Need to Move Beyond the SGR, Hearing Before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Twelfth Congress, First Session, May 5, 2011   [open pdf - 4MB]

From the opening statement of Joseph R. Pitts: "The system that is currently used to pay physicians for providing services to beneficiaries in the Medicare System is broken and has been for some time. The dilemma that currently threatens doctors and Medicare beneficiaries alike is all too familiar. According to the most recent Congressional Budget Office estimate if nothing is done physicians will see reimbursement for services provided to Medicare patients cut by 29.4 percent on January 1, 2012. This will have a disastrous effect on access to care for Medicare beneficiaries. According to surveys by the American Medical Association faced with cuts of this magnitude as many as 82 percent of physicians say that they will need to make significant changes in their practices that will affect access to care. We have been here before. In fact, we have been in this situation for almost a decade. Since 2002, Congress has acted repeatedly to avert scheduled fee cuts. In 2010 alone Congress passed one--two 1-month overrides, two 2-month overrides, one 6-month override, and most recently for 2011, Congress passed a 1-year override. All this was done without resolving the underlying problem. […]Too often the discussion around physician payment reform has focused on the deficiencies of the current system and the urgent need to move away from the sustainable growth rate [SGR] formula without a clear vision of the kind of system we want to replace it with." Statements, letters, and materials submitted for the record include those of the following: Michael C. Burgess, Frank Pallone, Bill Cassidy, John D. Dingell, Fred Upton, Joe Barton, Phil Gingrey, Henry A. Waxman, Marsha Blackburn, Mark B. McClellan, Cecil B. Wilson, David B. Hoyt, Harold D. Miller, Michael E. Chernew, M. Todd Williamson, Ronald A. Goertz, Nancy LeaMond, Joe Baker, Garrison Bliss, Michael D. Maves, Joseph R. Pitts, Ron Moy, Bruce Sigsbee, Michael Repka, Daniel J. Berry, David R. Nielsen, John O'Shea, O. Marion Burton, Lawrence W. Jones, Ralph Brindis, David R. Holmes, Jr., Jack Lewin, Susan Schneider, Virginia Hood, David Borenstein, L.D. Britt, Richard N. Waldman, Sharon A. Brangman, Jennie Chin Hansen, Karen J. Nichols, R. Scott Ward, John E. Tomaszewski, M. Brian Fennerty, Mark A. Warner, Edward J. Holland, George Sledge, Allen Lichter, J. Evan Sadler, Phil Haeck, Datta G. Wagle, Jordan J. Cohen, Darrell G. Kirch, Charles N. Kahn III, James Hughes, William F. Jessee, Greg Przybylski, Jeffrey Wiese, Dominique Delbeke, Michael J. Mack, Yehuda Handelsman, and Michael Weinper.

Report Number:
Serial No. 112-46
Public Domain
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Government Printing Office, Federal Digital System: http://www.gpo.gov/fdsys/
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