Reports and Resources

Error message

  • Deprecated function: Methods with the same name as their class will not be constructors in a future version of PHP; views_display has a deprecated constructor in require_once() (line 3278 of /mnt/Target01/338050/722641/www.futureofmedicare.org/web/content/includes/bootstrap.inc).
  • Deprecated function: Methods with the same name as their class will not be constructors in a future version of PHP; views_many_to_one_helper has a deprecated constructor in require_once() (line 127 of /mnt/Target01/338050/722641/www.futureofmedicare.org/web/content/sites/all/modules/ctools/ctools.module).
By
PFM
05/06/2015

The Medicare Sustainable Growth Rate (SGR) is the formula currently used by the Centers for Medicare and Medicaid Services (CMS) to determine the appropriate fee schedule for payment to physicians that will keep costs to the program in line with Gross Domestic Product (GDP). The SGR was enacted as part of the Balanced Budget Act of 1997 as a means to control rising Medicare costs. The formula uses four factors to determine the SGR: changes in physicians’ service fees, percentage change in the number of Medicare beneficiaries, the 10-year average annual percentage change in GDP per capita, and any changes in the Medicare budget due to legislation.

By
PFM
03/04/2015

March 4, 2015
 
Andrew Slavitt
Acting Administrator
Centers for Medicare and Medicaid Services
U.S. Department of Health and Human Services
200 Independence Ave., SW
Washington, D.C. 20201
 
Re: Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter
 
Dear Mr. Slavitt:
 

By
PFM
12/22/2014

The 1603-page cromnibus is a combination of a continuing resolution (CR) and an omnibus spending bill, hence its unique name. An omnibus typically combines a number of smaller appropriations bills into one large bill, whereas CRs are usually used to keep the government running for short periods of time while more permanent budget discussions are occurring. The current cromnibus funds most of the government through September 2015, though the CR portion funds the Department of Homeland Security through February 2015.

By
PFM
08/22/2014

Recently, numerous Medicare reform proposals have been issued that call for strengthening the program’s fiscal sustainability and improving processes to better serve beneficiaries. Overwhelming consensus exists across these proposals – as well as on Capitol Hill – on the need to update Medicare’s fee-for-service (FFS) payment structure. PFM has created a grid that provides a side-by-side comparison of the Medicare provisions in the following recent, notable reform proposals:

Pages