On Tuesday, MedPAC posted draft recommendations aimed at offsetting the budgetary costs of repealing the SGR. The Commission projects savings of $233 billion as part of a ten-year overhaul of the senior health care program.
The recommendations are divided into two tiers, with Tier I offering savings of $50 billion using proposals that have been recommended previously by the Commission. Tier II projects $180 billion in savings and contains proposals from outside groups such as Health and Human Services (HHS), Office of Inspector General (OIG), Congressional Budget Office (CBO) and MedPAC staff analysis. The Commission has not voted on or recommended the items on the Tier II list.
MedPAC unveiled its SGR proposal last week, calling for a freeze for primary care and a 5.9 percent cut for all of the other specialties for each of the next three years, followed by a seven-year freeze. The Commission is expected to take up the proposal at its October 6-7, 2011 meeting. (See Breaking News: MedPAC Addresses SGR Issue, Bulletin, 9-16-11). The NCMS is closely following these developments and will be providing updates in the Bulletin and at http://www.ncmedsoc.org.
Click here to read the MedPAC draft recommendations (PDF – 441 pages) to offset the budgetary costs of repealing the SGR.