There is a looming bill of $300 billion over 10 years facing the American health care system. It is not paid for — not by people making a meager $250,000 or even a respectable $1 million. It will not be paid by snapping our fingers and repealing “ObamaCare.” The $1.2 trillion spending cut agreement this summer did not address it. If we pay the bill, it will be part of the deficit, no doubt about it. I refer, of course, to what is known as the “doc fix.”
Under current law, Medicare providers (i.e. doctors, nurses and hospitals who care for people over the age of 65) will see a cut of 29.5% in their reimbursement rate (read: a pay cut) on Jan. 1, 2012. A bit of (admittedly dull) background is in order:
Congress is charged with setting the reimbursement rate for Medicare providers. In the 1990s, a formula was agreed upon by President Bill Clinton and Congress that soon proved to be wrong — and actually cut provider payments significantly. No one wanted doctors to experience a sudden financial shock and be incentivized to close their doors to new Medicare patients. So, Congress routinely began to pass what’s known as the doc fix, which prevents massive cuts to providers. Read