AADA responds to congressional inquiries about SGR
The AADA is calling on Congress to fix ongoing flaws in the sustainable growth rate (SGR) formula used to calculate physician payment under Medicare, and replace it with a reformed system that enables physicians of all practice types and settings to provide high-quality, affordable care to patients.
The AADA has responded to several congressional inquiries on how to repeal and reform the flawed Medicare physician payment system and eliminate the estimated 24 percent across-the-board Medicare rate cut scheduled to go into effect on Jan. 1, 2014.
AADA supports bill strengthening Medicare patients’ access to care
In April 2013, the AADA signed on to a coalition letter supporting legislation that would allow Medicare patients to access the physicians of their choice, even if the physician is no longer accepting Medicare. Introduced by Rep. Tom Price, MD, (R-Ga.), HR 1310, the Medicare Patient Empowerment Act would ensure that Medicare beneficiaries and physicians are able to freely contract for covered Medicare services without penalty, while at the same time providing important beneficiary protections.
Under the current law, Medicare beneficiaries who choose to see physicians who do not accept Medicare are required to pay the physician's charge entirely out of pocket because Medicare does not pay any part of the charge.
In addition, physicians who choose to provide covered services to Medicare beneficiaries under private contracts must "opt out" of the Medicare program for two years, during which time Medicare does not pay the physician for any covered services provided to Medicare beneficiaries.
If enacted, HR 1310 would significantly strengthen Medicare patients’ access to care. Read the AADA's letter of support.