1 / 16

Grassroots Call, July 12, 2011: Emergency GAC Call

Grassroots Call, July 12, 2011: Emergency GAC Call. Today’s Call. 1. Debt Ceiling 2. Rumors rural cuts 3. Cantor’s Proposal. Background. Debt ceiling/August 2 Deadline Must have agreement soon. Will take time to draft legislation This week is critical. Gang of 6 failed

ratana
Download Presentation

Grassroots Call, July 12, 2011: Emergency GAC Call

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Grassroots Call, July 12, 2011:Emergency GAC Call

  2. Today’s Call • 1. Debt Ceiling • 2. Rumors rural cuts • 3. Cantor’s Proposal

  3. Background • Debt ceiling/August 2 Deadline • Must have agreement soon. Will take time to draft legislation • This week is critical.

  4. Gang of 6 failed • Joe Biden negotiations failed • President has taken over negotiations • “everything is on the table” including rural Medicare payments.

  5. Who’s in the room • President Obama Senate • Reid – D-NV • Durbin – D-IL • McConnell – R-KY • Kyl – R-AZ House • Boehner – R-OH • Cantor – R-VA • Pelosi – D-CA • Hoyer – D-MD

  6. Earlier Biden proposals may have included reworking cost-based reimbursement. • Now Cantor proposal: • $16 billion in specific rural cuts.

  7. Inside and Outside Strategy • NRHA has hit and will continue to hit key Congressional targets • Administration; WH call, HRSA • Outreach to all rural associations • Grassroots must be fully mobilized • Call and email Member • Go to District Office • Letters to editor

  8. Critical Access Hospitals and Rural Health Clinics By State

  9. Rural Referral Centers, Medicare Dependent and Sole Community Hospitals

  10. Big Plan vs. Little Plan • $2.4 trillion - $4 trillion • SGR fix? • Rural Extenders

  11. The costly Doc Fix • Congress consistently blocks scheduled cuts from taking effect, and has to come up with new offsets each time. • According to the AMA, a permanent SGR repeal would have cost $48 billion in 2005 — compared with a price tag of nearly $300 billion to block the cuts that are scheduled for January. • "An agreement on the debt ceiling legislation provides the best — and perhaps only — opportunity to ensure stability in Medicare payments, ensure continued beneficiary access to care, and address the SGR deficit in a fiscally responsible manner," the AMA and other organizations said Monday in a letter to President Obama.

  12. Rural Provisions set to expire at same time as SGR • Positive adjustments in the GPCI • Outpatient hospital hold harmless provisions • Extension of the Medicare Dependent Hospital Program • Section 508 Hospital Payments (reclassification) • Rural Ambulance Super bonus • Technical component cost for certain pathology services • Low volume/high quality adjustment

  13. The Message • Don’t support debt ceiling proposal that contains devastating cuts to rural health care. • $16 billion in Medicare cuts to rural providers will decimate the delivery of health care to the 62 million who live in rural American. • Rural hospitals are critical to the patients they serve and to the rural economy.

More Related