SGR Repeal Bill Advances in the House of Representatives

At the end of July, the House Energy & Commerce Committee unanimously approved H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013, legislation to repeal the SGR formula. H.R. 2810 repeals the SGR formula and provides positive updates of 0.5% for five years (2014 – 2018). During the five-year period of stability, a new physician update incentive quality reporting program will be developed, which includes new processes for physicians and medical societies to develop quality measures and other clinical improvement activities. Beginning in 2019, physicians who fail to report quality metrics would be subject to penalties, unless participating in an alternative payment model that is being evaluated as a demonstration program or a model already recognized and approved by the Secretary of HHS. Passage of the bill by the Committee represents an early step in a process that will involve action by other congressional committees and alignment between the House bill and legislation developed in the Senate. As this process continues, Congress will also need to identify how the bill will be paid for, which has been a challenge that has side-lined previous SGR reform efforts. To access more information about H.R. 2810 from the House Energy & Commerce Committee website, please click here


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