Medicare Blog

what would cuts to medicare mean

by Ms. Jennyfer Hamill Published 3 years ago Updated 2 years ago
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In the case of the cuts to Medicare, seniors would see no changes in their benefits, but providers, including doctors and hospitals, would see an across-the-board 2 percent cut to reimbursements. An estimated 496,000 health care jobs would be lost during the first year of cuts, according to a report funded by doctors, hospitals and nurses groups.

Full Answer

What Medicare cuts are being considered?

Medicare Pay Cuts

  • This is the year to reform Medicare pay, boost telehealth. The AMA scored some wins for doctors in 2021, but big challenges lie ahead this year. ...
  • AMA statement on continuing freeze of Medicare physician payment. ...
  • Jan. ...
  • National Advocacy Conference. ...
  • More work remains to resolve Medicare payment situation. ...
  • 2021 tested doctors even further. ...

What happens if Medicare is cut?

  • Know your payment source. Is your loved one covered under Medicare? ...
  • Determine the likely stay for your loved one’s diagnosis. As soon as you know that your elderly loved one’s diagnosis will include a trip to rehab, find out the authorized ...
  • Stay close to your loved one’s care team. ...
  • Consider an appeal. ...
  • Timing is important. ...
  • Always have a Plan B. ...

How much does Medicare pay for a haircut?

  • The nationwide average price for a men’s haircut is $40.
  • The nationwide average price for a women’s haircut is $66.
  • The nationwide average price for a haircut (men’s or women’s) is $53.

How will Medicare cuts affect seniors?

The one area of cuts that could actually raise costs for some seniors make up just 11 percent of the proposed Medicare cuts, the analysis finds. Those changes are to a formula in Medicare Part D, Medicare’s prescription drug benefit, and would raise out-of-pocket costs for drugs for some seniors, while lowering costs for others.

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Medicare PAYGO Cuts

The American Rescue Plan Act of 2021, signed into law by President Biden in March, increased spending without offsets to other federal programs. Under statutory Pay-As-You-Go (PAYGO) rules, any increases to the federal deficit automatically triggers an additional series of acrossthe-board deductions to federal programs.

Medicare Sequester Delay Extension

At the onset of the COVID-19 pandemic, Congress delayed the automatic 2% Medicare sequestration cuts as providers were struggling to keep their doors open to their communities. Various delays were enacted during this public health emergency, with the last pause setting to expire on January 1, 2022.

Changes to the Medicare Conversion Factor

Last year, due to a temporary patch approved by Congress, the Centers for Medicare & Medicaid Services (CMS) increased all providers’ payments by 3.75% to offset a change in the Medicare conversion factor that CMS implemented as part of a change to Evaluation and Management (E/M) codes designed to increase support for primary care services.

What Medicare Cuts Mean for Our Patients

From a clinical perspective, Medicare cuts are relevant in that they impact our ability to provide quality care to patients who need our services. In addition, high copays for commercial/secondary insurances significantly impact patients — especially those with serious medical comorbidities.

What Medicare Cuts Mean for Clinicians

Many clinicians have 6 figures of student loan debt on top of their basic living expenses, which tragically have deterred many from pursuing careers in rehab.

What Can Clinicians Do

Fortunately, not all hope is lost at this time. What can we do to continue to advocate for our profession? As we continue to move forward in these uncertain times, we must continue to write to our leaders in Congress as well as diligently educate others on our vital role in healthcare.

This is the year to reform Medicare pay, boost telehealth

The AMA scored some wins for doctors in 2021, but big challenges lie ahead this year. Learn about efforts to fix outdated physician pay models.

AMA statement on continuing freeze of Medicare physician payment

The AMA disagreed with the MedPAC’s recommendation to continue the freeze in Medicare physician fee payments because it threatens patient access to quality care.

Jan. 7, 2022: Advocacy Update spotlight on federal advocacy agenda for 2022

The AMA outlines its federal advocacy agenda for 2022. Learn more in this Advocacy Update spotlight.

AMA fights against Medicare cuts, defending practices & access to care

Learn how AMA fights against Medicare cuts and defends physician practices and patients’ access to care.

Todd Askew shares what physicians need to know about advocacy in 2022

AMA's Moving Medicine series features physician voices and achievements. Learn more in this discussion with Todd Askew about what physicians need to know about advocacy in 2022.

AMA in the News: December 2021

Read media highlights mentioning the American Medical Association for December 2021.

More work remains to resolve Medicare payment situation

Congress took welcome action this month to avert Medicare payment cuts, but additional steps must be taken to provide permanent reform.

The picture on Capitol Hill

The prospects for getting any of the cuts reversed are murky. The ongoing negotiations and debate in the Democratic caucus over the budget reconciliation bill and the bipartisan infrastructure bill are limiting the window for including additional provisions in subsequent legislation to fund the government and raise the debt limit.

The implications on the ground

AMGA released findings from a survey of 92 representatives of medical groups and integrated health systems. Among respondents, 43% said they would freeze or delay hiring and 37% expected to eliminate services if the cuts go through as scheduled.

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