Comparison of three legislations proposed to repeal the sustainable growth rate (SGR)
| SGR repeal and Medicare beneficiary | Medicare Patient Access and Quality Improvement Act of 2013, H.R. 2810 | SGR repeal and Medicare Beneficiary Access Improvement Act of 2013 | |
|---|---|---|---|
| House Ways and Means Committee | House Energy and Commerce Committee | Senate Finance Committee | |
| Repeal | Yes | Yes | Yes |
| Freeze payments | Yes | Yes | Yes |
| Positive updates | 0.5% 2014–2016 | 0.5% 2014–2018 | None |
| Alternative payment models | Yes | Yes | Yes |
| Funding | $125 million | $150 million | $125 million |
| Value-based performance payment program which includes meaningful use | Physical quality reporting system and value-based modifier | Physical quality reporting system and value-based modifier | Physical quality reporting system and value-based modifier |
| Complex chronic care services | Yes | Yes | Yes |
| Identification of misvalued services and redistribution of savings | Yes | Yes by improving accuracy of relative values | Yes |
Adapted with permission from Manchikanti et al2 and Pain Physician.