Future of Bush-Era Tax Cuts Uncertain; Negotiations Reach Critical Stage as Providers Consider Budgets for 2013

The future of the Bush-era expiring tax cuts is still uncertain, as negotiations between the White House and House Speaker John Boehner (R-Ohio) reached a critical phase this week, according to an ASCA report.

The mandated cuts are the result of a law enacted last year to increase the amount the federal government can borrow. As it currently stands, Medicare payments to providers and ASCs will face a 2 percent reduction in 2013 and beyond. Since surgery centers are already scheduled to receive a 0.6 percent uptick in 2013, under the recently finalized CMS payment rule, the tax cuts would alter that to a 1.4 percent reduction.

The cuts could be avoided if an agreement is reached by Dec. 31 to forestall sequestration. If an agreement is not reached, the patch currently set to "fix" the SGR issue is scheduled to expire, triggering a 27 percent cut in physician payments that has been postponed for years. The scheduled reduction could be postponed, and will otehrwise affect the 2013 ASC facility payment rate for procedures paid at the physician office payment rate.

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