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Congress finally delivers on Medicare payment fix. (Positive Update of 1.6% in 2003).

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| March 15, 2003 | Silverman, Jennifer | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

WASHINGTON -- Congress finally answered the call from medical organizations to increase Medicare physician payment rates.

House and Senate conferees for the fiscal year 2003 omnibus spending bill last month reached an agreement that would protect the Centers for Medicare and Medicaid Services from lawsuits if it fixed the flawed reimbursement formula. The final spending bill provided $397.4 billion for the Department of Health and Human Services and other agencies.

President Bush was expected to sign the bill at press time. Once the bill is signed, Medicare is expected to announce that physician fees for the remainder of 2003 will reflect a positive update of 1.6% instead of the projected 4.4% cut.

"This is not just a 1-year fix," Robert Doherty, senior vice president for governmental affairs and public policy with the American College of Physicians--American Society of Internal Medicine, told this newspaper. "Putting money back into the Medicare baseline will yield a better update in all future years."

The increase for physicians is particularly notable, given that recent federal budget negotiations had been marked by across-the-board freezes and cuts for many other programs, Mr. Doherty said.

The Congressional Budget Office estimates that the new payment provision would increase baseline spending for physician services by $54 billion over 10 years.

At press time, CMS expected to be able to implement the new rates for services beginning March 1, an agency spokeswoman told this newspaper.

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