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Pelosi Politics With Medicare Payments
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Medpagetoday.com REPORTS HERE that "Speaker of the House Nancy Pelosi (D-Calif.) doesn't support the temporary "doc fix" bill passed by the Senate last week because it has no job-creation measures." 'I see no reason to pass this inadequate bill until we see jobs legislation coming out of the Senate,' Pelosi said in the statement posted to her website. 'House Democrats are saying to Republicans in the Senate: show us the jobs!'"

"The Senate last week passed a bill to postpone the 21% cut for physicians who treat Medicare patients until Nov. 30. The bill -- which also gives doctors a 2.2% increase in reimbursements -- was approved by voice vote Friday afternoon, on the same day that the Centers for Medicare and Medicaid Services (CMS) announced it would begin processing Medicare claims at the 21% lower rate."

"The House must pass the bill in order for the six-month delay to become law, and for CMS to stop processing claims at the 21% lower rate. But based on Pelosi's statement, she's not supporting the six-month payment fix as a stand-alone bill.

"The House has approved long-term reform that ensures that Medicare patients will have access to quality physicians' services," she said. "The bill Senate Republicans allowed to pass is not only inadequate with respect to physician fees, but it ignores urgent sections of the House bill to provide jobs."

"Senate Republicans, and several fiscally conservative Democrats, refused to vote for a $118 billion package that mixed the physician fee provision in with a number of job-creation provisions, and several to extend expired federal programs. But once the doctor reimbursement portion was removed from the pricey package and placed in its own, fully offset bill, it passed easily."

 
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U.S. government overpaid private insurance companies administering Medicare Advantage plans by as much as $3.1 billion in 2010, according to a new report from the Government Accountability Office (GAO).

About a quarter of all Medicare beneficiaries are enrolled in Medicare Advantage plans, and the Centers for Medicare and Medicaid Services (CMS) paid about $114 billion to the plans in 2010.


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