Medicare Blog

who is responsible for cuts in medicare and medicaid

by Prof. Damon Huels Sr. Published 2 years ago Updated 1 year ago
image

Full Answer

Are providers facing Medicare reimbursement cuts this year?

Providers are currently facing the potential of up to a 10% cut to Medicare reimbursement at the end of the year, barring Congressional action. These cuts stem from the following:

Is there an easy fix for Medicare cuts?

This is unconscionable, and it's worse because there's an easy fix. Congress can direct the CMS to suspend these cuts by waiving the requirement that changes to Medicare must be budget-neutral. That would allow CMS a one-time reprieve from balancing its budget, and it would give the medical profession an opportunity to recover and rebuild.

How can Congress help the medical profession recover from budget cuts?

Congress can direct the CMS to suspend these cuts by waiving the requirement that changes to Medicare must be budget-neutral. That would allow CMS a one-time reprieve from balancing its budget, and it would give the medical profession an opportunity to recover and rebuild.

Is the White House cutting Medicare in its budget?

When it comes to Medicare, the White House has been very clear: “He’s not cutting Medicare in this budget,” Vought said. “What we are doing is putting forward reforms that lower drug prices. Because Medicare pays a very large [share] of drug prices in this country, [that] has the impact of finding savings.

image

How much does Medicare pay?

The federal government currently pays 75 percent of the cost of Medicare Part B, which covers doctors' services and outpatient care, with beneficiaries paying the remaining 25 percent through Part B premiums. Beneficiaries' share could be increased — for example, to 35 percent by 2019 under the bipartisan Lieberman/Coburn proposal, saving the government about $241 billion.

Is Medicare privatized under 55?

A proposal to privatize Medicare for everyone currently under age 55 passed the House in April — and failed in the Senate. But Republican leaders have made it clear that the Ryan plan — named after its author, Rep. Paul Ryan of Wisconsin, chairman of the House Budget Committee — is still on the table despite strong popular reaction against it.

Does Lieberman Coburn cover Medicare?

It's based on the idea that the 9 million people who buy private medigap policies to cover their Medicare deductibles and copays are insulated from the true cost of their care and therefore use more services. The Lieberman/Coburn plan would require policyholders to pay the first $550 of their annual out-of-pocket costs and would further limit medigap coverage.

How much is Medicare cut?

But $269 billion of that figure is reclassified under the Department of Health and Human Services, bringing the Medicare cuts to $575 billion. As Vox explained, the administration says it will achieve these cost reductions by targeting wasteful spending and provider payments and lowering prescription drug costs.

What are the changes to Medicaid and Social Security?

But when it comes to Trump’s proposed changes to Medicaid and Social Security, the intent is unambiguous: These are cuts to benefits. The 2020 budget’s Medicaid reforms include adding work requirements and repealing Medicaid expansion and one of the most successful policies within the Affordable Care Act.

How much will the Social Security cut?

In all, the cuts to Social Security amount to $25 billion over the next 10 years, cutting roughly $10 billion from the Social Security Disability Insurance (SSDI) program, which the administration says will be found through cutting down on fraud — a common conservative talking point.

How much will Trump spend on Medicaid in 2020?

Over the next 10 years, Trump’s 2020 budget proposal aims to spend $1.5 trillion less on Medicaid — instead allocating $1.2 trillion in a block-grant program to states — $25 billion less on Social Security, and $845 billion less on Medicare (some of that is reclassified to a different department). Their intentions are to cut benefits ...

Will Trump cut Medicare?

President Donald Trump’s 2020 budget breaks one of his biggest campaign promises to voters: that he would leave Medicaid, Social Security, and Medicare untouched. “I’m not going to cut Social Security like every other Republican and I’m not going to cut Medicare or Medicaid,” Trump told the Daily Signal, a conservative publication affiliated ...

Does Medicare Part D raise out of pocket costs?

Medicare Part D is the only area of these reforms that could raise out-of-pocket drug prices for some while lowering it for others. Otherwise, premiums, deductibles, and copays would largely be left unaffected. Unsurprisingly, the Federation of American Hospitals is not a fan of this part of Trump’s budget proposal.

Subscribe to AMA Advocacy Update

Stay current on the latest on the issues impacting physicians, patients and the health care environment with the AMA’s Advocacy Update Newsletter.

Reimagine Medicare payment system

Rather than engaging in annual battles over payment cuts, Askew said it is time for Congress to reimagine the Medicare payment system and create a simpler, more understandable process that better serves patients and fairly compensates physicians.

Extending telehealth coverage

A bright spot in the massive 1,700-page CMS document pertains to telehealth. CMS is proposing to continue paying through 2023 for services that were temporarily added to the Medicare list of covered telehealth services near the beginning of the COVID-19 public health emergency.

What services are being cut under Medicare?

That's because the Centers for Medicare & Medicaid Services (CMS) recently proposed cuts to certain Medicare services, including breast cancer screening, radiation oncology and physical therapy, along with other medical specialties.

Is a doctor's office a charity?

The issue, of course, is that doctors' offices aren't charities — they're businesses. They depend on reimbursements from Medicare and insurance companies to stay afloat, particularly from people who come in for follow-up screenings and non-critical issues — the exact patients who they haven't been able to see lately.

Is Medicare a long delay?

Millions will wake up to a Medicare system that operates with long delays for previously routine services; conditions that are normally treatable with early detection will thrive undetected. Read More. This is unconscionable, and it's worse because there's an easy fix.

Can CMS suspend Medicare cuts?

Congress can direct the CMS to suspend these cuts by waiving the requirement that changes to Medicare must be budget-neutral. That would allow CMS a one-time reprieve from balancing its budget, and it would give the medical profession an opportunity to recover and rebuild.

The Dangers of Cutting Medicare and Medicaid

As I wrote yesterday, the President’s deficit reduction plan includes a non-trivial swath of Medicare and Medicaid cuts, including some cuts for public health and prevention, as well as means testing and higher co-pays for certain services.

Brought to you by our readers

Shadowproof is a financially independent news organization. All of our funding comes from small donations made by readers like you. We use your donations to hire freelance writers and cover our operating costs.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9