Late yesterday, the Senate voted to pass H.R. 2, repealing the Medicare Sustainable Growth Rate (SGR), putting physicians on a two-track payment system that will continue a federal push toward risk-based payment models, including ACOs and bundled payment models. By 2019, physicians will have to have at least 25% of Medicare revenue tied to payment models to quality for higher payments and the number will triple in 2023. Senators also attempted to pass six amendments to the bill, but all failed. The bill also includes a six-month delay in enforcement of CMS’ “two midnights” payment policy for short hospital stays.
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