Medicare changes come down to wire: pay for ECG, new physicians in question

Article Abstract:

A Medicare physician compensation plan approved by the House of Representatives on Oct 6, 1992 has been blocked in the Senate by a filibuster. Even if passed by the Senate, the bill may be vetoed. The measure would repeal the ECG add-on from visit and consultation values and also repeal a measure requiring lower compensation for younger doctors. In exchange, it would cut values for all services at their full resource-based relative value (RBRVS) level by 0.37% Additional cuts would come from the historical payment portion of ongoing services. These cuts would fall from 1.07% in 1993 to 0.6% in 1995.

Admin. of social & manpower programs, Political aspects, Prospective payment systems (Medical care)

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GOP plan would bring the market to Medicare

Article Abstract:

Republicans in the House Ways and Means Committee have drafted a bill that would give Medicare recipients a choice among several options including fee-for-service or enrollment in a managed care plan, to which the government would make contributions. Expenditures by these programs would be limited to annual growth of 6.4%. Under consideration is the use of a single conversion factor for all medical services, which might curb the income of surgeons. The House Commerce Committee is also drafting Medicare legislation.

Administration of Public Health Programs, Health Care Services, Medical care, Social policy, Republican Party (United States)

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