Caps yearly changes to Medicare payments for doctors and other healthcare providers.
This bill would make Medicare payments more stable for doctors and other healthcare providers. It would limit how much these payments can change each year and update the rules for how the government calculates them. This aims to give providers more predictable income when treating Medicare patients.
Today, Medicare physician payments can change significantly year-to-year, and the budget neutrality threshold is $20 million. The costs used to calculate office expenses are not required to be updated regularly or simultaneously. After this bill, yearly changes to the main Medicare payment rate would be capped at 2.5 percent starting in 2028, and the budget neutrality threshold would increase to $57.64 million in 2028, with future adjustments. The government would also be required to update office expense costs at least every five years and correct payment errors based on patient service estimates starting in 2029.
S 5180 · 119th Congress · AI Summary by gemini-2.5-flash · 9/10
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