The Budget Outcome--Everything Was Decided Too Goose Egg Was Decided
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Title : The Budget Outcome--Everything Was Decided Too Goose Egg Was Decided
link : The Budget Outcome--Everything Was Decided Too Goose Egg Was Decided
For months, I accept been telling y'all iv things:
The Democrats wanted $22 billion to a greater extent than inward domestic coin than President Bush wanted--about a 2% difference. The Democrats after offered to "split the difference" looking for $11 billion more--which Bush rapidly rejected. In the cease Bush got his cap--but they equally good agreed to nearly $11 billion to a greater extent than inward "emergency funding" to a higher house the cap.
The Democrats equally good made Bush pay yesteryear cutting many of his favorite programs to arrive nether his cap. The choice minimum revenue enhancement (AMT) ready had no funding then volition add together $50 billion to the budget deficit. All told, funding for the state of war on terror, the AMT gap, too the residue of the spending volition give us a whopping budget deficit of $240 billion side yesteryear side year.
If y'all are wondering simply what got decided here, who actually won, too what's different, y'all aren't the solely one.
On the wellness issues:
SCHIP has been extended to March 2008. The Congress too the President accept allocated plenty coin that children at in i lawsuit covered volition move able to remain inward the program. There is some disagreement nearly whether novel CMS rules powerfulness termination inward some cuts but CMS is showing no inclination to forcefulness whatever kids off the innovation inward an election year.
The bipartisan understanding to expand SCHIP from the electrical flow vi i M 1000 kids to 10 i M 1000 yesteryear spending some other $35 billion ended upward existence shelved after the President vetoed that bargain twice too the Democrats fell nearly 10 House votes curt inward their attempts to override him.
The docs did non larn their Jan 10% Medicare fee cuts too instead got a one-half per centum increase.
The bad novel for the docs is that they solely got a six calendar month reprieve this time--until July 1, 2008. I reckon no argue to believe the Congress won't in i lawsuit again honor someplace to larn the coin it volition postulate to defer the cuts to Jan 1, 2009.
But on Jan 1, 2009 the docs volition human face upward a whopping 15% cut--the 5% from finally twelvemonth that is funded solely until July 1, this year's 5% cutting that was equally good deferred solely until July, too a novel 5% cutting the Sustainable Growth Rate Formula (SGR) volition automatically practise on Jan 1, 2009.
The Congress has fixed zip for the docs, they accept solely pushed the pending cuts frontwards yesteryear vi months--and most probable twelve months until Jan 1, 2009.
Just before the vacation recess, nosotros sentiment nosotros had a twelve calendar month physician ready that would accept been funded yesteryear taking the extra vi months coin from the "double dip" payments Medicare Advantage plans pay to instruction hospitals. But it wasn't the wellness innovation vestibule too conservative Republicans that KO'd that Medicare Advantage cut--it was a powerful Democrat looking to protect his local medical centers.
The big instruction hospitals accept ever had some of the most powerful allies inward Congressional delegations from states similar Massachusetts too New York where some of the nation's leading medical centers are based too some of the most powerful Democrats hail from. That was the illustration this fourth dimension equally the medical centers prevailed on the Chairman of the House Ways too Means Committee, too New York Congressman, Charlie Rangel, to kill that idea.
With the extra coin cutting yesteryear Rangel, too fourth dimension running out, the solely out was to role what coin they had for simply a six calendar month fix too after evidence to honor to a greater extent than funding yesteryear July of 2008.
As a result, the Medicare Advantage (MA) plans suffered no fabric cuts. It was clear that whatever existent cuts would encounter a Bush veto amongst the same fate equally the two SCHIP pecker votes. In the Senate, where 60-votes would accept been necessary for whatever pecker that contained MA changes, at that spot had already been tacit understanding amid Republicans to a one-year physician ready too some MA cuts. The large divergence was an intransigent President who wasn't going to budge on this number too after objections from Rangel.
Because of these agreements, payments to the MA plans should move rubber until Jan 1, 2010 because CMS volition accept laid the 2009 rates yesteryear the fourth dimension the 2009 budget is dealt amongst after side yesteryear side year.
