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The Medicare Sustainable Growth Rate (SGR) was a method used by the Centers for Medicare and Medicaid Services (CMS) in the United States to control spending by Medicare on physician services. [1] President Barack Obama signed a bill into law on April 16, 2015, the Medicare Access and CHIP Reauthorization Act of 2015, which ended use of the SGR ...
The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 would amend title XVIII of the Social Security Act (SSA) to: (1) end and remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services; (2) establish an update to the single conversion ...
Medicare Access and CHIP Reauthorization Act of 2015; Long title: An Act to amend Title XVIII of the Social Security Act to repeal the Medicare sustainable growth rate and strengthen Medicare access by improving physician payments and making other improvements, to reauthorize the Children's Health Insurance Program, and for other purposes
A formula, called the "Sustainable Growth Rate" (SGR) formula, was established in 1997 to make planned cuts to Medicare reimbursement rates. [2] Congress has regularly avoided making these cuts since then by passing legislation, colloquially known as the "doc fix", to delay the cuts. [2]
The Medicare and Medicaid Extenders Act of 2010 [1] is a federal law of the United States, enacted in 2010. [2] [3] The law was first introduced into the House as H.R. 4994 on April 13, 2010, by Rep. John Lewis (D-GA) with 20 cosponsors. It was then referred to the House Committee on Ways and Means and the House Committee on the Budget.
An assigned beneficiary growth rate was calculated at the end of each performance year by comparing the total Medicare Part A and Part B per capita expenditures to a base year period. PGPs that were able to attain a spending growth rate of more than 2% lower than their comparison populations were eligible for shared savings.
[21] While payment cuts to hospitals and hospices were to be off-limits until 2020, and clinical laboratories were to be off limits until 2016, physician fees could have been cut unless a doc fix to Medicare's sustainable growth rate formula made those cuts off limits. [9]
Lyndon B. Johnson signing the Medicare amendment (July 30, 1965). Former president Harry S. Truman (seated) and his wife, Bess, are on the far right.. Originally, the name "Medicare" in the United States referred to a program providing medical care for families of people serving in the military as part of the Dependents' Medical Care Act, which was passed in 1956. [7]