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Government Affairs Home > Washington Highlights > June 13, 2003

Deans' Letter Urges Inclusion of Physician Payment Relief in Upcoming Medicare Bills

June 13, 2003 - The deans of 95 medical schools signed a June 9 letter urging the inclusion of Medicare physician payment relief legislation in any Medicare reform legislation taken up this year. The letter was sent in anticipation of Medicare reform mark-ups in the House and Senate health committees beginning June 12.

Delivered to members of the Senate Finance Committee, House Committee on Ways and Means, and House Committee on Energy and Commerce, the deans' letter calls attention to a recent projection by the Centers for Medicare and Medicaid Services (CMS), that indicates a 4.2 percent reduction to the CY 2004 Conversion Factor. The letter also raises the likelihood of continued payment volatility in the long-term.

The letter states that stable and adequate Medicare reimbursement is "a critical issue" for medical schools, given that faculty practices represent nearly one-sixth of all Medicare physicians. Similarly, Medicare reimbursement accounts for approximately 35 percent of a medical school's total revenue.

According to the letter, "the unexpected projected cuts over the next several years reiterate that systemic flaws in the Medicare physician payment methodology remain." Such cuts, the letter adds, "will jeopardize our ability to maintain the resources that support our core missions…." The letter also explains that "our capacity to provide charity care and stand-by disaster readiness" also may be diminished by payment reductions.

Information:
Christiane Mitchell, Senior Legislative Affairs Manager
AAMC Government Relations
cmitchell@aamc.org
(202) 828-0526

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