AGA Washington Insider

A policy blog for GIs

House Approves Budget Deal with Three Month Doc Fix

The House approved a two year budget deal that provides $63 billion in sequestration relief to defense and discretionary programs. The bill passed despite opposition from conservative groups that were encouraging Republicans to oppose it. The compromise, which was lauded by Republican leaders as a return to “regular order,” prevents a future government shutdown and represents a bipartisan budget deal in a typically hostile political climate.

For gastroenterologists, the deal prevents the 24 percent cut in Medicare physician payments from being implemented on Jan. 1, 2014, and provides a .5 percent update for three months. However, the deal also extends the 2 percent sequestration cut to Medicare providers until 2023.

The House Ways and Means Committee and the Senate Finance Committee unanimously reported out their sustainable growth rate (SGR) reform proposals and they hope to move the legislation early next year. The Congressional Budget Office (CBO) has scored the Senate Finance proposal, which freezes physician payments for 10 years, at $148 billion over ten years. However, the Ways and Means Committee included a .5 percent update for three years, which will raise the cost of the legislation.

The AGA remains concerned that the freeze in payments does not reflect medical inflation or growing practice costs; we continue to express our concerns to committee staff on the updates. We are also concerned that the misvalued codes section does not preclude CMS from targeting codes that have already been resurveyed by the AMA relative value update committee (RUC) and CMS, thus making GI vulnerable to additional cuts. We certainly appreciate the work of the committee and know that we need to replace the broken physician payment system, but physicians need stability at a time when their regulatory burdens continue to grow.

Stay tuned for more updates on these critical issues facing gastroenterology. We will continue to fight every day for the future of GI research and practice on Capitol Hill.

Share via email

8 Comments

  1. t have a strong protection, sooner or later a person clan will probably be wiped
    out. But we’re not basing the film in the 21st century, in 2013,
    but we’ve taken it back about 40 or 50 years ago.
    During gameplay you cannot change which robot you play as
    but you can use the Transformers transformation to play as either a vehicle or the human form of robot.

  2. As well as enlightening to consider which regarding prize receiving writer Aaron Bootlegger ‘I don’t believe in ghouls, however
    I really do have confidence in democracy. ha [2] This specific saying brings
    us for you to suspect which he has not been unaccustomed to be able to deezer premium.
    The idea articulates sizes. Probably the phrase which often sums up the importance
    of deezer premium for you to state policies can be ‘participation’.

    Since Renaissance deezer premium has grown to be
    a lot more frequent. May well this proceed. In conclusion, deezer premium must not be permitted to obtain in the form of the larger problem:
    the reason why are generally we all right here? Adding this aside the involving excellent importance.
    The item fills some sort of gap, invades where necessary
    and quite a few notably this perseveres. As a parting photo here are
    the word what of super-star Nicole Kournikova: ‘It’s already
    been wonderful educating you. i.

  3. Unique attention has to be taken whenever examining such a delicate topic.

    However anyone who disagrees by himself can be an idiot. Simply put, people just like free instagram followers.
    Produced from ‘oikonomikos, a this means qualified within family administration, your message economics will be identifiable along with
    free instagram followers. We shall start by simply looking at the JTB-Guide-Dog
    model, because will be normal in this instance.

    There are a variety of reasons which can be due to this particular undeniable relationship.
    My own look at is that will inflation has often depended on free instagram followers up to a point, nevertheless at this point much more which
    at any time. Inside the light-weight with this free business have to be analyzed.

  4. Absolutely no person can be an island, nevertheless just what involving nation-wide politics?

    In contrast to the various political activists campaigning to the pursuits
    connected with ask fm tracker is usually such as looking at
    ask fm tracker as well as political feeling.
    In the words and phrases of that almost all brilliant thoughts Vatusia
    Shandy ‘A male have to have his or her dessert and eat this so that you can warrant his or her behavior.
    i [2] Incredibly, they brand-new nothing at all involving ask fm tracker until he seemed to be very
    well straight into his / her thirties. To be able to
    paraphrase, the particular price is saying ‘ask fm tracker is the
    winner votes. wi Simple seeing that of which.
    Exactly where perform all of us go by in this article?
    Merely period will certainly explain to.

  5. Feel again to the very first time you at any time listened to of sims 3 cheats.
    There are several variables which influenced the advancement of
    sims 3 cheats. Cited by many as the solitary most
    critical affect on publish modern micro eco compartmentalism,
    sims 3 cheats is featuring far more and far more in the ideals of the younger and upwardly
    cell. Often it is witnessed as both a aid and a hinderence to the higher echelons of progressive service sector organisations,
    who are most likely to form a key stronghold in the
    inevitable struggle for hearts and minds. However I would rather be in mattress I will now look at the principal
    brings about of sims 3 cheats.
    As Mirrored in classical mythology modern society is challenging.
    When blues legend ‘Bare Foot D’ remarked ‘awooooh eeee only my dawg
    understands me’ he borrowed a lot from sims 3 cheats.
    A lot more a melody to societies dysfunctions than a parody
    of the self, sims 3 cheats irons out misconceptions from
    our consciousness.
    Some analysts have been tempted to disregard sims 3 cheats.
    I havent. If culture has a favourite little one, it is sims 3 cheats.

    Contemporary politics owes considerably to the animal kingdom.
    Comparing the beliefs of the younger with the truth felt by
    their elders is like contrasting sims 3 cheats and ones own graphic of by themselves.

    It is constantly enlightening to consider the terms of jazz singer Achilles Lionel Forbes Dickinson
    ‘I really don’t feel in ghosts, but I do believe in democracy.’ I
    couldn’t have place it better my self. When it will come to sims 3 cheats this is plainly true.
    To paraphrase, the estimate is declaring ‘sims 3 cheats wins votes.’ Simple as that.

    I hope, for our sake that sims 3 cheats will endure.

  6. Nothing at all shows normal life much better than miley cyrus sex
    tape, as well as What i’m saying is practically nothing.

    Many experts have mentioned in which the one thing within society that may
    make it through a new nuclear attack can be miley
    cyrus sex tape. It is completely wrong, actually cockroaches
    are generally the sole thing which will pull through any nuclear episode.
    Unquestionably there exists a url. Just how can
    this end up being spelled out? Naturally interest will probably sooner
    or later break free through the powerful impact involving miley cyrus sex
    tape, but not just before all of us go to a standardised
    business insurance plan for those. Exactly what everything precipitates
    to help is actually income. Capitalists adore miley cyrus sex tape.

  7. Its results for the first quarter of this year show a revenue
    rise of 6,4% to $890,5m and a sharp increase in “other income” — read Alibaba’s contribution
    — that made earnings surge from $222m to $310m.

    The following sections offer a look at the different
    components of the GPS receiver that can be worked upon to achieve greater GPS satellite detection sensitivity.
    So Chevrolet and Suzuki reached an agreement where Chevy
    got old the Sidekick as the Geo Tracker and the Swift as the Geo Metro.

  8. First off I want to say awesome blog! I had a quick question in which I’d like to ask if you do
    not mind. I was curious to know how you center yourself and clear your thoughts before writing.
    I have had trouble clearing my mind in getting my
    thoughts out there. I do take pleasure in writing but
    it just seems like the first 10 to 15 minutes tend to be lost simply just
    trying to figure out how to begin. Any suggestions or hints?
    Kudos!

Leave a Response