Does this hateful that Medicare Advantage plans accept won too volition non accept to worry nearly whatever large cuts?
Hardly. This was a draw.
Bush held the cuts off. Bush is a lame duck. The Democrats are to a greater extent than intent than ever on getting dorsum on this i too cutting the Medicare Advantage "over payments."
George Bush may non accept to sign the 2009 budget too thence move a element inward side yesteryear side year's negotiations. It would move a elementary affair for continuing resolutions function yesteryear away on the regime going a calendar month longer than they did this year--to inauguration day too a novel President inward belatedly January.
Late inward 2008, the docs volition move facing a 15% Medicare fee cutting on Jan 1, 2009, SCHIP volition move out of coin a few months after on March 1, 2008, the extra payments to Medicare Advantage plans volition acquaint the same plump target, too nosotros volition know who won the Nov elections.
I heard soul say of late that amongst every additional twelvemonth of the extra Medicare Advantage payments at that spot volition move to a greater extent than seniors on the plans too it volition move politically to a greater extent than hard to cutting them. That misses an of import point--the docs are facing a 15% cutting too if they don't larn the coin from the HMOs they volition larn it from other providers. AARP, the AMA, the hospitals, too nearly every other provider organization tin give the sack concur on simply i thing here--get the coin from the Medicare HMOs. AARP tin give the sack rally a lot to a greater extent than seniors than the insurance industry can.
The Medicare physicians held off some large fee cuts for probable some other year, the Medicare Advantage HMOs held off whatever existent cuts to their programs but are far from rubber going into 2010, too the kids accept their wellness innovation until March.
No i won.
It's a "do over."
You are now reading the article The Budget Outcome--Everything Was Decided Too Goose Egg Was Decided with the link address https://new-insurancequotes.blogspot.com/2019/09/the-budget-outcome-everything-was.html
Title : The Budget Outcome--Everything Was Decided Too Goose Egg Was Decided
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The Budget Outcome--Everything Was Decided Too Goose Egg Was Decided
The Budget agreement, SCHIP, the Medicare Physician Fee Cut, too Medicare Advantage HMO payments.For months, I accept been telling y'all iv things:
- The federal budget impasse would move resolved because Democrats too Republicans weren't going to larn abode without their earmarks. In predicting the budget consequence y'all powerfulness yell back my telling y'all to follow the "pork."
- SCHIP would non move allowed to expire too would move extended.
- The 10% Medicare Physician Fee cut would move avoided simply equally it has been for a number of years inward a row.
- Democrats were adamant nearly cutting Medicare Advantage payments equally a way to pay for the Medicare physician fee cut too seeing the program's payments ultimately equalized amongst the traditional Medicare program.
The Democrats equally good made Bush pay yesteryear cutting many of his favorite programs to arrive nether his cap. The choice minimum revenue enhancement (AMT) ready had no funding then volition add together $50 billion to the budget deficit. All told, funding for the state of war on terror, the AMT gap, too the residue of the spending volition give us a whopping budget deficit of $240 billion side yesteryear side year.
If y'all are wondering simply what got decided here, who actually won, too what's different, y'all aren't the solely one.
On the wellness issues:
SCHIP has been extended to March 2008. The Congress too the President accept allocated plenty coin that children at in i lawsuit covered volition move able to remain inward the program. There is some disagreement nearly whether novel CMS rules powerfulness termination inward some cuts but CMS is showing no inclination to forcefulness whatever kids off the innovation inward an election year.
The bipartisan understanding to expand SCHIP from the electrical flow vi i M 1000 kids to 10 i M 1000 yesteryear spending some other $35 billion ended upward existence shelved after the President vetoed that bargain twice too the Democrats fell nearly 10 House votes curt inward their attempts to override him.
The docs did non larn their Jan 10% Medicare fee cuts too instead got a one-half per centum increase.
The bad novel for the docs is that they solely got a six calendar month reprieve this time--until July 1, 2008. I reckon no argue to believe the Congress won't in i lawsuit again honor someplace to larn the coin it volition postulate to defer the cuts to Jan 1, 2009.
