Perhaps the easiest question to answer in regard to the seemingly perpetual delays to Medicare reimbursement cuts is, “how did we get into this mess?”
“It’s the insane rules of the budget game in Washington,” said Bruce Vladeck, former administrator of the Health Care Financing Administration (HCFA). “It often boils down to selective insistence by some members of Congress relative to what is allowed to enter the deficit and what isn’t.”
More often than not, SGR has fallen into the latter category, with lawmakers believing that a true physician compensation solution should have funding before it’s approved.
According to Senate Majority Leader Harry Reid (D-NV), the legislation would be paid for by modifying the policy regarding overpayments of the healthcare affordability tax credit.