Medicare Cutbacks Politicians, hospital administrators, doctors, and union leaders across the country are scrambling to reverse Medicare policy that has cut off, and will continue to cut off, billions of dollars from the health care industry and force cutbacks in critical medical services. The combination of rising cost in the health care industry and the diminishing Medicare payments are predicted to result in devastating effects to many aspects of the sector. Physicians, treatment facilities, medical training institutions, as well as beneficiaries are all vulnerable to the adverse effects of Medicare cutbacks. Nationwide, hospitals will lose approximately $1.

6 billion annually once new Medicare cuts go into place on October 1, 2002. The cutbacks contained in the fiscal year 2003 budget will present a substantial challenge in the days lying ahead for the programs 550, 000 participating physicians and its 39 million beneficiaries (Haugh, 2002). In the resent days of staffing crisis's, liability insurance price hikes, and the overall elevating cost of providing healthcare, the Medicare cutbacks could not have come at a more inconvenient time for health care officials. Medicare payment reductions have become the added fuel in the industries financial crisis fire. I. Introduction A.

What the projected cutbacks are. B. What prompted the cutbacks? 1. Balanced Budget Act of 1997 C.

Who will be effected by the cutbacks? II. Impact on Physicians and private practice A. Reimbursement rate deduction B. Medicare participation decline 1. 17 percent of family physician have stopped taking new Medicare patients (Ingle hart, 2002). III.

Impact on HospitalsA. Disproportional-share hospital payment reduction. Reimbursement rate reduction IV. Impact on training hospitalsA. Indirect medical education payment adjustments.

Importance of training facility funding V. Impact on beneficiaries. Good v. Bad 1. More funds available for new programs such as drug benefits. 2.

Limited access to care. 3. Limited choices. VI.

ConclusionReferencesAssociation of American Medical Colleges. (2002, May 15). Health care leaders urge congress to stop medicare cuts to teaching hospitals. Retrieved September 10, 2002, from web 2002/020515. htm Centers for Medicare & Medicaid. (2002, September 5).

Hospital outpatient prospective payment system. Retrieved September 11, 2002, from web Haugh, R. (2002, April). Dr. discontent.

Hospitals & Health Networks, 34-42. Haugh, R. (2002, March). Feeling the pressure? .

Hospitals & Health Networks, 42-45. Hernandez, R. (2001, May 14). A broad alliance tries to head off cuts in medicare [Electronic version]. The New York Times. Retrieved September 10, 2002, from web aging / world / broad.

htmInglehart, J. K. (2002, June 13). Medicare's declining payments to physicians. The New England Journal of Medicine, 346 (24), 1924-1930. Kates, C.

(2002, May). Hurry up and wait: Stagnant medicare reform could be a good thing. Senior Market Advisor, Retrieved September 9, 2002, from http: //www... com/Archives. may 02/feature 1. cf m Pear, R.

(2002, September 12). HMO's withdrawing from medicare program [Electronic version]. Monterey County: The Herald. Retrieved September 12, 2002 from web Rubin, A. (2002, September 11). Medicare and drop page by HMOs.

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