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Medicare, Medicaid, and Other Health Provisions in the American Taxpayer Relief Act of 2012

Provisions in Title VI of ATRA that will result in higher physician fee schedule payments include the override of the sustainable growth rate (SGR) update mechanism of the Medicare physician fee schedule that would have reduced payments had it taken effect, and the extensions of the physician work geographic adjustment. Other provisions preserved some Medicare hospital payments by extending adjustments for low-volume hospitals and the Medicare-dependent hospital program. Sections that addressed Medicare managed care include the extension of the Medicare Advantage special needs plans and reasonable cost contracts. Medicare beneficiaries will continue to have access to the exceptions process for outpatient therapy limits and outreach and assistance programs for low-income beneficiaries. Other health programs extended by the ATRA include the qualifying individual program, the transitional medical assistance program, the Medicaid and the State Children's Health Insurance Program (CHIP) express lane option, familyto- family health information centers, and special diabetes programs for Type I diabetes and for American Indians and Alaska Natives.

# FILE NAME Document Date Order ID: Number of Pages PRICE
1 R42944.pdf Jan 31, 2013 R42944 17 $19.95 ADD TO CART

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