance in the Senate. Thus, Congress now rewrites payment policy every year, and the SGR is fast becoming a theoretical payment rate. How did the SGR and Medicare physician payment policy turn into a cliff-hanger as it did in the summer of 2008? Examining the policy history of the SGR shows that physicians supported the SGR prior to 2003, and that the present crisis in physician payment can partly be blamed on physician groups, that are culpable for the failure of cost containment. Physicians resisted a stronger federal role in cost containment and promised to comply (but did not embrace) evidence-based controls on medical practice. Future policy changes should consider physician needs alongside broader cost containment and quality goals.

Coverage and Cost: What Has a 30-year American \'Experiment in National Health Care\' Shown?

The Costs And Benefits Of Improving Response Rates In the CAHPS Medicare Fee For Service Survey

The Diffusion of Health-Care Cost-Sharing Policies in Europe

The Importance of Health Care Policy Priorities in Mississippi: Public Opinion v. Legislators' Opinions