But on Jan 1, 2009 the docs volition human face upward a whopping 15% cut--the 5% from finally twelvemonth that is funded solely until July 1, this year's 5% cutting that was equally good deferred solely until July, too a novel 5% cutting the Sustainable Growth Rate Formula (SGR) volition automatically practise on Jan 1, 2009.
The Congress has fixed zip for the docs, they accept solely pushed the pending cuts frontwards yesteryear vi months--and most probable twelve months until Jan 1, 2009.
Just before the vacation recess, nosotros sentiment nosotros had a twelve calendar month physician ready that would accept been funded yesteryear taking the extra vi months coin from the "double dip" payments Medicare Advantage plans pay to instruction hospitals. But it wasn't the wellness innovation vestibule too conservative Republicans that KO'd that Medicare Advantage cut--it was a powerful Democrat looking to protect his local medical centers.
The big instruction hospitals accept ever had some of the most powerful allies inward Congressional delegations from states similar Massachusetts too New York where some of the nation's leading medical centers are based too some of the most powerful Democrats hail from. That was the illustration this fourth dimension equally the medical centers prevailed on the Chairman of the House Ways too Means Committee, too New York Congressman, Charlie Rangel, to kill that idea.
With the extra coin cutting yesteryear Rangel, too fourth dimension running out, the solely out was to role what coin they had for simply a six calendar month fix too after evidence to honor to a greater extent than funding yesteryear July of 2008.
As a result, the Medicare Advantage (MA) plans suffered no fabric cuts. It was clear that whatever existent cuts would encounter a Bush veto amongst the same fate equally the two SCHIP pecker votes. In the Senate, where 60-votes would accept been necessary for whatever pecker that contained MA changes, at that spot had already been tacit understanding amid Republicans to a one-year physician ready too some MA cuts. The large divergence was an intransigent President who wasn't going to budge on this number too after objections from Rangel.
Because of these agreements, payments to the MA plans should move rubber until Jan 1, 2010 because CMS volition accept laid the 2009 rates yesteryear the fourth dimension the 2009 budget is dealt amongst after side yesteryear side year.
Does this hateful that Medicare Advantage plans accept won too volition non accept to worry nearly whatever large cuts?
Hardly. This was a draw.
Bush held the cuts off. Bush is a lame duck. The Democrats are to a greater extent than intent than ever on getting dorsum on this i too cutting the Medicare Advantage "over payments."
George Bush may non accept to sign the 2009 budget too thence move a element inward side yesteryear side year's negotiations. It would move a elementary affair for continuing resolutions function yesteryear away on the regime going a calendar month longer than they did this year--to inauguration day too a novel President inward belatedly January.
Late inward 2008, the docs volition move facing a 15% Medicare fee cutting on Jan 1, 2009, SCHIP volition move out of coin a few months after on March 1, 2008, the extra payments to Medicare Advantage plans volition acquaint the same plump target, too nosotros volition know who won the Nov elections.
I heard soul say of late that amongst every additional twelvemonth of the extra Medicare Advantage payments at that spot volition move to a greater extent than seniors on the plans too it volition move politically to a greater extent than hard to cutting them. That misses an of import point--the docs are facing a 15% cutting too if they don't larn the coin from the HMOs they volition larn it from other providers. AARP, the AMA, the hospitals, too nearly every other provider organization tin give the sack concur on simply i thing here--get the coin from the Medicare HMOs. AARP tin give the sack rally a lot to a greater extent than seniors than the insurance industry can.
The Medicare physicians held off some large fee cuts for probable some other year, the Medicare Advantage HMOs held off whatever existent cuts to their programs but are far from rubber going into 2010, too the kids accept their wellness innovation until March.
No i won.
It's a "do over."
Thus the article The Budget Outcome--Everything Was Decided Too Goose Egg Was Decided
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You are now reading the article The Budget Outcome--Everything Was Decided Too Goose Egg Was Decided with the link address https://new-insurancequotes.blogspot.com/2019/09/the-budget-outcome-everything-was.html
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