Congressional Budget Office V. Estimated of Changes in Net Federal Outlays from Alternative Proposals for Changing Physician Payment Rates

Estimated of Changes in Net Federal Outlays from Alternative Proposals for Changing Physician Payment Rates 1 (March 2008)

handle is hein.congrec/cbo9335 and id is 1 raw text is: Estimated Changes in Net Federal Outlays from Alternative Proposals
for Changing Physician Payment Rates
By Fiscal Year, in Billions of Dollars

NOTE: AII options assume payment rates are held at the current level for the second half of calendar year 2008.
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2013 2018

Options Not Subject to Being Recouped by the SGR Mechanism al

0 Percent Update for the Second Half of 2008 only (this is assumed in each option)
and Reduce Payment Rates by about 15 Percent in 2009 to Hold Future Rates at Current-
Law Levels b/
0 Percent Update 2009 and Reduce Payment Rates by about 20 Percent in 2010 to Hold
Future Rates at Current-Law Levels b/
0 Percent Update for 2009 and 2010 and Reduce Payment Rates by about 24 Percent in
2011 to Hold Future Rates at Current-Law Levels b/
1 Percent Update in 2009, and Reduce Payment Rates by about 21 Percent in 2010 to
Hold Future Rates at Current-Law Levels b/
1 Percent Update in 2009 and 2010 and Reduce Payment Rates by about 26 Percent in
2011 to Hold Future Rates at Current-Law Levels b/
MEl Update in 2009, and Reduce Payment Rates by about 21 Percent in 2010 to Hold
Future Rates at Current-Law Levels b/
MEl Update in 2009 and 2010 and Reduce Payment Rates by about 27 Percent in 2011
to Hold Future Rates at Current-Law Levels b/
0 Percent Update Through at Least 2018
0 Percent Update Through at Least 2018 and Premium Hold-Harmless c/
1 Percent Update Through at Least 2018
1 Percent Update Through at Least 2018 and Premium Hold-Harmless c/
MEl Update Through at Least 2018
MEl Update Through at Least 2018 and Premium Hold-Harmless c/
Reset SGR Targets at 2008 Spending Level d/
Reset SGR Targets at 2008 Spending Level and Premium Hold-Harmless c,d/

1.5 0.6 0.0 0 0

0 0 0 0 0 2.1 2.1

1.5 4.4 2.1 0 0 0 0 0 0 0 0 8.1 8.1
1.5 4.4 8.9 2.9 0 0 0 0 0 0 0 17.8 17.8

1.5 4.7 2.2

0 0 0 0 0 0 0 0 8.4 8.4

1.5 4.7 9.7 3.2 0 0 0 0 0 0 0 19.1 19.1
1.5 4.9 2.4 0 0 0 0 0 0 0 0 8.7 8.7

1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5
1.5

4.9
4.4
5.7
4.7
6.0
4.9
6.2
3.6
4.6

10.4
8.9
11.4
9.7
12.4
10.4
13.2
7.8
10.0

3.4
12.0
15.2
13.3
17.0
14.3
18.2
10.5
13.4

0
15.2
19.3
17.2
21.8
18.6
23.6
12.5
15.9

0
18.8
23.8
21.5
27.3
23.5
29.9
14.5
18.4

0
22.8
28.9
26.4
33.5
29.1
36.9
17.1
21.7

0
27.4
34.6
32.0
40.5
35.8
45.2
20.5
25.9

0
32.2
40.6
37.9
47.9
43.0
54.2
24.1
30.5

0
37.0
46.7
44.0
55.6
50.5
63.8
27.9
35.2

0
40.0
50.4
48.4
61.1
56.7
71.5
29.7
37.4

20.2 20.2
60.8 220.1
76.9 278.2
67.9 256.7
86.0 324.5
73.1 288.1
92.5 364.3
50.5 169.8
63.8 214.5
continued

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3/14/2008

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