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WHAT’S NEW IN MEDICARE?

Congress Passes New Medicare Bill

 

Congress overrode a Presidential veto to pass a New Medicare bill. The new bill will prevent a 10% pay cut to doctors who treat patients on Original Medicare, but will cut  payments to insurance companies that offer Medicare Advantage plans (and will slow the growth of such plans).

 

Approximately 25% of Medicare recipients are enrolled in Medicare Advantage plans. While some contend that Medicare Advantage plans cost the government more per person than Original Medicare, the President vetoed the bill because he said that reducing payments to the plans “would force them to reduce benefits.”

 

The new law also sets strict standards for the marketing of Medicare Advantage plans, some of which have been criticized for their sales tactics. Additional provisions in the new law will reduce co-payments for mental health services, and will increase assistance to those with lower incomes.

 

However, it will also delay a competitive bidding program for suppliers of medical equipment (such as oxygen tanks and power wheelchairs). This was another reason why the President vetoed the bill, saying that competition “should be expanded, not diminished.”

 

Finally, the new bill does not fix the fundamental flaws in the formula Medicare uses for  paying doctors, and unless a new law is passed doctors will face a 20% cut in their Medicare payments by the end of 2009.

 

Source: New York Times

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