Sequestration Affects Medicare and Medicaid Reimbursements
White Plains, NY (Law Firm Newswire) May 22, 2013 – Payment reductions are expected for Medicare and Medicaid in light of sequestration cuts.
This March, the Centers for Medicare and Medicaid Services announced that the Medicare FFS Program (Part A and Part B) is slated for a reduction in payments due to the sequestration order which was recently signed into law. Health care suppliers and providers have been notified that reimbursements for claims that are filed for both dates-of-service and dates-of-discharge starting on April 1, 2013, will now have a 2 percent reduction in the amount that is reimbursed. This will also affect claims for orthotics, prosthetics and other medical supplies.
Legislators had stated that they attempted to protect Medicare from cuts as much as possible: while most programs faced a 7.8 percent cut, Medicare was only hit by 2 percent. But that 2 percent cut has fallen heavily on cancer patients, critics say. Oncologists are not able to change the cost of the drugs they use for cancer treatments in chemotherapy treatments; the 2 percent cut must be taken from overhead costs such as supplying and administering those medications.
Cancer-fighting drugs may cost as much as $15,000; for a clinic, absorbing 2 percent of that cost for every patient, for every course of their multi-course treatment, can be significantly detrimental to their ability to offer those services. The clinics that will likely be able to continue treating patients and meeting their own bills may be forced to cut back on the number of patients they treat. North Shore Hematology Oncology Associates based in Long Island, New York, for example, has just announced that they will no longer be able to treat approximately one-third of the 16,000 patients they have treated who have their care funded by Medicare.
While many Medicare patients who are being turned away by cancer clinics may have to get their treatments met at area hospitals, studies have found that patients pay an average of $650 more each year for cancer treatment when they receive that treatment solely from a hospital. The increased cost, critics point out, may not be affordable to many patients, leaving them with nowhere to turn.
About Littman Krooks
Littman Krooks LLP provides sophisticated legal advice and the high level of expertise ordinarily associated with large law firms along with the personal attention and responsiveness of smaller firms. These ingredients, which are the cornerstone of effective representation and necessary to a successful lawyer/client relationship, have become the foundation of the firm’s success.
Littman Krooks LLP offers legal services in several areas of law, including elder law, estate planning, special needs planning, special education advocacy, and corporate and securities. Their offices are located at 399 Knollwood Road, White Plains, New York; 655 Third Avenue, New York, New York; and 300 Westage Business Center Drive, Fishkill, New York. For more information about Littman Krooks LLP, visit the website at: www.littmankrooks.com.
New York Contact:
Maria M. Brill
Littman Krooks LLP
New York City Office
655 Third Avenue, 20th Floor
New York, New York 10017
(212) 490-2020 Phone
399 Knollwood Road
White Plains, New York 10603
(914) 684-2100 Phone
300 Westage Business Center Drive, Suite 400
Fishkill, NY 12524
(845) 896-1106 Phone
View Larger Map
- Assets Can Be Spent Down Safely to Qualify for Medicaid
Many seniors have to rely on Medicaid to pay the high cost of care in a skilled nursing facility. However, Medicaid is a needs-based program, which means that one must meet certain income and asset limits in order to qualify. Many seniors therefore find themselves needing to “spend down” their assets to become eligible, which [...]
- What Household Employees Should Know About the Affordable Care Act
By Tom Breedlove, HomePay by Breedlove Nannies, senior caregivers, housekeepers and other in-home providers are in a unique situation compared to most employees. They don’t work for a large company with a Human Resources department looking out for their best interest. So when it comes to something like purchasing health insurance, it’s not as simple [...]
- Rent Increase Exemption Expanded for New York City Seniors
Eligibility was expanded for the Senior Citizen Rent Increase Exemption (SCRIE) program, which provides a rent freeze to people age 62 or older who live in rent-regulated apartments and whose rent is more than one-third of their income. Previously, seniors were eligible for the program if their rent was $29,000 or less. The action taken [...]