AAN Letter to MedPAC Expresses Concerns Over Proposed SGR "Fix"

September 28, 2011

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The AAN and President Bruce Sigsbee, MD, FAAN, have submitted a letter to the Medicare Payment Advisory Commission (MedPAC) expressing serious concerns about MedPAC's proposed recommendations to Congress which would repeal the Medicare Sustainable Growth Rate (SGR) formula by instituting unilateral cuts of almost 18 percent to non-"primary care" physicians over the next three years, followed by a seven-year payment freeze. MedPAC is expected to vote on this proposal during its October 6-7 meeting.

Specifically, the letter addresses MedPAC's definition of primary care, neurology workforce shortages and patient access issues, the increasing prevalence of neurologic and age-related disorders, and the implications this recommendation would have on neurology.

The AAN agrees the SGR formula is flawed and needs to be permanently fixed. However, as the letter below states, MedPAC must take into consideration that it is overly simplistic to lump all non-"primary care" specialties together.

Academy members are encouraged to contact their members of Congress to let them know we support a permanent fix, but oppose the proposed MedPAC recommendations.

Read the Letter

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