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
- Settlement Reached for Seniors Who Must Leave Assisted Living Home
An assisted living home for seniors in New York City is closing and five residents who had refused to move will accept a $3.35 million settlement. In March 2014, the management of a home for seniors in Brooklyn announced that the facility was closing and the residents would have to move within 90 days. Many […]
- Medicaid Asset Transfers: What Are The Rules?
For many families, paying for a loved one’s extended stay in a nursing home would be difficult without the help of Medicaid. However, in order to qualify for the program, a person’s income and assets must fall within certain limits. Federal rules state that to qualify for Medicaid nursing home coverage, a person must have […]
- Seniors & Mental Health: Is it Mental Illness or Aging?
Seniors are more at risk for mental illness than the general population. According to the Centers for Disease Control and Prevention (CDC), about 20 percent of people age 55 and older experience some kind of mental health concern. Not only are more seniors affected by mental illness, nearly one in three affected older adults does […]