Health and Disability

 Leaders of the largest nursing home association in America are openly questioning the legality of federal regulators' proposal to reduce Medicare reimbursement levels by 3.3% in fiscal year 2009.

Officials with the Centers for Medicare & Medicaid Services are calling their proposed payment cut for fiscal year 2009 a "forecast error correction." They say the reduction will correct an error in forecasting budget neutrality for case-mix adjustments in refining the Resource Utilization Group system for fiscal 2006.

"We believe that the forecast error correction is unacceptable under the law and completely ignores the rise in the acuity of nursing home patients," said American Health Care Association President and CEO Bruce Yarwood in comments submitted to CMS. "We strongly recommend and ask that you remove this adjustment."

Norman DeLisle, MDRC
"With Liberty and Access for All!"
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As Congress continues to pursue a solution to the Medicare physician payment issue, seniors from across the country are mobilizing over the July 4th recess to urge Congress to preserve their Medicare Advantage benefits.

The Coalition for Medicare Choices, which consists of 400,000 seniors, has mobilized thousands of seniors across the country to call, write, email, and visit their representatives during the July 4th recess to express their opposition to cutting Medicare Advantage benefits.

"My Medicare Advantage plan has always been there when I needed it the most. Congress needs to know that while my health care benefits may not be that important to them, they are important to me," said Joe Cameron of Fort Worth, Texas.

AHIP today also announced that it is launching a new national television advertising campaign that reminds Congress what happened last time it cut the Medicare Advantage program and what's at stake for millions of seniors across the country. The ad, "Again," begins running this week on national cable television. 

Norman DeLisle, MDRC
"With Liberty and Access for All!"
GrandCentral: 517-589-4081
MDRC Website: http://www.copower.org/
LTC Blog: http://ltcreform.blogspot.com/
Recovery: http://therecoveringlife.blogspot.com/
Change: http://prosynergypsc.blogspot.com/

"Once again, Medicare's Trustees have rung the alarm bell that the long-term fiscal solvency of the program is in serious trouble. It is critical that lawmakers ensure that Medicare will be a viable safety net for future generations of seniors. Seniors who rely on Medicare now also need Congress to take immediate short-term action to preserve their access to physician care this year.

"Findings from the latest Medicare Trustees report point to the critical need to reform the broken physician payment system. Cutting Medicare physician payments 41 percent over nine years while practice costs increase is penny-wise and pound foolish. Trying to save Medicare money by slashing physician payments will ruin the physician foundation of Medicare for current and future generations of seniors. A startling sixty percent of physicians say this year's cut alone will force them to limit the number of new Medicare patients they can treat. Couple this fact with a physician shortage and the huge influx of baby boomers soon to enter Medicare, and the outlook for Medicare patients' access to care is grim.

"Congress must take immediate action to preserve seniors' access to care as the first cut begins this July - and will total more than 15 percent by the end of 2009. The AMA supports the Save Medicare Act of 2008 (S.2785), which will replace 18 months of cuts with payment updates that better reflect medical practice cost increases. To demonstrate physicians' support for the legislation, nearly 1,000 physicians from across the nation will make a 'House Call' on Congress next week to call for action."

The American College of Physicians (ACP) renewed its call on Congress to replace the 10.1 percent devastating cuts in Medicare reimbursements set to take effect Jan. 1 with at least two years of positive updates that are paid for in a way that does not make the problem worse in future years. The organization of 124,000 internal medicine physicians, related subspecialists and medical students reacted to the final physician fee schedule published late last Thurs. by the Centers for Medicare & Medicaid Services (CMS).

"The cuts will accelerate the collapse of primary care, create access problems and manufacture obstacles to fundamental reform of physician policies," emphasized ACP President David C. Dale, MD, FACP. "It is essential that lawmakers agree on an immediate fix that will provide positive and stable updates, support patient-centered care coordinated by a personal physician, and create the building blocks for long-term reform of a flawed payment system."