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Medicare providers face a nearly 10% reimbursement cut in 2022. Our Health Care Legislative & Public Policy Team does the math and explains how a combination of sequester cuts and expiring reimbursement support could bring a shock to providers accepting Medicare on January 1, 2022.
The CARES Act extended a 2% moratorium from the Budget Control Act of 2011 until 2022
The American Rescue Plan Act could trigger the 4% cut from the Statutory PAYGO Act of 2010 in 2022
Last year’s Consolidated Appropriations Act 3.75% reimbursement bump-up expires in 2022
Before the COVID-19 pandemic, Medicare payments had been subject to “sequestration” in the form of a 2 percent payment reduction for more than seven years. Designed as a budget enforcement tool to control federal spending, the statutory requirement for this sequester was enacted as part of the Budget Control Act of 2011 (BCA) and applied to payments starting in fiscal year 2013. Through a provision included in the CARES Act (in response to COVID-19), Congress placed a moratorium on this Medicare sequester, effectively increasing Medicare payments by 2 percent until April 1, 2020. On April 14, 2021, President Biden signed H.R. 1868 into law, retroactively extending the moratorium on the 2 percent Medicare sequestration until December 31, 2021. While the recent moratorium extension until the end of the year gives welcome stability and relief for health care stakeholders, the timing means that