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  • Congress year-end deal

    Posted by radiologistkahraman_799 on December 20, 2020 at 7:43 pm

    [link=https://www.modernhealthcare.com/politics-policy/congress-ban-surprise-bills-include-provider-grant-fix-year-end-deal?fbclid=IwAR2bDwpWuoUDoNWNNinI18-fVb-lHQupNJeqHOl5YjJu1nJO9fLcMh6hQUg]https://www.modernhealthc…Ol5YjJu1nJO9fLcMh6hQUg[/link]
     
    So they pushed through the surprise billing but quelled the CMS cuts?  Am i reading this correctly?
     
    Details on the surprise billing quotes use of arbitration and “The new agreement eliminates a controversial benchmark payment that determined what insurers had to pay providers based on previously negotiated rates. Conservative groups had painted the benchmark payments as government rate setting.”
     
    Thoughts?

    stlmchenry_510 replied 3 years, 7 months ago 11 Members · 16 Replies
  • 16 Replies
  • afazio.uk_887

    Member
    December 20, 2020 at 8:22 pm

    What does this paragraph mean exactly, one year reprieve?

    specialty physicians were also concerned about Medicare pay cuts after CMS boosted pay for primary care providers in the Medicare Physician Fee Schedule, and lawmakers decided to boost payment rates across the board for the 2021 calendar year.

  • daberechimoses59_164

    Member
    December 20, 2020 at 8:24 pm

    That article seems to imply they are at least partially reversing the cuts for 2021 (boosting payments across the board). Also, seems like the clauses that would be potentially very detrimental to physicians in previous surprise billing legislative proposals are not going to be a part of this legislation. I would say it looks pretty good for us

    • g.giancaspro_108

      Member
      December 20, 2020 at 8:27 pm

      Quote from tiger81

      Also, seems like the clauses that would be potentially very detrimental to physicians in previous surprise billing legislative proposals are not going to be a part of this legislation. I would say it looks pretty good for us

       
      I can’t find if they have removed Rep Pallone’s cuts or not.  Do you have an update or the current language?

      • erasmopa

        Member
        December 21, 2020 at 10:41 am

        I couldnt read the link without subscribing, but it seemed you were all suggesting that the CMS budget neutrality that is set to cut our rvu reimbursement by 11% is being put on hold or something? I cant find that headline anywhere else. Any further info?

        • clickpenguin_460

          Member
          December 21, 2020 at 10:42 am

          I have looked as well and can’t find anything.  Anyone have details?  All I have seen is some vague language about how the surprise billing portion of the covid relief bill is “helpful to physicians and hospitals.”  It’s meant to hurt insurance companies I guess?  I can’t find details on that either.

          • qi_si1988

            Member
            December 21, 2020 at 12:16 pm

            Amazing that Googling in related news (terms like Congress, sequester, medicare, cuts, etc.) turns up not a single additional source for this aspect of the deal. This stuff emerged yesterday…you’d imagine ACR would be patting itself on the back by now.

            • reuven

              Member
              December 21, 2020 at 1:17 pm

              [link=https://twitter.com/doleynik3/status/1341114661329129479/photo/1](5) medicare cuts – Twitter Search / Twitter[/link]
               
              No cuts for surgeons (hopefully this applies to all specialists)

              • clickpenguin_460

                Member
                December 21, 2020 at 3:31 pm

                Saved for 1 year. Need to continue to lobby this year though or we will have same issue next year.

                [link=https://www.radiologybusiness.com/topics/policy/lawmakers-radiologist-medicare-cuts-year-end-spending-deal]https://www.radiologybusi…year-end-spending-deal[/link]

                • clickpenguin_460

                  Member
                  December 21, 2020 at 3:33 pm

                  Also some extra goodies in there. Phone won’t let me edit last message.

                  Overall, great news.

                  • erasmopa

                    Member
                    December 21, 2020 at 3:46 pm

                    Very good news!

                    • qi_si1988

                      Member
                      December 21, 2020 at 3:53 pm

                      I saw an article saying just a 3-month stay of execution:
                       
                      [link=https://www.homecaremag.com/news/latest-covid-19-relief-bill-includes-big-wins-hme]https://www.homecaremag.c…-includes-big-wins-hme[/link]
                       
                       

              • radiologistkahraman_799

                Member
                December 21, 2020 at 5:18 pm

                Quote from JTG

                [link=https://twitter.com/doleynik3/status/1341114661329129479/photo/1](5) medicare cuts – Twitter Search / Twitter[/link]

                No cuts for surgeons (hopefully this applies to all specialists)

                Overall, I think ACR and rads in general would be fools to not somehow partner/lobby together with ACS, ACEP, and possible cards.  They all have way more lobbying power than we do and overall incentives mostly aligned.  Maybe they already do, but …

              • janecreeve_520

                Member
                December 21, 2020 at 6:25 pm

                [link=https://republicans-waysandmeansforms.house.gov/uploadedfiles/final_–_house_gop_provisions_in_the_2020_year-end_legislation.pdf]https://republicans-waysa…ar-end_legislation.pdf[/link]

                • benoit.elens

                  Member
                  December 21, 2020 at 9:18 pm

                  Maybe somebody who is involved or more educated on this can create a sticky thread with updates on petitions to sign, actions to undertake, and links to donate.  A more systematic way of fighting for our rights.  And perhaps involve department chairs and group heads so they can get their constituents and colleagues on board.

                  • stlmchenry_510

                    Member
                    December 25, 2020 at 12:21 pm

                    Im grateful I have a job right now, and hopeful that especially around the holiday season, we will try to put our differences aside and realize that we are all on the same team.

  • g.giancaspro_108

    Member
    December 20, 2020 at 8:25 pm

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